Final answer:
The factor not considered a risk factor for dementia is having Down syndrome, as it is associated with an increased risk of Alzheimer's type of dementia but is not a lifestyle factor that can be controlled to reduce the general risk of dementia.
Step-by-step explanation:
The correct answer to the question of which factor is not considered a risk factor for dementia is D. having Down syndrome. While Down syndrome is associated with an increased risk of developing Alzheimer's disease specifically, which is a type of dementia, the risk of having a child with Down syndrome is primarily related to age-related changes in parental reproductive cells, not lifestyle factors that can be controlled to reduce the risk of dementia in general. On the other hand, vitamin deficiency (A), age of the individual (B), and alcohol or drug abuse (C) are all recognized risk factors that can contribute to the development of dementia. Therefore, these are considered modifiable or non-modifiable risk factors for the disease.