Purpose: The early recognition of dementia assumes increasing importance. L
ay beliefs on the causes of loss of memory play a major part in this regard
as they have shown to determine help-seeking behaviour. Method: 720 person
s aged 75 or older were questioned on their beliefs on the causes of cognit
ive deficits in the context of the Leipzig Longitudinal Study of the Aged (
LEILA 75+). Results: Almost one-third of the respondents mentioned exclusiv
ely biological causes, vascular lesions coming first. One quarter of those
questioned ascribed memory deficits to non-biological factors. Every tenth
person suspected that they result from a combination of both. One quarter o
f the elderly did not know any answer. Discussion: The results are contrast
ed with outcomes of epidemiological dementia research, It is argued that in
creasing and better quality information of the public are urgently required
.