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Dementia prevalence among sexual minority adults age 60+ in the US is approximately 7.4%. This represents over 200,000 sexual minority older adults living with Alzheimer’s disease (AD). Compared to the general aging population, LGBTQ older adults face unique challenges throughout their life-course that may increase exposure to risk factors associated with neurocognitive dysfunction and progression to dementia. Culturally-competent instruments to measure dementia literacy are needed to inform the design of targeted educational interventions for early diagnosis and improved health outcomes. We sought to develop and test a measure of dementia literacy in a community sample of LBGTQ older adults. Following a comprehensive analysis of existing scales, items were adapted resulting in a 35-item survey containing subjective and objective literacy measures. Participants were recruited through community centers in Washington, DC and Maryland. Forty LGBTQ older adults (50-80 years) completed the questionnaire. The analysis of these data was used to modify the original survey. A final 25-item questionnaire was administered to another sample of 50 individuals. 60% correctly identified dementia symptoms from vignettes. Nearly-half believed that dementia symptoms could be reduced by lifestyle changes and drug therapies. Commonly identified risks for dementia included aging, family history, genetics, stroke, and brain injuries. Frequently-endorsed methods for risk reduction included physical activity, intellectual/brain training and social activities. Education level, age, and socioeconomic variables were strongly associated with literacy. Most respondents did not associate cardiovascular/metabolic risk factors with dementia risk. Knowledge of risk factors underlying AD may help underserved populations close current health disparities gaps.

TARGETED TOOL TO MEASURE DEMENTIA LITERACY IN PREVENTION AND TREATMENT AMONG SEXUAL AND GENDER MINORITY OLDER ADULTS