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Over- and under-diagnosis of dementia in ethnic minorities
 — a nationwide register-based study
Author(s)T R Neilsen, A Vogel, T K T Phung
Journal titleInternational Journal of Geriatric Psychiatry, vol 26, no 11, November 2011
Pagespp 1128-1135
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsEthnic groups ; Dementia ; Diagnosis ; Denmark.
AnnotationThe belief is held among dementia professionals in many European countries that dementia is under-diagnosed and under-treated to a greater extent among ethnic minorities than in the native population. This study compared the prevalence of register-based dementia in the largest ethnic minority groups in Denmark with the prevalence of register-based dementia diagnoses in the general Danish population. The study population consisted of 68,219 people aged 20+. A total of 1,734 dementia cases were identified. The mean age at diagnosis was 57.7 years (SD-16.2). Compared to the general population, there was a higher prevalence of dementia among those younger than 60 years, and a markedly lower prevalence of dementia among those aged 60+. Dementia is under-diagnosed to a greater extent among ethnic minorities in the age group 60+, but is over diagnosed in those younger than 60. Several factors may contribute to this pattern, including cultural differences in help-seeking behaviour and problems in navigating the healthcare system. Furthermore, cross-cultural assessment of dementia can be difficult because language barriers and cultural differences. (RH).
Accession NumberCPA-111128004 A
ClassmarkTK: EA: LK7: 76K

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