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The Population Neuroscience-Dementia Syndemics Framework to better understand global sex and gender-based risk in low- and middle-income countries

Lookup NU author(s): Dr Rufus Akinyemi

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Abstract

© Springer Nature America, Inc. 2026.Globally, the burden of dementia profoundly affects low- and middle-income countries (LMICs), with a greater burden and risk for late-life women than men. Structural and social determinants of health, crucial constructs conferring risk and protection from later-life dementia, are relatively understudied, yet essential in LMICs. Typical neuroscience studies have historically been small, with highly selected samples that do not generalize well to target populations in LMICs. To better understand gender and sex differences in dementia risk in LMICs, this Perspective lays out a guiding framework for a global dementia research plan—the Population Neuroscience-Dementia Syndemics Framework. Population neuroscience considers the brain in a multilevel context, from a lifecourse perspective, using tools to enhance internal and external validity, while syndemics suggest that diseases and social conditions may cluster and interact in populations with syndemic risk factors—sociocultural, political, economic, and environmental factors that promote stress pathways and disease.


Publication metadata

Author(s): Shaaban CE, Suryadevara V, Hill AV, Milani SA, Agarwal P, Aggarwal NT, Akinyemi RO, Alladi S, Brown MJ, Caldwell JZK, Caramelli P, DuBose L, Ellajosyula R, Esiaka DK, Gibson A, Griffith P, Harper J, Karanja W, Li W, Llibre-Guerra JJ, Loi SM, Mielke MM, Molina-Henry DP, Ogunniyi A, Pudumjee S, Stites SD, Sundermann E, Turner AD, Vila-Castelar C, Viswanathan J, Trani J-F, Babulal GM

Publication type: Article

Publication status: Published

Journal: Nature Aging

Year: 2026

Volume: 6

Issue: 1

Pages: 38-55

Online publication date: 21/01/2026

Acceptance date: 04/11/2025

ISSN (electronic): 2662-8465

Publisher: Springer

URL: https://doi.org/10.1038/s43587-025-01035-5

DOI: 10.1038/s43587-025-01035-5


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