The (in)visible Brazilians: A perspective review on the need for brain health and dementia research with Brazilian immigrants in the United States.

The (in)visible Brazilians: A perspective review on the need for brain health and dementia research with Brazilian immigrants in the United States.
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DOI:
10.1002/trc2.12425
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发表时间:
2023-07
影响因子:
4.8
通讯作者:
Rivera-Mindt, Monica
Rivera-Mindt, Monica
中科院分区:
其他
文献类型:
--
作者:
Simon, Sharon Sanz;Brucki, Sonia Maria Dozzi;Fonseca, Luciana Mascarenhas;Becker, Jacqueline;Cappi, Carolina;Marques, Andrea Horvath;Heyn, Patricia C;Goncalves, Priscila Dib;Martins, Silvia S;Busatto, Geraldo;Bertola, Laiss;Suemoto, Claudia Kimie;Nitrini, Ricardo;Caramelli, Paulo;Yassuda, Monica Sanches;Miotto, Eliane Correa;Grinberg, Lea Tenenholz;Arce Renteria, Miguel;Alegria, Margarita;Stern, Yaakov;Rivera-Mindt, Monica

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在美国的巴西人口是拉丁裔的一个亚群,他们正在迅速增长和老龄化,但在美国健康研究中的比例仍然很低。除了群体特有的遗传和环境风险外,在美国的巴西移民及其后代可能存在健康不平等的累积风险。据估计,在美国的巴西移民中有71%是无证移民,这可能会限制医疗保健的获得/利用。此外,据报道,在美国的巴西移民将心理健康作为健康优先事项,而在这一人群中,缺乏关于阿尔茨海默病和相关痴呆症(AD/ADRD)的研究。我们使用美国和巴西政府以及国际组织创建的传统来源和数据库(例如PubMed)和媒体文章对科学文献进行了审查。这一前瞻性审查为研究人员、卫生服务提供者和政策制定者列出了促进美国巴西人口更多地参与卫生研究和保健的建议。审查确定了需要关注的研究领域,以解决在美国生活的巴西移民及其后代的健康不平等问题,并促进心理/大脑健康。这些研究领域是:1)绘制精神/大脑健康疾病流行率和发生率的流行病学研究;2)在美国的巴西人口中关于老龄化和AD/ADRD风险因素的研究;以及3)在其他相关研究领域,包括遗传学、神经病理学和临床试验,需要更多居住在美国的巴西人口的代表性。提出的建议和研究工作应有助于为社区参与研究的发展铺平道路,并促进心理/大脑健康教育,改善心理/大脑健康和AD/ADRD服务,并为居住在美国的巴西社区发展了解文化的干预措施。在美国的巴西人口正在增长,但在美国健康研究中的代表性不足。在美国的巴西移民中,大约71%是无证移民,健康不平等的风险增加。据报道,心理健康是在美国的巴西移民的核心健康优先事项。在美国的巴西移民中,缺乏关于阿尔茨海默氏症和其他痴呆症(ADRD)的研究。需要进行流行病学研究,以绘制在美国的巴西移民中精神健康状况和ADRD风险因素的流行/发生率。
The Brazilian population in the United States (U.S.), a Latinx subgroup, is rapidly growing and aging but remains underrepresented in U.S. health research. In addition to group‐specific genetic and environmental risks, Brazilian immigrants and their offspring in the U.S. likely have cumulative risks for health inequities. It is estimated that 71% of Brazilian immigrants in the U.S. are undocumented, which may limit healthcare access/utilization. Furthermore, mental health is reported as a health priority by Brazilian immigrants in the U.S., and there is a lack of research on Alzheimer's disease and related dementia (AD/ADRD) in this population. We reviewed the scientific literature using traditional (e.g., PubMed) sources and databases generated by U.S. and Brazilian governments, as well as international organizations, and press articles. This perspective review lists recommendations for researchers, health providers, and policymakers to promote greater inclusion of U.S. Brazilian populations in health research and care. The review identifies research areas in need of attention to address health inequities and promote mental/brain health in Brazilian immigrants and their offspring living in the U.S. These research areas are: 1) epidemiological studies to map the prevalence and incidence of mental/brain health conditions; 2) research on aging and AD/ADRD risk factors among Brazilian populations in the U.S.; and 3) the need for greater representation of U.S‐residing Brazilian population in other relevant research areas involving genetics, neuropathology, and clinical trials. The recommendation and research efforts proposed should help to pave the way for the development of community‐engagement research and to promote mental/brain health education, improvement of mental/brain health and AD/ADRD services, and the development of culturally‐informed intervention to the U.S.‐residing Brazilian communities. The Brazilian population in the United States is growing but is underrepresented in U.S. health research. Approximately 71% of Brazilian immigrants in the United States are undocumented, with an increased risk for health inequities. Mental health is reported as a central health priority by Brazilian immigrants in the United States. There is a lack of research on Alzheimer's disease and other dementias (ADRD) in Brazilian immigrants in the United States. Epidemiological research is needed to map the prevalence/incidence of mental health conditions and ADRD risk factors among Brazilian immigrants in the United States.
DOI: 10.1007/s42843-021-00050-5
发表时间: 2021
期刊: Journal of health service psychology
影响因子: --
作者:
Díaz-Santos M;Yáñez J;Suarez PA
通讯作者: Suarez PA