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Lookup NU author(s): Manjot Brar, Dr Ríona McArdle, Professor Bloss Stephan, Professor Carol Brayne, Dr Louise Robinson
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Background: Increased understanding of dementia risk-reduction and early detection of Alzheimer’s disease and related disorders has spurred interest in the identification of risks for dementia, underlying putative biologies, or dementia itself. Implementation of such approaches require acceptability to the public. Research prior to 2012 indicated limited acceptability for population dementia screening. The changing landscape of dementia prevention research may influence recent perceptions. Additionally, perspectives from underserved populations, such as ethnic minorities and low socio-economic groups, are lacking. Objective: In this systematic review, we sought published studies since 2012 on attitudes and preferences of people with dementia, carers and the general public from ethnic minorities and low socio-economic groups regarding dementia screening. Methods: This review was preregistered on PROSPERO (CRD42023384115) and followed PRISMA guidelines. Key search terms were entered into five databases. Articles were included if they focused on population or risk screening for dementia via primary/community care-based assessments, and which included majority ethnic minority or low socio-economic groups or discretely considered these groups in data analysis. Data were synthesized narratively. Results: Seven studies reported perspectives of ethnic minorities regarding dementia screening; one study included people from low socio-economic groups. Results indicated that participants from ethnic minorities were willing to undergo dementia screening. Predictors of willingness included belief in benefits, desire to boost diversity, and to implement lifestyle changes. Unwillingness was associated with anxiety regarding results. Conclusions: Although there seems to be high acceptability for screening in the studied groups, more research is necessary to explore the practical considerations for screening such as cultural and economic barriers, trust, and post-screening actions.
Author(s): Brar M, Mc Ardle R, Hagan A, Al-Orabi A, Hanjari M, Stephan B, Brayne C, Lafortune L, Bains M, Qureshi N, Robinson L
Publication type: Article
Publication status: Published
Journal: Journal of Alzheimer's Disease
Year: 2024
Pages: epub ahead of print
Online publication date: 18/07/2024
Acceptance date: 07/06/2024
Date deposited: 10/06/2024
ISSN (print): 1387-2877
ISSN (electronic): 1875-8908
Publisher: IOS Press
URL: https://doi.org/10.3233/JAD-240315
DOI: 10.3233/JAD-240315
Data Access Statement: Data sharing is not applicable to this article as no datasets were generated or analyzed during this study.
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