Brownell Malcolm, Sehar Ujala, Mukherjee Upasana, Reddy P Hemachandra
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Nutritional Sciences Department, College Human Sciences, Texas Tech University, Lubbock, TX, USA.
J Alzheimers Dis Rep. 2024 Apr 18;8(1):747-764. doi: 10.3233/ADR-240043. eCollection 2024.
Dementia is a major health concern in society, particularly in the aging population. It is alarmingly increasing in ethnic minorities such as Native Americans, African Americans, Hispanics/Latinos, and to some extent Asians. With increasing comorbidities of dementia such as diabetes, obesity, and hypertension, dementia rates are expected to increase in the next decade and beyond. Understanding and treating dementia, as well as determining how to prevent it, has become a healthcare priority across the globe for all races and genders. Awareness about dementia and its consequences such as healthcare costs, and caregiver burden are immediate needs to be addressed. Therefore, it is high time for all of us to create awareness about dementia in society, particularly among Hispanics/Latinos, Native Americans, and African Americans. In the current article, we discuss the status of dementia, cultural, and racial impacts on dementia diagnosis and care, particularly in Hispanic populations, and possible steps to increase dementia awareness. We also discussed factors that need to be paid attention to, including, cultural & language barriers, low socioeconomic status, limited knowledge/education, religious/spiritual beliefs and not accepting modern medicine/healthcare facilities. Our article also covers both mental & physical health issues of caregivers who are living with patients with dementia, Alzheimer's disease, and Alzheimer's disease-related dementias. Most importantly, we discussed possible measures to create awareness about dementia, including empowering community advocacy, promoting healthy lifestyle choices, education on the impact of nutrition, encouraging community participation, and continued collaboration and evaluation of the success of dementia awareness.
痴呆症是社会主要的健康问题,在老年人群体中尤为突出。在美洲原住民、非裔美国人、西班牙裔/拉丁裔等少数族裔中,其增长速度惊人,在一定程度上亚洲人也是如此。随着痴呆症与糖尿病、肥胖症和高血压等疾病的合并发生率不断上升,预计未来十年及以后痴呆症发病率还会增加。了解和治疗痴呆症,以及确定如何预防痴呆症,已成为全球所有种族和性别人群医疗保健的优先事项。提高对痴呆症及其后果(如医疗成本和护理负担)的认识是当务之急。因此,现在是我们所有人在社会上,特别是在西班牙裔/拉丁裔、美洲原住民和非裔美国人中提高对痴呆症认识的时候了。在本文中,我们讨论了痴呆症的现状、文化和种族对痴呆症诊断和护理的影响,特别是在西班牙裔人群中的影响,以及提高痴呆症认识的可能步骤。我们还讨论了需要关注的因素,包括文化和语言障碍、社会经济地位低、知识/教育有限、宗教/精神信仰以及不接受现代医学/医疗设施。我们的文章还涵盖了与患有痴呆症、阿尔茨海默病以及与阿尔茨海默病相关痴呆症患者共同生活的护理人员的身心健康问题。最重要的是,我们讨论了提高痴呆症认识的可能措施,包括加强社区宣传、推广健康的生活方式选择、开展营养影响方面的教育、鼓励社区参与,以及持续合作和评估痴呆症认识活动的成效。