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August 30, 2026The Gerontologist

“Not for Our Age”: Self-Ageism in Older Adults’ Dementia Screening Decision

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Authors

JJJiahui JinBLBo LiYTYin‐Leng Theng

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Overview

Qualitative study uncovers how self-ageism and fatalistic beliefs deter dementia screening in older adults, highlighting the need for age-inclusive health communication.

Key Points

  • To examine how older adults make decisions regarding dementia screening by evaluating age-specific beliefs alongside traditional Health Belief Model constructs.
  • Conducted six focus group discussions with 44 community-dwelling older adults (aged 64–87 years) in Singapore.
  • Analyzed standardized English transcripts using a hybrid inductive-deductive thematic analysis framed by the Health Belief Model.
  • Identified six overarching themes: dementia understanding, risk perceptions, perceived benefits, perceived barriers, perceived support, and self-ageism.
  • Participants frequently conflated cognitive decline with normal aging and viewed dementia as inevitable rather than manageable or preventable.
  • Self-ageism emerged as a distinct barrier, with participants internalizing beliefs that undergoing screening is futile, unnecessary, or socially inappropriate in advanced age.

Cite This Study

Jin et al. (2026) studied this question.

synapsesocial.com/papers/6a93f0696c1a8fb52e79c8a7https://doi.org/10.1093/geront/gnag210
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Barriers to the behavioral conversion of dementia screening intentions among high-risk individuals: a qualitative study in an urban Chinese setting2026
  2. 2A - 8 Tailored Education for Aging and Cognitive Health [TEACH]: Refining a Framework for Disclosing Personal Dementia Risk Information to Middle-Aged Adults2024 · 1 citations
  3. 3180 Professionals’ receptivity to the use of decision aids to promote healthy aging. A qualitative descriptive study2024
  4. 4Development of a Video‐Based Decision Aid for Breast Cancer Screening Among Older Women2026 · 1 citations
  5. 5Community Senior Center Intervention to Address Factors Related to Memory Screening Engagement2024 · 1 citations