Racial and Ethnic Disparities in Timeliness of Dementia Diagnosis: A Narrative Review
摘要
By 2050, the prevalence of Alzheimer’s disease and related dementias (ADRD) is projected to triple, from 55 million to 152 million individuals globally. This warrants a closer examination of demographic characteristics that affect timely diagnosis and treatment of dementia to improve health outcomes and reduce the burden of disability and dependency among older adults with dementia.
Purpose of reviewThis review article summarizes differences in the timeliness of ADRD diagnosis across racial and ethnic groups, the factors that drive these disparities, and the effects of delayed diagnosis.
Recent findingsRecent studies demonstrate that people from minoritized backgrounds, notably African American and Hispanic American populations, are less likely to receive a timely clinical diagnosis of ADRD resulting in greater dementia severity as well as personal and public healthcare costs.
SummaryEarly detection, appropriate diagnosis, language-appropriate care, and psychoeducation are critical in ensuring historically marginalized groups connect with support services and plan for long-term needs when diagnosed with dementia.