Alzheimer’s disease presents a public health challenge, with disparities in dementia literacy and resource access, particularly in rural communities. This study examines Extension professionals’ perceptions of the adequacy, availability, and awareness of clinical and non-clinical dementia resources, focusing on potential urban-rural and role-based differences. Using an existing dataset (N = 132), ordinal logistic regression assessed associations between resource ratings and county rurality as well as professional role. Results indicate professionals in rural counties reported significantly lower ratings for the adequacy (OR = 0.47, p < .05), availability (OR = 0.42, p < .05), and awareness (OR = 0.49, p < .05) of clinical dementia resources compared to urban counterparts. No significant differences emerged for non-clinical resources. Findings highlight geographic and professional disparities in clinical dementia resources.
BennettK. J.BordersT. F.HolmesG. M.KozhimannilK. B.ZillerE. (2019). What is rural? Challenges and implications of definitions that inadequately encompass rural people and places. Health Affairs, 38(12), 1985–1992. https://doi.org/10.1377/hlthaff.2019.00910
4.
CahillS.PierceM.WernerP.DarleyA.BoberskyA. (2015). A systematic review of the public’s knowledge and understanding of Alzheimer’s disease and dementia. Alzheimer Disease & Associated Disorders, 29(3), 255–275. https://doi.org/10.1097/WAD.0000000000000102
5.
CationsM.RadisicG.CrottyM.LaverK. E. (2018). What does the general public understand about prevention and treatment of dementia? A systematic review of population-based surveys. PLOS ONE, 13(4), Article e0196085. https://doi.org/10.1371/journal.pone.0196085
6.
FranzN. K.TownsonL. (2008). The nature of complex organizations: The case of cooperative extension. New Directions for Evaluation, 2008(120), 5–14. https://doi.org/10.1002/ev.272
7.
GiebelC.ReadmanM. R.GodfreyA.GrayA.CartonJ.PoldenM. (2025). Geographical inequalities in dementia diagnosis and care: A systematic review. International Psychogeriatrics, 37(3), Article 100051. https://doi.org/10.1016/j.inpsyc.2025.100051
8.
GoinsR. T.KroutJ. A. (Eds.), (2006). Service delivery to rural older adults: Research, policy, and practice. Springer Pub.
9.
IoannidisG.HillierL. M.FehrP.RenaultW.RobinsK.MouriopoulosO.BurnettM.GibbsT.LettsL.PapaioannouA. (2025). Creating dementia-friendly communities: Challenging stigma and building understanding through public education. Educational Gerontology, 51(6), 680–694. https://doi.org/10.1080/03601277.2024.2425759
10.
JensenL.MonnatS. M.GreenJ. J.HunterL. M.SliwinskiM. J. (2020). Rural population health and aging: Toward a multilevel and multidimensional research agenda for the 2020s. American Journal of Public Health, 110(9), 1328–1331. https://doi.org/10.2105/AJPH.2020.305782
11.
KramerM.CuttyM.KnoxS.AlekseyenkoA. V.MollaloA. (2025). Rural–urban disparities of Alzheimer’s disease and related dementias: A scoping review. Alzheimer’s & Dementia: Translational Research & Clinical Interventions, 11(1), Article e70047. https://doi.org/10.1002/trc2.70047
12.
MatsumotoH.MaedaA.IgarashiA.WellerC.Yamamoto-MitaniN. (2023). Dementia education and training for the general public: A scoping review. Gerontology & Geriatrics Education, 44(2), 154–184. https://doi.org/10.1080/02701960.2021.1999938
13.
National Academies of Sciences, Engineering, and Medicine (U.S.) (Ed.). (2021). Reducing the impact of dementia in America: A decadal survey of the behavioral and social sciences. The National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK574341/
14.
RasmussenW. D. (1989). Taking the university to the people: Seventy-five years of cooperative extension (1st ed). Iowa State University Press.
15.
R Core Team. (2025). R: A Language and Environment for Statistical Computing (Version 4.5.1) [Computer software]. R Foundation for Statistical Computing. https://www.R-project.org
16.
SteinbergN.ParisiJ. M.FegerD. M.ClayO. J.WillisS. L.BallK. K.MarsiskeM.HarrellE. R.SiscoS. M.RebokG. W. (2023). Rural-urban differences in cognition: Findings from the advanced cognitive training for independent and vital elderly trial. Journal of Aging and Health, 35(9_suppl), 107S–118S. https://doi.org/10.1177/08982643221102718
