Australian Institute of Health Innovation, Macquarie University, Macquarie Park, New South Wales, Australia.
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
Australas J Ageing. 2022 Dec;41(4):579-584. doi: 10.1111/ajag.13117. Epub 2022 Aug 3.
Dementia is a global public health concern, with approximately 487,500 Australians living with this condition. As an incurable disease, collaborative public health approaches are at the forefront for risk reduction of dementia. In Australia, nearly one in three individuals older than 65 years belong to culturally and linguistically diverse populations (CALD), yet dementia prevention approaches within CALD communities remain limited. Current health services and education require a targeted multidimensional and multicultural approach for dementia prevention interventions.
Recent recognition of gaps in CALD dementia awareness and accessibility has instigated a range of initiatives that address language disparities and dementia literacy within Australia's older population. While these have created pockets of dementia awareness and health promotion, a 'whole of community' and government approach is needed to decrease the recognised modifiable risk factors of dementia.
This work serves to identify effective methods to promote dementia risk factor reduction using behaviour change techniques through five key recommendations specific for CALD communities. These suggestions are covered by the need for federal funds to be allocated to specific culturally inclusive initiatives highlighted under primary care, public health, research and community sectors.
Key recommendations are created to address language disparities and dementia literacy in Australia's older population to aid healthy brain ageing for CALD older adults.
痴呆症是一个全球性的公共卫生问题，大约有 487500 名澳大利亚人患有这种疾病。作为一种无法治愈的疾病，合作性公共卫生方法是降低痴呆症风险的首要方法。在澳大利亚，超过三分之一的 65 岁以上的人属于文化和语言多样化人群（CALD），但在 CALD 社区中，痴呆症预防方法仍然有限。目前的卫生服务和教育需要针对痴呆症预防干预措施采取多维和多文化的方法。
最近认识到在 CALD 痴呆症意识和可及性方面存在差距，这引发了一系列举措，旨在解决澳大利亚老年人口中的语言差异和痴呆症知识普及问题。虽然这些举措在一定程度上提高了人们对痴呆症的认识和促进了健康，但需要采取“整个社区”和政府的方法来降低公认的可改变的痴呆症风险因素。
这项工作旨在确定通过使用行为改变技术来促进痴呆症风险因素降低的有效方法，提出了针对 CALD 社区的五项具体的关键建议。这些建议涉及到需要联邦资金分配给在初级保健、公共卫生、研究和社区部门下突出的特定文化包容性举措。
提出了一些关键建议，以解决澳大利亚老年人口中的语言差异和痴呆症知识普及问题，帮助 CALD 老年人保持大脑健康。
