Examine Race/Ethnicity Disparities in Perception, Intention, and Screening of Dementia in a Community Setting: Scoping Review.

Examine Race/Ethnicity Disparities in Perception, Intention, and Screening of Dementia in a Community Setting: Scoping Review.
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DOI:
10.3390/ijerph19148865
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发表时间:
2022-07-21
影响因子:
--
通讯作者:
Lee, Haeok
Lee, Haeok
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Lee, SangA;Kim, Deogwoon;Lee, Haeok

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背景资料:阿尔茨海默病和相关痴呆症(ADRD)的延迟检测和诊断可能导致个人,家庭和社区的次优护理和社会经济负担。我们的目标是调查痴呆症筛查行为,重点是少数老年人群,并评估是否有种族差异,ADRD筛查行为。研究方法:使用范围审查方法检查ADRD筛选行为以及漏诊和延迟筛选/诊断的促成因素,重点关注人种/种族。结果:共检索到2288篇文献,其中21篇符合纳入标准。我们确定了ADRD筛查行为的六个维度:注意症状,识别问题,接受屏幕,意向屏幕,行动和与时间整合。将最终结果组织为研究人种/种族、理论背景、定量和定性研究方法、ADRD筛查行为的描述和测量以及ADRD筛查行为的人种/种族差异。结论:观察到ADRD筛查的种族差异趋势。我们的研究结果指出,有一个缺乏的研究集中在描述种族特异性的ADRD筛查行为,以及缺乏那些检查种族对ADRD筛查行为的影响,特别是研究亚裔美国人几乎是不可见的。
Background: Delayed detection and diagnosis of Alzheimer’s Disease and related dementia (ADRD) can lead to suboptimal care and socioeconomic burdens on individuals, families, and communities. Our objective is to investigate dementia screening behavior focusing on minority older populations and assess whether there are ethnic differences in ADRD screening behavior. Methods: The scoping review method was utilized to examine ADRD screening behavior and contributing factors for missed and delayed screening/diagnosis focusing on race/ethnicity. Results: 2288 papers were identified, of which 21 met the inclusion criteria. We identified six dimensions of ADRD screening behavior: Noticing Symptoms, Recognizing a problem, Accepting Screen, Intending Screen, Action, and Integrating with time. Final findings were organized into study race/ethnicity, theoretical background, the methods of quantitative and qualitative studies, description and measures of ADRD screening behavior, and racial/ethnic differences in ADRD screening behavior. Conclusions: A trend in ethnic disparities in screening for ADRD was observed. Our findings point to the fact that there is a scarcity of studies focusing on describing ethnic-specific ADRD screening behavior as well as a lack of those examining the impact of ethnicity on ADRD screening behavior, especially studies where Asian Americans are almost invisible.
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