Canevelli Marco, Zaccaria Valerio, Lacorte Eleonora, Cova Ilaria, Gervasi Giuseppe, Cascini Silvia, Bargagli Anna Maria, Di Fiandra Teresa, Pomati Simone, Pantoni Leonardo, Vanacore Nicola
Department of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, 00185, Rome, Italy.
National Center for Disease Prevention and Health Promotion, National Institute of Health, Rome, Italy.
Aging Clin Exp Res. 2021 Oct;33(10):2703-2708. doi: 10.1007/s40520-019-01340-1. Epub 2019 Sep 7.
The occurrence of dementia among individuals with a migration background and composing ethnic minorities is being recognized as a global public health issue.
In the present study, we sought to explore if and how this phenomenon is mentioned and addressed by the existing National Dementia Plans (NDPs).
The 32 NDPs listed on the Alzheimer's Disease International (ADI)'s website were considered for the present analysis. First, the plans mentioning the issue of dementia among migrants and/or ethnic minorities were identified. Subsequently, the sections addressing this topic and the pertaining proposed actions were analyzed and their contents were unbundled in descriptive categories.
Overall, nine NDPs (28.1% of the total), namely those promulgated by Australia, Austria, England, Israel, Norway, Switzerland, Taiwan, United States, and Wales, mentioned the issue of dementia among migrants and/or ethnic minorities and only eight proposed targeted actions to tackle this issue. With few exceptions, the proposed strategies were only marginally dashed within NDPs and crucial information on their objectives, timeline, conduction, and monitoring was missing.
To our knowledge, this is the first attempt to describe and discuss how the issue of dementia among migrants and ethnic minority groups is addressed within NDPs. The issue of dementia in migrants and ethnic minorities is assuming a growing relevance under a of global health perspective. The timely identification and implementation of dedicated policies at the national and international level are fundamental to limit its future clinical and socioeconomic burden.
有移民背景且构成少数族裔的人群中痴呆症的发生正被视为一个全球公共卫生问题。
在本研究中，我们试图探究现有国家痴呆症计划（NDPs）是否以及如何提及和处理这一现象。
本分析考虑了阿尔茨海默病国际（ADI）网站上列出的32项NDPs。首先，确定提及移民和/或少数族裔中痴呆症问题的计划。随后，分析涉及该主题的章节以及相关提议行动，并将其内容分解为描述性类别。
总体而言，9项NDPs（占总数的28.1%），即澳大利亚、奥地利、英格兰、以色列、挪威、瑞士、台湾、美国和威尔士颁布的计划，提到了移民和/或少数族裔中痴呆症的问题，只有8项提出了针对性行动来解决这一问题。除少数例外，提议的策略在NDPs中只是略有涉及，并且缺少关于其目标、时间表、实施和监测的关键信息。
据我们所知，这是首次尝试描述和讨论NDPs中如何处理移民和少数族裔群体中的痴呆症问题。从全球卫生角度来看，移民和少数族裔中的痴呆症问题正变得越来越重要。在国家和国际层面及时确定并实施专门政策对于限制其未来的临床和社会经济负担至关重要。
