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

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art_PARRA_Dementia_in_Latin_America_Assessing_the_present_and_2018.PDF (211.22 KB)
Citações na Scopus
116
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Autores
PARRA, Mario A.
BAEZ, Sandra
ALLEGRI, