Sun-Hee Kim1,,Hyeonju Lee2, Youn-Jung Son3, Da-Young Kim4

1Department of Nursing, Baekseok Culture University, Cheonan, Korea 2Department of Nursing, Tongmyong University, Busan, Korea 3Department of Nursing, Chung-Ang University, Seoul, Korea 4Department of Nursing, Graduate School, Chung-Ang University, Seoul, Korea


Background: This study aimed to identify factors influencing dementia-screening behaviors among commun- ity-dwelling middle-aged and older adults using the Korean Community Health Survey data in 2018.
Methods: This cross-sectional study included community- dwelling adults aged ≥ 50 years. We used data re- lated to socio-demographic and health-related factors and subjective cognitive function. We conducted a chi-squared test and multiple logistic regression analysis with weighted analysis.
Results: Of 108,050 participants (men, 46.6%; ≥ 65 years old, 41.5%), only 13.4% (20,404 participants) per- formed dementia-screening. Using multiple logistic regression, we found that advanced age, female, and un- employed, having a low level of education, low monthly family income, and rural residence, no alcohol intake, no-smoking, hypertension, cognitive dysfunction, and awareness of the dementia helpline service center were positively associated with dementia-screening behaviors.
Conclusions: This study suggests the application of holistic approaches to improve dementia-screening behav- iors among middle-aged and older adults considering their socioeconomic and health related conditions. Our findings highlight that government health programs should consider socio-economic status and awareness of dementia helpline services in designing dementia prevention programs.
Korean J Health Promot 2021;21(4):158-166

Keywords: Dementia, Adult, Preventive health services, Screening, Community Health Survey