Estimating dementia cases amongst migrants living in Europe

Canevelli, Marco; Lacorte, Eleonora; Cova, Ilaria; Zaccaria, Valerio; Valletta, Martina; Raganato, Riccardo; Bruno, Giuseppe; Bargagli, Anna Maria; Pomati, Simone; Pantoni, Leonardo; Vanacore, Nicola

doi:10.1111/ene.13964

Cited by 33 publications

(23 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have shown differences in dementia prevalence and utilization of dementia care between majority and minority ethnic groups within a nation [3][4][5][6][7]. A recent study in Europe estimates that more than 476,000 of the immigrants aged 65 years or older living in Europe has dementia [8]. With a higher number of elderly immigrants, the accessibility and quality of dementia care for this group are important when promoting equity in health care.…”

Section: Introductionmentioning

confidence: 99%

Differences in Dementia Care Between Swedish-Born and Foreign-Born from Countries with Different Country Level Socioeconomic Position: A Nationwide Register-Based Study

Lindgren

Sörenson

Wattmo

et al. 2021

JAD

View full text Add to dashboard Cite

Background: With a growing elderly population worldwide, the prevalence of dementia is rapidly increasing. Studies from high income countries have shown that belonging to a minority ethnic group increases the risk of health disadvantages. Objective: The aim of the present registry-based study was to identify potential differences in diagnostics, treatment, and care of individuals with dementia focusing on foreign-born in Sweden and the impact of country level socioeconomic position (SEP). Methods: The study was based on a large dataset from the Swedish Dementia Registry (SveDem) and the Swedish Tax Agency’s population registry. Data on demographic variables, cognitive tests, clinical assessments, medication, diagnosis, and interventions initiated at diagnosis were collected. Country level SEP was determined by country of birth as classified by World Bank Country and Lending groups. Results: Of 57,982 patients with dementia registered in SveDem, 7,171 (12.4%) were foreign-born. The foreign-born were significantly younger at diagnosis (p < 0.001), had a lower MMSE score (p < 0.001), lower odds of receiving a specific dementia diagnosis (p < 0.001), lower use of acetylcholinesterase inhibitors (p < 0.001), and overall a higher use of neuroleptics compared with the Swedish-born group. The lower SEP, the greater differences to Swedish-born were seen in many of the examined variables. Conclusion: There were significant differences in dementia diagnostics, treatment, and care between foreign-born and Swedish-born, a lower SEP indicating greater differences. Further research should focus on various socioeconomic aspects and health care outcomes for a more profound analysis of equity in dementia care.

show abstract

Section: Introductionmentioning

confidence: 99%

Differences in Dementia Care Between Swedish-Born and Foreign-Born from Countries with Different Country Level Socioeconomic Position: A Nationwide Register-Based Study

Lindgren

Sörenson

Wattmo

et al. 2021

JAD

View full text Add to dashboard Cite

show abstract

“…In the EU, the number of PwM (born abroad) who are over 64 years of age has risen from 4.73 million in 2000 to 7.37 million in 2017 [5]. A study by Canevelli et al estimates the number of PwM with dementia who are over 64 years of age in EU and EFTA (European Free Trade Association) countries to be almost 476,500 in 2017 [6]. Based on these figures, the proportion of PwM with dementia over 64 years of age among PwM from this age group is just under 6.5%.…”

Section: Introductionmentioning

confidence: 99%

Comparing national dementia plans and strategies in Europe – is there a focus of care for people with dementia from a migration background?

