Perception of dementia risk among Black adults: an ecological analysis of causal loop diagrams with a structural and social determinant of health composite index

Workshop discussions revealed that dementia risk among Black adults is closely linked to S/SDOH, with perceived causal pathways varying according to the degree of S/SDOH deprivation.Groups experiencing higher S/SDOH deprivation, as measured by a composite index of 37 indicators based on the NIA HDRF, more frequently emphasized the role of higher income and better health insurance, as well as the protective effects of strong family relationships in enhancing health literacy, reducing stress, and lowering dementia risk.Recognizing the socioeconomic drivers of dementia and addressing inequities in S/SDOH through sustained public health interventions may be critical to improving long-term health outcomes and reducing dementia risk.