The place for dementia-friendly communities in England and its relationship with epidemiological need.

Autor: Woodward M; University of East Anglia, Norwich Research Park, Norfolk, UK., Arthur A; University of East Anglia, Norwich Research Park, Norfolk, UK., Darlington N; Centre for Research in Public health and Community Care, Health Research Building, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, UK., Buckner S; Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK., Killett A; University of East Anglia, Norwich Research Park, Norfolk, UK., Thurman J; University of East Anglia, Norwich Research Park, Norfolk, UK., Buswell M; Centre for Research in Public health and Community Care, Health Research Building, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, UK., Lafortune L; Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK., Mathie E; Centre for Research in Public health and Community Care, Health Research Building, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, UK., Mayrhofer A; Centre for Research in Public health and Community Care, Health Research Building, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, UK., Goodman C; Centre for Research in Public health and Community Care, Health Research Building, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, UK.; Collaboration for Leadership in Applied Health Research and Care East of England, Douglas House, Cambridge, UK.
Jazyk: angličtina
Zdroj: International journal of geriatric psychiatry [Int J Geriatr Psychiatry] 2019 Jan; Vol. 34 (1), pp. 67-71. Date of Electronic Publication: 2018 Sep 24.
DOI: 10.1002/gps.4987
Abstrakt: Objectives: The dementia-friendly community (DFC) initiative was set up to enable people living with dementia to remain active, engaged, and valued members of society. Dementia prevalence varies nationally and is strongly associated with the age and sex distribution of the population and level of social deprivation. As part of a wider project to evaluate DFCs, we examined whether there is a relationship between provision of DFCs and epidemiological need.
Methods: Dementia-friendly communities were identified through the formal recognition process of DFC status by the Alzheimer's Society and mapped against areas defined by English Clinical Commissioning Groups. We tested whether provision of a DFC was associated with: (1) dementia prevalence, (2) number of known cases, and (3) known plus estimated number of unknown cases.
Results: Of the 209 English Clinical Commissioning Group areas, 115 had at least one DFC. The presence of a DFC was significantly associated with number of known dementia cases (mean difference = 577; 95% CI, 249 to 905; P = 0.001) and unknown dementia cases (mean difference = 881; 95% CI, 349 to 1413; P = 0.001) but not prevalence (mean difference = 0.03; 95% CI, -0.09 to 0.16; P = 0.61). This remains true when controlling for potential confounding variables.
Conclusions: Our findings suggest that DFC provision is consistent with epidemiological-based need. Dementia-friendly communities are located in areas where they can have the greatest impact. A retrospective understanding of how DFCs have developed in England can inform how equivalent international initiatives might be designed and implemented.
(© 2018 The Authors. International Journal of Geriatric Psychiatry Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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