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328529
A Systematic Review of Dementia in Asian American, Native Hawaiian and Pacific Islander Populations


Sunday, November 1, 2015

Tina Sadarangani, MSN, RN, ANP-BC, GNP-BC, College of Nursing, New York University, New York, NY
Simona Kwon, DrPH, MPH, Department of Population Health, NYU School of Medicine, New York, NY
Nadia Islam, PhD, Department of Population Health, NYU School of Medicine, New York, NY
Chau Trinh-Shevrin, DrPH, Department of Population Health, NYU School of Medicine, New York, NY
Background: The number of older adults in the United States will double by 2050, and the fastest rate of growth is expected among Asian Americans, Native Hawaiians and Pacific Islanders (AAs & NHPIs). AA & NHPI populations have experienced significant increases in deaths from Alzheimer’s Disease (AD); AD is the 10th leading cause of death among AA & NHPI men and the 6thleading cause among women. Consequently, an emerging need exists for pertinent information on dementia in AAs & NHPIs.

Purpose: A systematic literature review using the PRISMA guidelines was conducted focused on dementia in adult AA & NHPI populations.

Methods: Four interdisciplinary databases (Ovid/Medline, Web of Science, CINAHL, and PsycInfo) were searched for articles published between January 2000 and January 2015, yielding 348 results. Titles and abstracts were reviewed for relevance, and pertinent studies were evaluated for methodological rigor.

Results: Existing research on dementia in AAs & NHPIs focuses primarily on AD and has largely been conducted among Korean and Chinese adults living on the United States’ West Coast. Studies were mostly observational and addressed four issues: caregiver strain, associations between chronic disease and the development of dementia, culturally based perceptions of dementia, and complementary therapies in dementia management.

Conclusions: This review exposes critical gaps in the literature with respect to the dementia in AA & NHPIs.  Future research should prioritize classes of dementia other than AD and address topics that include behavioral interventions and end-of-life care in understudied AA & NHPI subgroups (e.g. South Asians, Samoans, Filipinos).

Learning Areas:

Chronic disease management and prevention

Learning Objectives:
List and describe the main issues researchers have identified as affecting AAs & NHPIs with dementia. Identify areas of research related to dementia in AA & NHPI populations needing additional study, and name subgroups of AAs & NHPIs that warrant more attention from researchers.

Keyword(s): Asian and Pacific Islanders, Dementia

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a board certified adult and geriatric nurse practitioner who has historically serviced vulnerable populations. I am currently a second year PhD student with a program of research in chronic disease management in older immigrant and minority populations. I am also a research fellow at the Center for Asian American Health, a part of New York University School of Medicine.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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