A. H. Chin|Selam Negash|Roy H. Hamilton
Diversity and Disparity in Dementia
University of Pennsylvania|Penn Center for AIDS Research|Penn Center for AIDS Research|University of Pennsylvania
debate exists regarding differences prevalence alzheimer disease ad african americans hispanics united states evidence suggesting prevalence ad may considerably higher groups nonhispanic whites despite possible disparity patients minority ethnoracial groups often receive delayed diagnosis inadequate treatment dementia review investigates disparities conceptualizing dementia disease process product biological cultural factors ethnoracial differences biological risk factors genetics cardiovascular disease may help explain disparities incidence prevalence ad whereas racespecific cultural factors may impact diagnosis treatment cultural factors include differences perceptions normal aging lack adequate access medical care issues trust minority groups medical establishment diagnosis ad diverse populations may also complicated racial biases inherent cognitive screening tools widely used clinicians controlling literacy level using savings scores psychometric analyses potential mitigate biases also suggest emerging biomarkerbased diagnostic tools may useful characterizing diverse populations ad recognizing gap communication exists minority communities medical research community propose education outreach critical next step effort understand ad relates diverse populations