et al. 2020

View full text Add to dashboard Cite

Background: People with migration background and dementia are a vulnerable group. Providing care for this group is a public health challenge in Europe. An increasing number of countries are issuing national dementia plans, but a systematic overview of national dementia plans of European countries focusing on care for people with migration background is lacking. This study aims to illustrate how European countries identify the dementia-related needs of people with migration background and whether there are specific healthcare services for them at the national level. Methods: A qualitative analysis of national dementia plans of the EU and EFTA (European Free Trade Association) countries was carried out. Using the discourse analysis model according to Rainer Keller (2011), documents were systematically screened for their relation to migration via keyword and context analysis. The content of the migrationrelated sections was analyzed using the methods of paraphrasing, memos, comments, and open coding. Results: Twenty-three of the 35 EU and ETFA countries have a national dementia plan, ten of these documents refer to migration and one country (Austria) has a national dementia plan with a chapter on migration. Eight national dementia plans identify that people with migration background and dementia have special needs, and actions to care for this group are planned in nine countries. However, only Norway, Northern Ireland, and the Netherlands refer to available healthcare services for people with migration background. Overall, the topic of migration plays a subordinate role in the national dementia plans of European countries. Conclusions: The current lack of migrant-specific healthcare services in almost all European countries may lead to denying the right to appropriate care to a growing population. The topic of migration must be given greater attention in national dementia plans. European countries should develop strategies with specific services that address the needs of people with migration background. To improve comparability at the European level, a common definition of migration is needed. Further studies should include country-specific problems related to dementia and migration.

show abstract

“…To the best of our knowledge, the present study constitutes the first attempt to explore the magnitude of the issue of MCI occurring in migrants living in Europe. Our estimates, combined with those relating to dementia cases in the same population [17], suggest that more than one million migrants living in our continent is expected to be affected by a cognitive disorder, thus potentially referring to clinical and social facilities in the host countries. Accordingly, in several nations, a relevant proportion of cognitive disturbances is probably involving foreign-born individuals with important implications in terms of diagnostic accuracy, provision of care, and social support.…”

Section: Discussionmentioning

confidence: 86%

Mild Cognitive Impairment in the Migrant Population Living in Europe: An Epidemiological Estimation of the Phenomenon

Canevelli

Zaccaria

Lacorte

et al. 2020

JAD

View full text Add to dashboard Cite

Background: The construct of mild cognitive impairment (MCI) is triggering growing clinical and research interest. The detection of MCI may be affected by diverse ethno-cultural determinants possibly influencing the personal and social perception of the individual cognitive functioning as well as the reliability of objective cognitive assessment. These challenges may acquire special relevance in subjects with a migration background and composing ethnic minority groups. Objective: The present study is aimed at providing an estimate of the number of MCI cases occurring in the migrant population living in the extended European Union (EU) in 2018. Methods: The number of MCI cases in older migrants living in Europe and in each of the 32 considered countries was estimated by multiplying the number of migrants, provided by Eurostat, with the age-specific prevalence rates, derived by the harmonized data produced by the COSMIC collaboration and based on different operational definitions of MCI. Results: Nearly 686,000 cases of MCI were estimated in the extended EU by applying age-specific prevalence rates based on the International Working Group criteria. Higher figures were obtained when the Clinical Dementia Rating-and the Mini Mental State Examination-based criteria were applied. The proportion of MCI cases in migrant subjects ranged from 1.1% (Romania) to 54.1% (Liechtenstein) (median: 8.4%; IQR: 4.7%-14.2%). Conclusions: MCI represents and will increasingly constitute a relevant issue in the migrant population living in Europe. The present data reinforce the need of developing approaches and models of care that may be diversity-sensitive and inclusive for a culturally variegated population.

show abstract

Estimating dementia cases amongst migrants living in Europe

Cited by 33 publications

References 22 publications

Differences in Dementia Care Between Swedish-Born and Foreign-Born from Countries with Different Country Level Socioeconomic Position: A Nationwide Register-Based Study

Differences in Dementia Care Between Swedish-Born and Foreign-Born from Countries with Different Country Level Socioeconomic Position: A Nationwide Register-Based Study

Comparing national dementia plans and strategies in Europe – is there a focus of care for people with dementia from a migration background?

Mild Cognitive Impairment in the Migrant Population Living in Europe: An Epidemiological Estimation of the Phenomenon

Contact Info

Product

Resources

About