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Using a cross-sectional survey as part of a broader dementia needs assessment (N=531), the study compares self-reported confidence for African Americans versus Caucasians and for rural versus urban within racial groups. Results show higher combined confidence among African Americans, with particularly greater confidence among rural African Americans. Findings suggest a need to explain the confidence gap despite documented healthcare trust barriers.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/perceived-confidence-in-obtaining-an-alzheimers-disease-diagnosis-exploring-race-and-rurality/428714/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/perceived-confidence-in-obtaining-an-alzheimers-disease-diagnosis-exploring-race-and-rurality/428714.png","ImageObject",300,407,{"name":92,"@type":93},"Blue Pony","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What does the study measure about Alzheimer’s diagnosis access?","Question",{"text":113,"@type":114},"It measures self-reported perceived confidence in obtaining a dementia-related diagnosis if respondents began having memory concerns.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How do African American and Caucasian participants differ in confidence?",{"text":118,"@type":114},"African Americans reported greater combined confidence than Caucasians across rural and urban communities.",{"name":120,"@type":111,"acceptedAnswer":121},"What do the results suggest for future research?",{"text":122,"@type":114},"Future work should investigate why rural African Americans show higher confidence than their Caucasian counterparts, especially given prior evidence of lower trust in healthcare providers.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},428714,1791021952,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},962090760266,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","1248 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.4171  \nPERCEIVED CONFIDENCE IN OBTAINING AN ALZHEIMER’S DISEASE DIAGNOSIS: EXPLORING RACE AND RURALITY  \nHannah Huff1, Anita Reina2, Caleb Snead3, Lydia Burton1, Don Scott1, Stephen Correia1, Lisa Renzi-Hammond1, and Jenay Beer1, 1. University of Georgia, Athens, Georgia, United States, 2. Kennesaw State University, Kennesaw, Georgia, United States, 3. Northwestern University, Evanston, Illinois, United States  \nAlzheimer’s disease (AD) disproportionately affects African Americans, who are twice as likely as Caucasians to develop AD. Research shows; however, that despite higher likelihood of developing AD, African Americans are 35% less likely to get an AD diagnosis. Past research has identified structural barriers (e.g., medical underservice, out-of-pocket costs) that disproportionately affect African American communities, but the intersection of rurality and race on obtaining an AD diagnosis has not been well-studied. In this study, we investigate confidence in obtaining a dementia diagnosis among African American residents of both rural and urban communities. As part of a larger dementia needs assessment, a cross-sectional survey was administered to Georgians (N = 531), assessing confidence in getting a dementia-related diagnosis if they started having memory concerns. Surveys were administered at health fairsand community-focused education/programming. Self-reported confidence in obtaining a dementia diagnosis for rural and urban communities combined was greater for African Americans (mdn=4.00; n = 131) compared to Caucasians (mdn=3.00; n = 400), U= 31420.50, p\u003C 0.001, r = 0.15. Among rural-dwelling participants, confidence in obtaining a dementia diagnosis was greater for African Americans (mdn=4.00; n = 101) compared to Caucasians (mdn=3.00; n = 267), U = 16949.50, p \u003C 0.001, r = 0.20. Additionally, rural African Americans (mdn=4.00, n = 101) expressed greater confidence than urban African Americans (mdn=3.00, n = 30), U = 1068.00, p = 0.011, r = 0.22. Although this study indicates rural-dwelling African Americans are confident in obtaining an AD diagnosis, previous studies suggest they lack trust in healthcare providers. Future research on the intersection of race and rurality should attempt to understand why rural African Americans are more confident than Caucasian counterparts.","cbCaijAcieU6enmZ","https://ap.wps.com/l/cbCaijAcieU6enmZ","pdf",1097238,"English","# Abstract\n## Study design and setting\n## Key comparisons and results\n## Interpretation and future research","[{\"question\":\"What does the study measure about Alzheimer’s diagnosis access?\",\"answer\":\"It measures self-reported perceived confidence in obtaining a dementia-related diagnosis if respondents began having memory concerns.\"},{\"question\":\"How do African American and Caucasian participants differ in confidence?\",\"answer\":\"African Americans reported greater combined confidence than Caucasians across rural and urban communities.\"},{\"question\":\"What do the results suggest for future research?\",\"answer\":\"Future work should investigate why rural African Americans show higher confidence than their Caucasian counterparts, especially given prior evidence of lower trust in healthcare providers.\"}]","Perceived Confidence in Obtaining an Alzheimer’s Disease Diagnosis - Exploring Race and Rurality | PDF",1790647442]