Exploring Dementia Care Systems Across the African Caribbean Diaspora: A Scoping Review and Consultation Exercise

Reena Lasrado, Sophie Baker, Maria Zubair, Polly Kaiser, Veena Janith Lasrado, Matilda Rizzo, Ishtar Govia, Dawn Edge, Patricia C Heyn (Editor)

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Abstract

Background and Objectives
Understanding the influences of marginalized cultural and social identities as experienced by the African Caribbean diaspora within the context of dementia care is essential to minimize the gaps in current practice and policy in the health care setting. This study explores the impact of marginalized identities upon the meaning-making process, access to services and experience of care provisions through a scoping review and consultancy exercises with key stakeholders.

Research Design
Fourteen databases were searched using key terms. Primary studies in English, any year, study design, and country of origin were eligible. Titles, abstracts, and full texts were screened for inclusion and data were extracted in stages. Thematic analysis was performed and the findings were discussed in a series of consultation meetings with people with dementia, carers, and health care professionals in Manchester (United Kingdom) and Jamaica.

Results
The scoping review retrieved n = 1,989 research articles. Nineteen were included, most were qualitative (n = 14), 3 quantitative, and 2 mixed-method. The findings revealed limited insight into cultural and multiple individual identities in explaining conceptualization and service access. Consultation meetings confirmed these findings and highlighted differences in health care services and systems in the United Kingdom and Jamaica.

Discussion and Implications
This study suggests there is a complex interaction of sociocultural processes that marginalize African Caribbean persons in and across various national settings within the context of dementia care. The study highlights the importance of acknowledging and addressing how prevalent racialized- and class-based divides and related marginalized social locations are reflected in inequities in access to and use of dementia services.
Original languageEnglish
Pages (from-to)E209-E227
JournalThe Gerontologist
Volume61
Issue number5
Early online date17 Apr 2020
DOIs
Publication statusPublished - 1 Aug 2021

Keywords

  • Culturally sensitive dementia care
  • Dementia care access & barriers
  • Dementia care literature review
  • Dementia conceptualisation
  • Ethnic minority dementia care

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