Centre for Policy on Ageing
 

 

The debate on ethnicity and dementia
 — from category fallacy to person-centred care?
Author(s)S Iliffe, J Manthorpe
Journal titleAging & Mental Health, vol 8, no 4, July 2004
Pagespp 283-292
Sourcehttp://www.tandfonline.com
KeywordsEthnic groups ; Dementia ; Social characteristics [elderly] ; Health [elderly] ; Policy.
AnnotationEthnicity is a general concept that subsumes and conceals the impact of migration, education, health beliefs and socio-economic status on health, and therefore is problematic. Empirical research on dementia and ethnicity reveals that intra-ethnic group variation is greater than inter-ethnic group variation. Supporting the view that ethnicity is a category may not have great explanatory power and may foster a category fallacy. However, the experiences of people with dementia and their carers show that the important issues for service providers to consider are language, religious belief and observance, cultural practices (including food and personal care practices) and social support and coping mechanisms. In this position paper, the authors argue that these issues are applicable to all individuals with dementia, independent of apparent ethnicity, and that promotion of cultural competence in service provision should not be relegated to an ethnic minority agenda. The task for health and social care providers is therefore to recognise the diversity of users and to increase access to appropriate quality mainstream person-centred services, rather than to develop segregated or specialised services. (RH).
Accession NumberCPA-040913205 A
ClassmarkTK: EA: F: CC: QAD

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