Do community-dwelling Māori and Pacific peoples present with dementia at a younger age and at a later stage compared with NZ Europeans?

Show simple item record Cullum, Sarah en Mullin, Katherine en Zeng, Sui en Yates, Susan en Payman, Vahid en Fisher, Mark en Cheung, Gary en 2020-06-10T21:29:26Z en 2018-08 en
dc.identifier.issn 0885-6230 en
dc.identifier.uri en
dc.description.abstract OBJECTIVE:Ethnicity may affect presentation to clinical services in people with dementia; however, no studies have examined this in Māori or Pacific peoples in New Zealand (NZ). Our objective was to examine the routinely collected clinical data from a memory assessment service in South Auckland to examine the presentation of dementia in the major NZ ethnic groups. METHODS:A total of 360 patients presenting to a memory service with a new diagnosis of dementia were included in this study. Demographic data (age, sex, and ethnicity) and dementia sub-type and severity were analyzed. RESULTS:There were 142 NZ European (mean age: 79.2, SD 7.4), 43 Māori (mean age: 70.2, SD 7.6), 126 Pacific (mean age: 74.3, SD 7.6), and 49 other ethnicities (mean age: 78.0, SD 8.5) presenting with a new diagnosis of dementia. After adjustment for gender and dementia subtype, Māori and Pacific patients were 8.5 and 5.3 years younger than NZ European patients (P < 0.0001). Pacific peoples tended to present with more advanced dementia (OR = 1.63, 95% CI: 0.98-2.70, P = 0.06) after adjustment for age and gender. There was little difference in the subtypes of dementia between ethnic groups. CONCLUSIONS:Māori and Pacific peoples with dementia presented to an NZ memory service at a younger age than NZ Europeans, and Pacific peoples presented with more advanced dementia. A population-based epidemiological study is critical to determine whether Māori and Pacific peoples have indeed a higher risk of developing dementia at a younger age. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries International journal of geriatric psychiatry en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.subject Humans en
dc.subject Dementia en
dc.subject Prevalence en
dc.subject Logistic Models en
dc.subject Risk Factors en
dc.subject Age of Onset en
dc.subject Aged en
dc.subject Aged, 80 and over en
dc.subject Middle Aged en
dc.subject European Continental Ancestry Group en
dc.subject Oceanic Ancestry Group en
dc.subject New Zealand en
dc.subject Female en
dc.subject Male en
dc.subject Independent Living en
dc.title Do community-dwelling Māori and Pacific peoples present with dementia at a younger age and at a later stage compared with NZ Europeans? en
dc.type Journal Article en
dc.identifier.doi 10.1002/gps.4898 en
pubs.issue 8 en
pubs.begin-page 1098 en
pubs.volume 33 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 29766582 en
pubs.end-page 1104 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Journal Article en
pubs.subtype Observational Study en
pubs.elements-id 740610 en Medical and Health Sciences en Medical Sciences en Anatomy and Medical Imaging en School of Medicine en Medicine Department en Psychological Medicine Dept en
dc.identifier.eissn 1099-1166 en
pubs.record-created-at-source-date 2018-05-17 en
pubs.dimensions-id 29766582 en

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