Neurology Department, Memory Clinic of the Brugmann University Hospital, Van Gehuchtenplein 4, 1020, Brussels, Belgium,
Acta Neurol Belg. 2013 Dec;113(4):435-40. doi: 10.1007/s13760-013-0245-z. Epub 2013 Aug 23.
By reviewing the clinical files of 1,058 consecutive newly admitted outpatients of a Brussels-based memory clinic between 2005 and 2012, this study aims to document the demographic and clinical characteristics of European and non-European first generation immigrants. They accounted for 18.6% of the patients, of which 8.6% came from outside Europe (mostly from Morocco, Turkey and the Democratic Republic of Congo). Immigrants with AD tended to be younger, and there was a higher proportion of males among non-European ethnic minorities. There was a higher proportion of Parkinson-related cognitive disorders and Lewy Body disease among European immigrants, whereas non-Europeans had more often a psychiatric diagnosis. Even after correction for education, non-European immigrants had lower MMSE scores, and they did report longer delays between first symptoms and diagnosis, although this last difference was not statistically significant. These results suggest that non-European immigrants with cognitive problems consult later.
通过回顾 2005 年至 2012 年间在布鲁塞尔一家记忆诊所新收治的 1058 名连续门诊患者的临床档案，本研究旨在记录欧洲和非欧洲第一代移民的人口统计学和临床特征。他们占患者的 18.6%，其中 8.6%来自欧洲以外地区（主要来自摩洛哥、土耳其和刚果民主共和国）。患有 AD 的移民往往更年轻，而且在非欧洲少数民族中男性比例更高。欧洲移民中与帕金森病相关的认知障碍和路易体病的比例更高，而欧洲人则更常被诊断为精神疾病。即使在对教育进行校正后，非欧洲移民的 MMSE 评分也较低，他们报告的首次症状与诊断之间的延迟时间也更长，尽管这最后一个差异没有统计学意义。这些结果表明，有认知问题的非欧洲移民就诊较晚。
