Ageing and dementia in low and middle income countries - Using research to engage with public and policy makers

被引:47
作者
Prince, Martin [1 ]
Acosta, Daisy [2 ]
Albanese, Emiliano [1 ]
Arizaga, Raul [3 ]
Ferri, Cleusa P. [1 ]
Guerra, Mariella [4 ]
Huang, Yueqin [5 ]
Jacob, K. S. [6 ]
Jimenez-Velazquez, Ivonne Z. [7 ]
Llibre Rodriguez, Juan [8 ]
Salas, Aquiles [9 ]
Luisa Sosa, Ana [10 ]
Sousa, Renata [11 ]
Uwakwe, Richard [12 ]
Van der Poel, Rikus [13 ]
Williams, Joseph [14 ]
Wortmann, Marc [14 ]
机构
[1] Kings Coll London, Hlth Serv Res, Epidemiol Sect, London SE5 8AF, England
[2] Univ Nacl Pedro Henriquez Urena, Dept Internal Med, Geriatr Sect, Santo Domingo, Dominican Rep
[3] Neurol Fdn, Neuraxis Inst, Behav & Cognit Neurol Unit, Buenos Aires, DF, Argentina
[4] Natl Inst Mental Hlth Honorio Delgado Hideyo Nogu, Psychogeriatr Unit, Lima, Peru
[5] Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
[6] Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
[7] Univ Puerto Rico, Sch Med, San Juan, PR 00936 USA
[8] Med Univ Havana, Fac Med Finley Albarran, Havana, Cuba
[9] Cent Univ Venezuela, Caracas Univ Hosp, Fac Med, Dept Med, Caracas, Venezuela
[10] Natl Inst Neurol & Neurosurg Mexico, Cognit & Behav Unit, Mexico City, DF, Mexico
[11] Nnamdi Azikiwe Univ Teaching Hosp, Dept Mental Hlth, Nnewi, Anambra State, Nigeria
[12] Univ Free State Bloemfontein, Bloemfontein, South Africa
[13] Voluntary Hlth Serv, Dept Community Hlth, Madras, Tamil Nadu, India
[14] Alzheimers Dis Int, London, England
基金
英国惠康基金;
关键词
D O I
10.1080/09540260802094712
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
While two thirds of the 24 million people with dementia worldwide live in low and middle income countries, very little research has been conducted to support policy making in these regions. Among the non-communicable diseases, dementia ( in common with other chronic NCDs linked more to long-term disability than to mortality) has been relatively under-prioritized. International agreements, plans and policy guidelines have called for an end to ageist discrimination and a focus upon reducing disadvantage arising from poverty and the consequences of ill health. Social protection, access to good quality age-appropriate healthcare and addressing the problem of disability are all key issues. However, as yet, little progress has been made in addressing these concerns. In this review we outline the current international policy agenda for older individuals, and its specific relevance to those with dementia and other disabling non-communicable diseases. We consider the potential for epidemiological research to raise awareness, refine the policy agenda, and promote action, using the example of the dissemination strategy developed by the 10/66 Dementia Research Group. While two thirds of the 24 million people with dementia worldwide live in low and middle income countries, very little research has been conducted to support policy making in these regions. Among the non-communicable diseases, dementia (in common with other chronic NCDs linked more to long-term disability than to mortality) has been relatively under-prioritized. International agreements, plans and policy guidelines have called for an end to ageist discrimination and a focus upon reducing disadvantage arising from poverty and the consequences of ill health. Social protection, access to good quality age-appropriate healthcare and addressing the problem of disability are all key issues. However, as yet, little progress has been made in addressing these concerns. In this review we outline the current international policy agenda for older individuals, and its specific relevance to those with dementia and other disabling non-communicable diseases. We consider the potential for epidemiological research to raise awareness, refine the policy agenda, and promote action, using the example of the dissemination strategy developed by the 10/66 Dementia Research Group.
引用
收藏
页码:332 / 343
页数:12
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