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Rates of dementia in three ethnoracial groups
Author(s)Barry J Gurland, David E Wilder, Rafael Lantigua
Journal titleInternational Journal of Geriatric Psychiatry, vol 14, no 6, June 1999
Pagespp 481-493
KeywordsDementia ; Ethnic groups ; Black people ; White people ; United States of America.
AnnotationAny real and substantial differences in rates of dementia between ethnic groups must merit serious attention by those wishing to advance our understanding of the aetiology of this group of disorders. Randomly selected older Latinos, African-Americans and non-Latino whites in an area of Manhattan, New York were screened for dementia and assessed for functioning in daily tasks and other qualities of life. Samples of each group were clinically evaluated for presence and sub-type of dementia, and reassessed 18 months later. Age-specific prevalence was found to be higher in Latinos and African-Americans than in whites; incidence rates were consistent with this finding. Ethno-racial groups did not vary in the proportion of dementias diagnosed as Alzheimer's disease (AD). Prevalence differences remained consistent as diagnostic criteria were varied in breadth, and when possible mislabelling of depression was taken into account. However, level of education was strongly associated with rates of dementia, and when age and education were simultaneously controlled, ethno-racial differences in rates were not consistently found. Such differences suggest the need to tailor services accordingly. (RH).
Accession NumberCPA-990825274 A
ClassmarkEA: TK: TKE: TKA: 7T

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