Honor culture and cognitive aging: Honor endorsement and deficits in memory aging and Alzheimer's disease knowledge.

Greater honor culture endorsement was associated with worse knowledge of normal memory aging.

• Sample consisted of 998 U.S. adults recruited via an online sample
• Hierarchical linear regression analyses were used to examine associations
• Analyses controlled for age, sex, race/ethnicity, educational attainment, and dementia experience
• The association held after controlling for relevant demographic covariates

Greater honor culture endorsement was associated with worse knowledge of pathological memory aging.

• Pathological memory aging knowledge was examined as a distinct construct from normal memory aging knowledge
• The study distinguished between normal and pathological memory aging knowledge domains
• Findings were consistent across both normal and pathological memory aging knowledge outcomes
• Covariates including age, sex, race/ethnicity, educational attainment, and dementia experience were controlled

Greater honor culture endorsement was associated with worse Alzheimer's disease specific knowledge.

• AD-specific knowledge was examined as a separate outcome from general memory aging knowledge
• Exploratory analyses examined associations across specific domains of AD knowledge
• Greater honor endorsement was linked with worse knowledge of AD risk factors, symptoms, treatment and management, life impact, and caregiving
• These domain-level findings emerged from exploratory analyses within the same sample of 998 U.S. adults

Honor culture, defined as prioritizing the defense and maintenance of reputation, has been largely neglected within Alzheimer's disease research in the United States.

• Honor culture is described as a prominent culture within the U.S. that prioritizes defense and maintenance of reputation
• The authors identify this as a gap in the existing AD research literature
• The study frames cultural context as important for both understanding knowledge deficits and developing effective educational and intervention programs
• This is presented as a novel application of honor culture frameworks to the AD knowledge literature

The study used hierarchical linear regression to examine associations between honor endorsement and multiple types of memory aging and AD knowledge while controlling for demographic variables.

• Sample size was 998 U.S. adults
• Participants were recruited via an online sample
• Three primary knowledge outcomes were examined: normal memory aging knowledge, pathological memory aging knowledge, and AD-specific knowledge
• Covariates included age, sex, race/ethnicity, educational attainment, and dementia experience
• Exploratory analyses further broke down AD knowledge into domains: risk factors, symptoms, treatment and management, life impact, and caregiving