Alzheimer's Disease In African Americans: Risk Factors And Challenges For The Future

被引:248
作者
Barnes, Lisa L. [1 ,2 ]
Bennett, David A. [3 ]
机构
[1] Rush Univ, Dept Neurol Sci, Med Ctr, Chicago, IL 60612 USA
[2] Rush Univ, Dept Behav Sci, Med Ctr, Chicago, IL 60612 USA
[3] Rush Univ, Rush Alzheimers Dis Ctr, Med Ctr, Chicago, IL 60612 USA
关键词
ASSOCIATION WORKGROUPS; DIAGNOSTIC GUIDELINES; NATIONAL INSTITUTE; COGNITIVE IMPAIRMENT; DIABETES-MELLITUS; CULTURAL-DIVERSITY; DEMENTIA; RECOMMENDATIONS; HEALTH; DISPARITIES;
D O I
10.1377/hlthaff.2013.1353
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
As the US elderly population continues to expand rapidly, Alzheimer's disease poses a major and increasing public health challenge, and older African Americans may be disproportionately burdened by the disease. Although African Americans were generally underincluded in previous research studies, new and growing evidence suggests that they may be at increased risk of the disease and that they differ from the non-Hispanic white population in risk factors and disease manifestation. This article offers an overview of the challenges of Alzheimer's disease in African Americans, including diagnosis issues, disparities in risk factors and clinical presentation of disease, and community-based recommendations to enhance research with this population.
引用
收藏
页码:580 / 586
页数:7
相关论文
共 39 条
  • [1] The diagnosis of mild cognitive impairment due to Alzheimer's disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease
    Albert, Marilyn S.
    DeKosky, Steven T.
    Dickson, Dennis
    Dubois, Bruno
    Feldman, Howard H.
    Fox, Nick C.
    Gamst, Anthony
    Holtzman, David M.
    Jagust, William J.
    Petersen, Ronald C.
    Snyder, Peter J.
    Carrillo, Maria C.
    Thies, Bill
    Phelps, Creighton H.
    [J]. ALZHEIMERS & DEMENTIA, 2011, 7 (03) : 270 - 279
  • [2] Diabetes is related to cerebral infarction but not to AD pathology in older persons
    Arvanitakis, Z.
    Schneider, J. A.
    Wilson, R. S.
    Li, Y.
    Arnold, S. E.
    Wang, Z.
    Bennett, D. A.
    [J]. NEUROLOGY, 2006, 67 (11) : 1960 - 1965
  • [3] Racial differences in the progression of cognitive decline in Alzheimer disease
    Barnes, LL
    Wilson, RS
    Li, Y
    Aggarwal, NT
    Gilley, DW
    McCann, JJ
    Evans, DA
    [J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2005, 13 (11) : 959 - 967
  • [4] Relation of neuropathology to cognition in persons without cognitive impairment
    Bennett, David A.
    Wilson, Robert S.
    Boyle, Patricia A.
    Buchman, Aron S.
    Schneider, Julie A.
    [J]. ANNALS OF NEUROLOGY, 2012, 72 (04) : 599 - 609
  • [5] Castora-Binkley M., 2013, J GERONTOL B
  • [6] Diversity and Disparity in Dementia: The Impact of Ethnoracial Differences in Alzheimer Disease
    Chin, Alexander L.
    Negash, Selamawit
    Hamilton, Roy
    [J]. ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2011, 25 (03) : 187 - 195
  • [7] Cultural diversity in Alzheimer disease - The interface between biology, belief, and behavior
    Chui, HC
    Gatz, ME
    [J]. ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2005, 19 (04) : 250 - 255
  • [8] A Systematic Review and Meta-Analysis of Ethnic Differences in Use of Dementia Treatment, Care, and Research
    Cooper, Claudia
    Tandy, Alec Robert
    Balamurali, Thana B. S.
    Livingston, Gill
    [J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2010, 18 (03) : 193 - 203
  • [9] Introduction to the Science of Recruitment and Retention Among Ethnically Diverse Populations
    Dilworth-Anderson, Peggye
    [J]. GERONTOLOGIST, 2011, 51 : S1 - S4
  • [10] Incidence of Alzheimer disease in a biracial urban community - Relation to apolipoprotein E allele status
    Evans, DA
    Bennett, DA
    Wilson, RS
    Bienias, JL
    Morris, MC
    Scherr, PA
    Hebert, LE
    Aggarwal, N
    Beckett, LA
    Joglekar, R
    Berry-Kravis, E
    Schneider, J
    [J]. ARCHIVES OF NEUROLOGY, 2003, 60 (02) : 185 - 189