Perceptions of cognitive decline among American Indian and Alaska Native elders

Abstract

Abstract INTRODUCTION American Indian and Alaska Native elders aged ≥ 65 years are experiencing increased life expectancy. Elders are critical to intergenerational knowledge, yet limited data exist on the health challenges faced by this group. METHODS This study engaged individuals attending the National Indian Council on Aging 2021 Annual Meeting in Reno, Nevada. A 19‐question survey, designed to examine perceptions about cognitive decline and to identify comfort with potential risk and protective factors, was disseminated to 50 participants. RESULTS Participants indicated that they are concerned about cognitive decline, are willing to plan for their future care and cognitive testing, and articulated a desire for Tribally led long‐term support services. DISCUSSION This study found similar results to studies on White individuals, which include a lack of knowledge, stigma around the aging process, and gaps in services available. More work is necessary to address the gap in literature and policy. Highlights American Indian and Alaska Natives (AI/ANs) are underrepresented in literature on Alzheimer's disease and related dementia (ADRD). AI/ANs believe that they will experience cognitive decline as they age. AI/ANs indicate a willingness to plan for future care and participate in future research on ADRD.

Keywords

• aging
• Alaska Native
• Alzheimer's disease
• American Indian
• long‐term supports and services
• older adults