Guerrero-Barragán Alejandra, Lucumi-Cuesta Diego Ivan
Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland.
Global Brain Health Institute, University of California San Francisco, San Francisco, CA, USA.
BMC Public Health. 2025 Mar 11;25(1):959. doi: 10.1186/s12889-025-22166-9.
The global rise in dementia prevalence poses a significant public health challenge, particularly in low- and middle-income countries where resources for diagnosis, treatment, and support are constrained. Addressing this issue, the World Health Organization's 2017-2025 global action plan on dementia envisions a future where dementia is preventable, and individuals with dementia and their caregivers receive dignified support.
Using a qualitative research design, this study explores stakeholder perspectives on dementia in Colombia, framed by the World Health Organization's global action plan. Semi-structured interviews were conducted with 12 key stakeholders from the academia, government, and the community. Data were analyzed using framework analysis.
The interviews revealed a lack of recognition and prioritization of dementia as a public health concern in Colombia. Stakeholders expressed consensus on several challenges, including inadequate community awareness, persistent stigma, insufficient services across care levels, a lack of education for healthcare professionals, and a deficit in research characterizing the dementia population. Paradoxically, participants noted a positive trend, indicating growing awareness among both scientific and non-scientific populations.
Dementia must urgently be recognized as a public health priority in Colombia. The identified barriers underscore the struggles faced by individuals with dementia and their families, emphasizing the critical need for increased community and governmental awareness.
全球痴呆症患病率的上升对公共卫生构成了重大挑战,尤其是在低收入和中等收入国家,这些国家在诊断、治疗和支持方面的资源有限。为应对这一问题,世界卫生组织《2017 - 2025年全球痴呆症行动计划》设想了一个痴呆症可预防的未来,痴呆症患者及其护理人员能够得到有尊严的支持。
本研究采用定性研究设计,以世界卫生组织的全球行动计划为框架,探讨了哥伦比亚利益相关者对痴呆症的看法。对来自学术界、政府和社区的12名关键利益相关者进行了半结构化访谈。使用框架分析法对数据进行了分析。
访谈显示,在哥伦比亚,痴呆症作为一个公共卫生问题缺乏认知和优先级。利益相关者就几个挑战达成了共识,包括社区意识不足、耻辱感持续存在、各护理层面的服务不足、医疗保健专业人员缺乏教育以及对痴呆症患者群体特征的研究不足。矛盾的是,参与者指出了一个积极趋势,表明科学界和非科学界的认识都在提高。
痴呆症必须在哥伦比亚被紧急视为公共卫生优先事项。所确定的障碍凸显了痴呆症患者及其家庭所面临的困难,强调了提高社区和政府认识的迫切需要。