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Attitudes Towards Dementia Among a Diverse Group of Refugees Resettled in the United States.
Kaki, Dahlia A; Bridi, Lana; Mwendwa, Purity; Aso, Maryam; Behnam, Rawnaq; Bencheikh, Nissma; Albahsahli, Behnan; Khan, Xara; Aljenabi, Raghad; Sideman, Alissa Bernstein; Moore, Alison; Al-Rousan, Tala.
Afiliación
  • Kaki DA; University of California San Francisco, School of Medicine, San Francisco, CA, USA.
  • Bridi L; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Mwendwa P; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Aso M; School of Medicine, University of California San Diego, La Jolla, CA, USA.
  • Behnam R; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Bencheikh N; School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
  • Albahsahli B; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Khan X; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Aljenabi R; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Sideman AB; School of Medicine, University of California San Diego, La Jolla, CA, USA.
  • Moore A; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
  • Al-Rousan T; Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
J Geriatr Psychiatry Neurol ; : 8919887241280891, 2024 Sep 03.
Article en En | MEDLINE | ID: mdl-39224935
ABSTRACT

BACKGROUND:

Forced migration results in exposure to trauma, interrupted access to healthcare, and loss of social support and may increase dementia risk. Literature on refugees' knowledge of dementia and its risk factors is scant. This study investigates refugee perspectives on dementia and their access to cognitive healthcare in the United States (US).

METHODS:

We conducted 6 focus groups and 30 individual in-depth interviews (total of 69 participants) with Arab, African, and Afghan refugees resettled in San Diego, California. Data was coded using inductive thematic analysis.

RESULTS:

Organized by the socioecological model of health, the following themes emerged (1) mental trauma due to migration was linked to dementia (individual); (2) fear of dementia and burdening caregivers due to limited support systems (interpersonal); (3) reliance on virtual communities for dementia information and the stress of local community loss increasing dementia risk (community); (4) healthcare providers, both in the US and in refugee camps, didn't address cognitive health concerns (institutions); and (5) discriminatory immigration and healthcare policies as barriers to healthy aging (policy).

DISCUSSION:

Despite being a heterogeneous group, refugees share specific experiences, knowledge gaps, and barriers to healthy aging. Tailored interventions and policies are needed to address this population's cognitive health needs. This includes addressing their mental health and social support concerns as well as training clinicians to screen for/discuss dementia with aging refugee patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Geriatr Psychiatry Neurol Asunto de la revista: GERIATRIA / NEUROLOGIA / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Geriatr Psychiatry Neurol Asunto de la revista: GERIATRIA / NEUROLOGIA / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos