Table 6 Barriers to Patient-Provider Communication about Cognition by SMD Group

Nothing - I would always talk to my health provider about memory or thinking problems

250

(61.12)

99

(76.15)

83

(58.04)

68

(50.00)

2.31

(1.37–3.89)

3.19

(1.89–5.40)

1.38

(0.86–2.22)

I believe memory changes are normal for people my age

129

(31.54)

12

(9.23)

52

(36.36)

65

(47.79)

0.18

(0.09–0.35)

0.11

(0.06–0.22)

0.62

(0.39–1.01)

I am afraid of losing my independence

55

(13.45)

9

(6.92)

18

(12.59)

28

(20.59)

0.52

(0.22–1.19)

0.29

(0.13–0.64)

0.56

(0.29–1.06)

I think there is nothing anyone can do to help memory or thinking problems

26

(6.36)

4

(3.08)

3

(2.10)

19

(13.97)

1.48

(0.33–6.75)

0.20

(0.07–0.59)

0.13

(0.04–0.46)

If my friends or family were pushing me to ask for help

26

(6.36)

9

(6.92)

12

(8.39)

5

(3.68)

0.81

(0.33–2.00)

1.95

(0.64–5.98)

2.40

(0.82–7.00)

I would not want anybody to know I was having memory or thinking problems

25

(6.11)

4

(3.08)

6

(4.20)

15

(11.03)

0.73

(0.20–2.63)

0.26

(0.08–0.79)

0.35

(0.13–0.94)

I am afraid I won’t be taken seriously

16

(3.91)

3

(2.31)

3

(2.10)

10

(7.35)

1.10

(0.22–5.56)

0.30

(0.08–1.11)

0.27

(0.07–1.00)

I believe that my memory is my own business and not anybody else’s

12

(2.93)

4

(3.08)

2

(1.40)

6

(4.41)

2.24

(0.40–12.42)

0.69

(0.19–2.50)

0.31

(0.06–1.55)

I do not want to know if I have cognitive impairment

12

(2.93)

2

(1.54)

1

(0.70)

9

(6.62)

2.22

(0.20–24.76)

0.22

(0.05–1.04)

0.10

(0.01–0.80)

I don’t have access to a healthcare provider (for example, lack of transportation or insurance coverage)

3

(0.73)

3

(2.31)

0

(0.00)

0

(0.00)

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