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Self-Reported Cognitive Problems Climb in U.S., With Biggest Gains in Adults Under 40

A Neurology analysis of 4.5 million BRFSS responses finds causes remain unclear.

Overview

  • Age-adjusted prevalence rose from 5.3% in 2013 to 7.4% in 2023, continuing a statistically significant uptick that began in 2016.
  • Prevalence nearly doubled for ages 18–39 to about 9.7% in 2023, while adults 70 and older reported a slight decline.
  • Larger increases were seen among people with lower incomes and less education and across most racial and ethnic groups, with smaller rises among higher-income and college-educated respondents.
  • Researchers analyzed 2013–2023 BRFSS data, excluded 2020 due to collection issues, and removed respondents who reported depression.
  • Authors urge clinical and public-health attention to symptomatic young adults, noting that potential contributors such as reporting changes or long COVID remain unproven.