Cultural diversity in dementia diagnosis · •Cultural diversity in epidemiology, diagnosis,...

Cultural diversity in dementia

diagnosis

Dr. Naaheed Mukadam

UCLH NIHR BRC Senior Research Fellow

University College London

Acknowledgements

• UCLH NIHR BRC funding

• Contact: n.mukadam@ucl.ac.uk

@Naaheed_Mukadam

Talk outline

• Definitions

• Cultural diversity in epidemiology, diagnosis,

treatment and care

• Questions

Dementia

• Acquired impairment in cognitive function with

impact on daily function

• Affects 850,000 people with dementia in the UK,

with numbers set to rise to over 1 million by

2025. This will soar to 2 million by 2051

• Numbers increasing worldwide due to ageing

population but reduced age-specific incidence

and prevalence in many countries

Cultural diversity

• “the existence of a variety of cultural or ethnic

groups within a society”

• Minority ethnic groups

• 87% White or White British

• 13% minority overall

• Main groups are South Asians and Black

population

Epidemiology

• Risk factors

• Prevalence

• Incidence

Prevalence and incidence

Getting a diagnosis

Symptom recognition

Help-seeking

Assessment

Help-seeking

Detect symptoms

Assume aetiology

Seek help

Stigma

Beliefs

about

healthcare

system

Diagnosis

• Late in BAME groups

• In crisis

• Many don’t get a diagnosis

• Worse outcomes

Differences in diagnosis

• CRIS data – secondary mental health care

electronic records, younger age and lower MMSE

at first diagnosis

• Accuracy of diagnosis in primary care

• Dementia severity at death

How to help

• Greater awareness

among healthcare

professionals

• Community centres

• Religious

organisations

Diagnostic tools

• MMSE – modifications to take cultural and

educational differences into account

• Structured diagnostic tools

Treatments

Medication

CST

Risk assessment

START

Care

• Residential and nursing home

• End of life

Any questions?

Thank you for listening

• Contact: n.mukadam@ucl.ac.uk

@Naaheed_Mukadam