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Centre for Policy on Ageing | |
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Cross-cultural differences in dementia
— the Sociocultural Health Belief Model | | Author(s) | Philip Sayegh, Bob G Knight |
| Journal title | International Psychogeriatrics, vol 25, no 4, April 2013 |
| Publisher | Cambridge University Press, April 2013 |
| Pages | pp 517-530 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Ethnic groups [elderly] ; Usage [services] ; Attitude ; Cross cultural surveys. |
| Annotation | Many minority ethnic (ME) older adults face several culturally associated and systemic barriers to timely dementia diagnoses that may result in delays to dementia care-seeking. The present study aimed to develop and propose a model illustrating variables that influence dementia care-seeking among ME older adults. The authors conducted a literature review on the effects of these barriers on diagnostic delays and impairment levels at initial evaluation. They also aimed to provide a basis for the Sociocultural Health Belief Model (SHBM) to guide future research and service planning pertaining to culture and dementia care-seeking. Study findings revealed consistent evidence that ME older adults with dementia tended to have greater diagnostic delays and higher levels of cognitive impairment and behavioural and psychological symptoms of dementia at initial evaluation than their non-Hispanic White counterparts. Also several barriers to dementia care-seeking were found among ME groups. These barriers included lower levels of acculturation and accurate knowledge about dementia, more culturally associated beliefs about dementia, such as the perception of memory loss as normal ageing and stigma associated with dementia, and health system barriers. The SHBM provides an empirically based conceptual framework for examining cross-cultural differences in dementia care-seeking among diverse groups. The authors outline recommendations for future research, such as the need for research with more diverse ethnic subgroups and the examination of group-specific cultural values. The study concludes with a discussion of the clinical and service implications of this review, including potential interventions aimed at facilitating timely dementia diagnoses among ME older adults. (JL). |
| Accession Number | CPA-130315215 A |
| Classmark | EA: F:TK: QLD: DP: 3KA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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