Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services

Autor: Jessica Monsees, Jochen René Thyrian, Amy J.H. Kind, Wolfgang Hoffmann, Andrea Gilmore-Bykovskyi, Alice J. Kim, Tim Schmachtenberg
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Gerontology
Male
Turkish migration background
Turkey
Turkish
ethnology [Dementia]
migration
ethnology [Turkey]
Health services
0302 clinical medicine
Germany
ethnology [Patient Acceptance of Health Care]
Health care
030212 general & internal medicine
Transients and Migrants
psychology [Patient Acceptance of Health Care]
Family caregivers
General Neuroscience
healthcare
General Medicine
Middle Aged
Psychiatry and Mental health
Clinical Psychology
Caregivers
language
Female
psychology [Transients and Migrants]
Psychology
Research Article
Adult
psychology [Caregivers]
psychology [Dementia]
utilization
chemical and pharmacologic phenomena
therapy [Dementia]
03 medical and health sciences
medicine
Dementia
Humans
ddc:610
business.industry
healthcare services
Patient Acceptance of Health Care
medicine.disease
language.human_language
Family member
Willingness to use
ethnology [Germany]
Geriatrics and Gerontology
business
Relevant information
030217 neurology & neurosurgery
Zdroj: Journal of Alzheimer's disease 77(2), 865-875 (2020). doi:10.3233/JAD-200184
Journal of Alzheimer's Disease
DOI: 10.3233/JAD-200184
Popis: Background: As the proportion of older people with migration background (PwM) increases, the proportion of older PwM with dementia might also increase. Dementia is underdiagnosed in this group and a large proportion of PwM with dementia and family caregivers are not properly supported. Healthcare utilization is lower among older migrant populations. Thus, a better understanding of how PwM and family caregivers perceive their situation and how they experience healthcare services is needed to improve utilization of the healthcare system. Objective: Analyze how family caregivers of PwM with dementia experience their situation, why healthcare services are utilized less often, and what can be done to reverse this. Methods: Eight semi-structured interviews were conducted with people with Turkish migration background caring for PwM with dementia. Qualitative content analysis was used for data analysis. Results: Daily care was performed by one family member with the support of others. Healthcare services were used by most participants. Participants identified a need for better access to relevant information and incorporation of Turkish culture into healthcare services. Conclusion: PwM face similar challenges in taking care of persons with dementia as those without migration background. There is a willingness to use services, and services embracing Turkish culture would help to reduce hesitance and make affected people feel more comfortable, thereby increasing utilization and satisfaction. A limitation of this study is that participants were already connected to health services, which may not reflect the help-seeking behavior of those in the Turkish community who are not involved in healthcare.
Databáze: OpenAIRE