Abstract

Transgender and Non-Binary (TNB) individuals report greater Subjective Cognitive Decline (SCD) compared to non- TNB individuals. SCD involves self-reported problems with memory and thinking and is a potential risk of Alzheimer's Disease and Associated Dementia (ADRD). We investigated psychosocial factors such as B. Discrimination in the medical environment associated with SCD in a sample of older TNE adults. Discrimination in the medical environment from PRIDE studies of LGBTQ + adults (n = 115) over 50 years of age, including aging health, SCD (memory impairment and memory deterioration over the past year), and TNB adults I used the cross section data for. We tested the association using multivariate logistic regression. Nearly 16% of TNB participants rated their memory as poor / normal, and 17% reported that their memory was worse than it was a year ago. Older TNB adults with SCD were more likely to report experiencing discrimination in the medical setting. After adjustment, those who reported discrimination in the medical setting were 4.5 times more likely to report poor memory than those who did not (OR: 4.5; 95% CI: 1.5- 13.2; p = 0.006), 7.5. It was twice as expensive. Possibility of inadequate reporting / good memory (OR: 7.49; 95% CI: 1.7-32.8; p = 0.008). Older TNB adults report a higher incidence of SCD and discrimination in the medical setting did. Further research is needed to explore positive cognitive screening and medical services.