Department of Human Neuroscience, 'Sapienza' University, Rome, Italy.
National Center for Disease Prevention and Health Promotion, National Institute of Health, Rome, Italy.
Eur J Neurol. 2019 Sep;26(9):1191-1199. doi: 10.1111/ene.13964. Epub 2019 May 20.
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.
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).
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).
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.
移民和少数族裔的痴呆现象是欧洲医疗保健系统面临的一个新问题，这给临床方法、获得医疗服务的机会和资源利用带来了额外的挑战。本研究旨在估计生活在欧洲的移民老年患者中的痴呆病例数以及每个欧洲国家的病例数。
通过将移民人数（通过欧盟统计局提供的数据获得）与年龄和性别特定的患病率相乘（通过最近的荟萃分析得出），计算出居住在欧盟（EU-28）和欧洲自由贸易联盟成员国的老年（即 65 岁以上）移民中的痴呆估计病例数。
2017 年，欧洲共有 6507360 名老年移民。此外，2010 年德国登记了 1204671 名移民。通过应用年龄和性别特定的患病率，估计在这一人群中有近 475000 例痴呆病例（女性 329028 例，男性 147410 例）。考虑到每个欧洲国家，估计的病例数从 108 例（冰岛）到 119161 例（法国）不等。与此同时，移民中痴呆病例的比例从 0.9%（捷克共和国）到 51.2%（列支敦士登）不等。
移民和少数族裔的痴呆问题正在出现，但已经对欧洲医疗保健系统产生了影响。这一现象的规模及其复杂性，加强了在国家和欧洲大陆层面采取协调行动的必要性。这些流行病学数据最好与来自“真实世界”服务的数据相结合，以便更好地调整这些行动。
