Prävalenz von Demenz bei Menschen mit Migrationshintergrund in Deutschland

Hoffmann, Wolfgang; Thyrian, Jochen René

doi:10.1007/s00391-018-01469-0

Cited by 18 publications

(13 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A subgroup of special vulnerability and importance is people with migration background (PwM) [3]. There are few data available which describe the number of PwM with dementia; for example, in Germany, the estimated number is 96,500 [4]. Furthermore, the prevalence of dementia within the migrant population will increase particularly strongly, since the number of older PwM is rising significantly [3].…”

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

Self Cite

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

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

Self Cite

View full text Add to dashboard Cite

show abstract

“…In fact, nearly 96 500 cases of dementia amongst foreign‐born subjects have been estimated in this country by considering more recent data (i.e. almost 60 000 more cases than our estimates) . Finally, additional determinants (e.g.…”

Section: Discussionmentioning

confidence: 65%

Estimating dementia cases amongst migrants living in Europe

Canevelli

Lacorte

Cova

et al. 2019

Euro J of Neurology

View full text Add to dashboard Cite

Background and purpose The phenomenon of dementia amongst migrants and ethnic minorities represents an emerging concern for European healthcare systems, posing additional challenges in terms of clinical approach, access to care and resource utilization. The aim of the present study was to estimate the cases of dementia amongst immigrant older subjects living in Europe and in each European country. Methods The estimated cases of dementia amongst older (i.e. 65+) migrants living in the European Union (EU‐28) and European Free Trade Association member states were calculated by multiplying the number of migrants (obtained through the data provided by Eurostat) with the age‐ and sex‐specific prevalence rates (derived by a recent meta‐analysis). Results Overall, 6 507 360 older migrants lived in Europe in 2017. In addition, 1 204 671 migrants were registered in Germany in 2010. Nearly 475 000 dementia cases (329 028 women, 147 410 men) were estimated in this population by applying age‐ and sex‐specific prevalence rates. When considering each European country, the number of estimated cases ranged from 108 (Iceland) to 119 161 (France). In parallel, the proportion of dementia cases occurring in migrants ranged from 0.9% (Czech Republic) to 51.2% (Liechtenstein). Conclusions The issue of dementia in migrants and ethnic minorities is emerging but already relevant for European healthcare systems. The magnitude of this phenomenon and its complexities reinforce the need for coordinated initiatives both at a national and continental level. These epidemiological data should ideally be integrated with those coming from ‘real world’ services in order to better calibrate these actions.

show abstract

“…Their prevalence will increase particularly strong because the number of older PwM is rising significantly [3] and the risk of dementia increases at a higher age [4]. In the EU, the number of PwM who are over 64 years of age rose from 4.73 million in 2000 to 7.37 million in 2017 [5]. The United Nations defines PwM as people who are living in countries other than their country of birth [6].…”

Section: Introductionmentioning

confidence: 99%

“…There are only limited valid data available to estimate the number of PwM with dementia in Europe, partly due to a lack of data as well as the abscence of a common definition of migration background. For example, a recent analysis for Germany estimates their number to be 96,500 [7], indicating the need to further examine this group. However, in contrast to the UN's definition, in Germany, a migration background is defined as having at least one parent who was not born with German citizenship [8].…”

Section: Introductionmentioning

confidence: 99%

How is migration background considered in the treatment and care of people - a comparison of national dementia care guidelines in Europe

Schmachtenberg

Hoffmann

Berg

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background People with a migration background are a vulnerable group regarding dementia. Providing care for this group is a public health challenge in Europe. Many countries are issuing care guidelines, but a systematic overview of their references to migration is lacking. This study aims to determine the extent to which care guidelines take people with a migration background into account, which migration-related content focuses are set and to what extent specific actions are considered or recommendations are made to ensure their care. Methods This study is a systematic analysis of national dementia care guidelines of the EU and EFTA (European Free Trade Association) countries. Using the discourse analysis model by Rainer Keller (2011), n=43 documents from n= 24 EU and n=3 EFTA countries were systematically screened for migration references via keyword and context analysis. The content of the migration-related section was paraphrased, memos and comments were added and the individual text passages were coded using the strategy of open coding. Results 27 of the 35 EU- and EFTA countries have guidelines or similar documents on care for people with dementia and twelve refer to migration. Norway, Sweden, and Northern Ireland refer to this topic in detail. The focus of the migration-related documents is on the early detection and diagnosis of dementia. The main message is that standardized diagnostic tools such as the Mini-Mental State Examination (MMSE) or the clock test are not suitable for linguistic minorities. Nine countries make recommendations for the care of people with a migration background and dementia but only Norway, Sweden, and Denmark point to available healthcare services. A key recommendation is that the linguistic and cultural background of people should be taken into account when selecting diagnostic tests. Several countries refer to the validity of the RUDAS (Rowland Universal Dementia Assessment Scale) for migrants. Conclusions The topic of migration plays a subordinate role in the care guidelines of European countries. Almost all countries lack appropriate diagnostic tools and healthcare services for people with a migration background. Consequently, people with a migration background are a risk group for underdiagnosis and a lower level of care.

show abstract

Prävalenz von Demenz bei Menschen mit Migrationshintergrund in Deutschland

Cited by 18 publications

References 15 publications

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

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

Estimating dementia cases amongst migrants living in Europe

How is migration background considered in the treatment and care of people - a comparison of national dementia care guidelines in Europe

Contact Info

Product

Resources

About