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medRxiv PreprintsInternational13 November 2026

Socioeconomic position, socioenvironmental conditions, and subjective cognitive decline among midlife and older LGBTQIA+ adults in California

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Objectives: To examine which measure of socioeconomic position and socioenvironmental conditions has the strongest relationship with subjective cognitive decline (SCD) among midlife and older lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexual and gender minority (LGBTQIA+) adults. Methods: We conducted a cross-sectional analysis of 3869 LGBTQIA+ adults aged 50 years or older participating in a community-engaged survey in California. Using logistic regression, we examined overall associations between each indicator of socioeconomic position and socioenvironmental co
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