Dementia in Indigenous Populations
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چکیده
Only recently have we begun to recognise the importance of research into dementia in low and middle-income countries and in ethnic minorities, including immigrant and indigenous groups, within high income countries. The neurological research community has started to consider that ethnicity itself, as well as environmental factors unique to individual communities, may influence the onset and rates of dementia. Our recent paper reviewed data on 6,500 subjects with Alzheimer’s Disease (AD) from a multinational clinical trials data repository. We reported that the odds of Early Onset AD in the USA were significantly higher for African Americans and Native Alaskans, Americans and Hawaiians, after controlling for co-morbidities and gender [1]. A commentary by the same authors will further discuss factors related to ethnicity and dementia for ethnic minorities in North America [2]. This commentary will be a brief summary focussing on dementia in low-income countries and in Indigenous populations, outside of North America. According to the World Health Organisation (WHO) there is no official definition of the term ‘indigenous’, but it can include groups who have strong links to territories, historical continuity with precolonial societies, that form non-dominant groups in society and have distinct social, economic or political systems [3]. There are almost 400 million indigenous people worldwide and their health outcomes are generally much poorer compared to non-indigenous people [3,4]. The prevalence of dementia is rapidly increasing and none more so than in low income and Indigenous populations.
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تاریخ انتشار 2017