%0 Journal Article
%T Perceived Social Determinants of Health Among Older, Rural
%A Jennifer H Lingler
%A Lora E Burke
%A Lu Hu
%A Marci L Nilsen
%A Marianne Baernholdt
%A Meghan K Mattos
%J Dementia
%@ 1741-2684
%D 2019
%R 10.1177/1471301217694250
%X Limited access to resources and delayed detection of subtle cognitive changes may negatively impact the long-term cognitive health of rural-dwelling adults. This study explored perceived social determinants of health among older, rural-dwelling adults with early-stage cognitive impairment. Semi-structured interviews were conducted with older, rural-dwelling adults with early-stage cognitive impairment and their care partners. Thematic content analysis was performed. Participants (n£¿=£¿9) were 73.7£¿¡À£¿6.0 years of age with 14.2£¿¡À£¿3.1 years of education; care partners (n£¿=£¿10) were 70.9£¿¡À£¿7.4 years of age with 15.6£¿¡À£¿2.3 years of education. Data analysis revealed six themes: Staying active, Eating well, Living with cognitive changes, Living rural, Connecting with neighbors and community, and Relying on children. Dyads¡¯ depictions of perceived social determinants of health focused on the adoption of a healthy lifestyle, description of relationships, and advantages of living in a rural area. Emergent themes may be used to promote adoption of self-management and prevention behaviors, particularly lifestyle changes
%K Alzheimer¡¯s disease
%K health care disparities
%K mild cognitive impairment
%K qualitative methods
%K rural health
%U https://journals.sagepub.com/doi/full/10.1177/1471301217694250