Systematic review of dementia prevalence and incidence in United States race/ethnic populations

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• 作者：Kala M. Mehta^a ; ^{kala.mehta@ucsf.edu} ; Gwen W. Yeo^b ; ^{gwenyeo@stanford.edu}
• 关键词：Dementia ; Alzheimer's Disease ; Race ; Ethnicity ; Prevalence ; Incidence
• 刊名：Alzheimer's & Dementia
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：13
• 期：1
• 页码：72-83
• 全文大小：1046 K
• 卷排序：13

文摘

To identify incidence and prevalence of dementia in racial and ethnic populations in the United States.MethodsA systematic review of literature.ResultsA total of 1215 studies were reviewed; 114 were included. Dementia prevalence rates reported for age 65+ years from a low of 6.3% in Japanese Americans, 12.9% in Caribbean Hispanic Americans, 12.2% in Guamanian Chamorro and ranged widely in African Americans from 7.2% to 20.9%. Dementia annual incidence for African American (mean = 2.6%; SD = 1%; range, 1.4%–5.5%) and Caribbean Hispanic populations were significantly higher (mean, 3.6%; SD, 1.2%; range, 2.3%–5.3%) than Mexican American and Japanese Americans and non-Latino white populations (0.8%–2.7%), P < .001.ConclusionsData are needed for American Indian, most Asian, and Pacific Islander populations. Disaggregation of large race/ethnic classifications is warranted due to within-population heterogeneity in incidence and prevalence. African American and Caribbean Hispanic studies showed higher incidence of dementia. A nationwide approach is needed to identify communities at high risk and to tailor culturally appropriate services accordingly.