Dementia in Latin America: assessing the present and envisioning the future

Mario A. Parra, Sandra Baez, Ricardo Allegri, Ricardo Nitrini, Francisco Lopera, Andrea Slachevsky, Nilton Custodio, David Lira, Olivier Piguet, Fiona Kumfor, David Huepe, Patricia Cogram, Thomas Bak, Facundo Manes, Agustin Ibanez

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

The demographic structure of Latin American countries (LAC) is fast approaching that of developing countries, and the predicted prevalence of dementia in the former already exceeds the latter. Dementia has been declared a global challenge, yet regions around the world show differences in both the nature and magnitude of such a challenge. This article provides evidence and insights on barriers which, if overcome, would enable the harmonization of strategies to tackle the dementia challenge in LAC. First, we analyze the lack of available epidemiologic data, the need for standardizing clinical practice and improving physician training, and the existing barriers regarding resources, culture, and stigmas. We discuss how these are preventing timely care and research. Regarding specific health actions, most LAC have minimal mental health facilities and do not have specific mental health policies or budgets specific to dementia. In addition, local regulations may need to consider the regional context when developing treatment and prevention strategies. The support needed nationally and internationally to enable a smooth and timely transition of LAC to a position that integrates global strategies is highlighted. We focus on shared issues of poverty, cultural barriers, and socioeconomic vulnerability. We identify avenues for collaboration aimed to study unique populations, improve valid assessment methods, and generate opportunities for translational research, thus establishing a regional network. The issues identified here point to future specific actions aimed at tackling the dementia challenge in LAC.

LanguageEnglish
Pages222-231
Number of pages10
JournalNeurology
Volume90
Issue number5
Early online date5 Jan 2018
DOIs
Publication statusPublished - 30 Jan 2018

Fingerprint

Latin America
Dementia
Mental Health
Translational Medical Research
Health Facilities
Budgets
Poverty
Health Policy
Developing Countries
Demography
Physicians
Health
Research
Population

Keywords

  • Alzheimer disease
  • Latin America
  • dementia

Cite this

Parra, M. A., Baez, S., Allegri, R., Nitrini, R., Lopera, F., Slachevsky, A., ... Ibanez, A. (2018). Dementia in Latin America: assessing the present and envisioning the future. Neurology, 90(5), 222-231. https://doi.org/10.1212/WNL.0000000000004897
Parra, Mario A. ; Baez, Sandra ; Allegri, Ricardo ; Nitrini, Ricardo ; Lopera, Francisco ; Slachevsky, Andrea ; Custodio, Nilton ; Lira, David ; Piguet, Olivier ; Kumfor, Fiona ; Huepe, David ; Cogram, Patricia ; Bak, Thomas ; Manes, Facundo ; Ibanez, Agustin. / Dementia in Latin America : assessing the present and envisioning the future. In: Neurology. 2018 ; Vol. 90, No. 5. pp. 222-231.
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Parra, MA, Baez, S, Allegri, R, Nitrini, R, Lopera, F, Slachevsky, A, Custodio, N, Lira, D, Piguet, O, Kumfor, F, Huepe, D, Cogram, P, Bak, T, Manes, F & Ibanez, A 2018, 'Dementia in Latin America: assessing the present and envisioning the future' Neurology, vol. 90, no. 5, pp. 222-231. https://doi.org/10.1212/WNL.0000000000004897

Dementia in Latin America : assessing the present and envisioning the future. / Parra, Mario A.; Baez, Sandra; Allegri, Ricardo; Nitrini, Ricardo; Lopera, Francisco; Slachevsky, Andrea; Custodio, Nilton; Lira, David; Piguet, Olivier; Kumfor, Fiona; Huepe, David; Cogram, Patricia; Bak, Thomas; Manes, Facundo; Ibanez, Agustin.

In: Neurology, Vol. 90, No. 5, 30.01.2018, p. 222-231.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Dementia in Latin America

T2 - Neurology

AU - Parra, Mario A.

AU - Baez, Sandra

AU - Allegri, Ricardo

AU - Nitrini, Ricardo

AU - Lopera, Francisco

AU - Slachevsky, Andrea

AU - Custodio, Nilton

AU - Lira, David

AU - Piguet, Olivier

AU - Kumfor, Fiona

AU - Huepe, David

AU - Cogram, Patricia

AU - Bak, Thomas

AU - Manes, Facundo

AU - Ibanez, Agustin

N1 - © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.

PY - 2018/1/30

Y1 - 2018/1/30

N2 - The demographic structure of Latin American countries (LAC) is fast approaching that of developing countries, and the predicted prevalence of dementia in the former already exceeds the latter. Dementia has been declared a global challenge, yet regions around the world show differences in both the nature and magnitude of such a challenge. This article provides evidence and insights on barriers which, if overcome, would enable the harmonization of strategies to tackle the dementia challenge in LAC. First, we analyze the lack of available epidemiologic data, the need for standardizing clinical practice and improving physician training, and the existing barriers regarding resources, culture, and stigmas. We discuss how these are preventing timely care and research. Regarding specific health actions, most LAC have minimal mental health facilities and do not have specific mental health policies or budgets specific to dementia. In addition, local regulations may need to consider the regional context when developing treatment and prevention strategies. The support needed nationally and internationally to enable a smooth and timely transition of LAC to a position that integrates global strategies is highlighted. We focus on shared issues of poverty, cultural barriers, and socioeconomic vulnerability. We identify avenues for collaboration aimed to study unique populations, improve valid assessment methods, and generate opportunities for translational research, thus establishing a regional network. The issues identified here point to future specific actions aimed at tackling the dementia challenge in LAC.

AB - The demographic structure of Latin American countries (LAC) is fast approaching that of developing countries, and the predicted prevalence of dementia in the former already exceeds the latter. Dementia has been declared a global challenge, yet regions around the world show differences in both the nature and magnitude of such a challenge. This article provides evidence and insights on barriers which, if overcome, would enable the harmonization of strategies to tackle the dementia challenge in LAC. First, we analyze the lack of available epidemiologic data, the need for standardizing clinical practice and improving physician training, and the existing barriers regarding resources, culture, and stigmas. We discuss how these are preventing timely care and research. Regarding specific health actions, most LAC have minimal mental health facilities and do not have specific mental health policies or budgets specific to dementia. In addition, local regulations may need to consider the regional context when developing treatment and prevention strategies. The support needed nationally and internationally to enable a smooth and timely transition of LAC to a position that integrates global strategies is highlighted. We focus on shared issues of poverty, cultural barriers, and socioeconomic vulnerability. We identify avenues for collaboration aimed to study unique populations, improve valid assessment methods, and generate opportunities for translational research, thus establishing a regional network. The issues identified here point to future specific actions aimed at tackling the dementia challenge in LAC.

KW - Alzheimer disease

KW - Latin America

KW - dementia

U2 - 10.1212/WNL.0000000000004897

DO - 10.1212/WNL.0000000000004897

M3 - Review article

VL - 90

SP - 222

EP - 231

JO - Neurology

JF - Neurology

SN - 0028-3878

IS - 5

ER -

Parra MA, Baez S, Allegri R, Nitrini R, Lopera F, Slachevsky A et al. Dementia in Latin America: assessing the present and envisioning the future. Neurology. 2018 Jan 30;90(5):222-231. https://doi.org/10.1212/WNL.0000000000004897