Cross-cultural differences in dementia: the Sociocultural Health Belief Model

Sayegh, Phillip; Knight, Bob G.

doi:10.1017/s104161021200213x

Cited by 118 publications

(113 citation statements)

References 54 publications

Supporting

Mentioning

106

Contrasting

Order By: Relevance

“…This is surprising, especially since studies in other minority groups showed that low levels of knowledge, different beliefs, and attitudes as well as increased stigmatic beliefs and feelings of shame delay their access to services and their help-seeking patterns. 38,39 The few studies conducted in Israel corroborate these patterns among the Israeli Arab minority. Indeed, compared to the Jewish population, low levels of objective and perceived knowledge were found, stressing the importance of developing educational programs, specially geared to increase knowledge and awareness in this population.…”

Section: Summary Conclusion and Research Recommendationsmentioning

confidence: 91%

Alzheimer’s Disease and the Elderly in Israel

Werner

Friedland

Inzelberg

2015

Am J Alzheimers Dis Other Demen

View full text Add to dashboard Cite

With the continuing rise in the elderly population, Alzheimer’s disease (AD) and dementia represent an increasing public health concern worldwide. In recent years, research has focused on the relationship between AD and ethnicity. Israel, a multiethnic society, provides a natural laboratory for research on ethnicity and health. The largest ethnic group is that of Israeli Jews, followed by Arab citizens, mostly Arab Muslims, with smaller numbers of Arab Christians in addition to Druze, Circassians, and others. The aim of this review is to clarify ethnic differences in prevalence and risk factors for Alzheimer’s disease. We review available literature on ethnic differences in epidemiologic and risk factors for Alzheimer’s disease, including genetic differences as well as disparities in health access and quality of health services. We will conclude with research and policy implications.

show abstract

Section: Summary Conclusion and Research Recommendationsmentioning

confidence: 91%

Alzheimer’s Disease and the Elderly in Israel

Werner

Friedland

Inzelberg

2015

Am J Alzheimers Dis Other Demen

View full text Add to dashboard Cite

show abstract

“…Individuals who perceive memory loss as a natural part of aging may be more likely to overlook behavioral and cognitive symptoms of dementia and thus less likely to seek medical care. In addition to delaying medical care, minority groups tend to experience other barriers, including less knowledge about dementia and less access to health services (Sayegh & Knight, 2013).…”

Section: Cultural Differencesmentioning

confidence: 99%

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Lines¹,

Sherif²,

Wiener³

2014

115

View full text Add to dashboard Cite

This study reviews the published literature on racial and ethnic disparities among people with Alzheimer’s disease (AD) and related dementias in the United States. To identify relevant studies, we searched electronic sources for peer-reviewed journal articles and unpublished research reports that were published through July 2014; related to the AD population and their caregivers; and provided evidence of racial and ethnic disparities, discussed reasons for disparities, or described interventions to address disparities. The literature shows consistent and adverse disparities among blacks and Hispanics compared with non-Hispanic whites concerning AD, including the disease’s prevalence and incidence, mortality, participation in clinical trials, use of medications and other interventions, use of long-term services and supports, health care expenditures, quality of care, and caregiving. The literature suggests numerous underlying causes, including factors related to measurement of the disease, genetics, socioeconomic factors, cultural differences, lack of culturally competent clinicians, and discrimination. Although these disparities are well known, little is known about the effectiveness of various strategies, such as cultural competence training, to address these differences, and very few studies evaluate possible interventions.

show abstract

“…It is possible that education-level differences, language barriers, and ethnocultural differences in how BPSD are interpreted and communicated may have influenced ethnic-group differences on responses to the NPI-Q items. Additionally, the shame and stigma associated with dementia and its BPSD may be particularly salient among Hispanics (Sayegh & Knight, 2013), which could have systematically influenced response patterns across ethnic groups. Similarly, informant-reporting styles on patients' BPSD may have differed across groups given that Hispanic caregivers may be more sensitive to BPSD than NHW caregivers (Valle, 1994).…”

Section: Neuropsychiatric Inventory Questionnairementioning

confidence: 99%

“…A number of possible reasons exist that may lead to ethnic-group differences in response patterns on these scales, including linguistic barriers, ethnocultural influences on the perception and communication of dementia symptoms, and shame and stigma associated with dementia (Sayegh & Knight, 2013). If the FAQ and NPI-Q do not demonstrate ethnic-group measurement invariance, then explanations of across-group differences are called into question, as is clinical diagnostic validity.…”

mentioning

confidence: 99%

Functional Assessment and Neuropsychiatric Inventory Questionnaires: Measurement Invariance Across Hispanics and Non-Hispanic Whites

Sayegh¹,

Knight

2013

The Gerontologist

View full text Add to dashboard Cite

Purpose of the Study:We tested the ethnicgroup measurement invariance of 2 commonly used informant-report scales of patients' dementia symptoms: the Functional Assessment Questionnaire (FAQ), a measure of functional abilities, and the Neuropsychiatric Inventory Questionnaire (NPI-Q), a measure of behavioral and psychological symptoms of dementia. Design and Methods: We conducted multigroup confirmatory factor analyses on 311 Hispanic and 10,863 non-Hispanic White (NHW) outpatients and their informants diagnosed with dementia or normal cognition at their initial Alzheimer's Disease Center evaluations nationwide. Results: We confirmed our hypothesized one-factor FAQ and four-factor NPI-Q models for each ethnic group. We also found evidence for the configural (i.e., number of factors) and factorial (i.e., pattern of factor loadings) invariance of both scales and structural (i.e., factor covariances) invariance of the NPI-Q across groups. However, we did not obtain evidence for ethnic-group scalar (i.e., intercept) invariance for either scale. Implications: The FAQ and NPI-Q were operating similarly across Hispanics and NHWs, suggesting that they can be meaningfully used within and across these groups to measure informant-reported dementia symptomatology. However, their scalar noninvariance indicates that meaningful ethnic-group comparisons of their latent factor mean values cannot be made.

show abstract

Cross-cultural differences in dementia: the Sociocultural Health Belief Model

Cited by 118 publications

References 54 publications

Alzheimer’s Disease and the Elderly in Israel

Alzheimer’s Disease and the Elderly in Israel

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Functional Assessment and Neuropsychiatric Inventory Questionnaires: Measurement Invariance Across Hispanics and Non-Hispanic Whites

Contact Info

Product

Resources

About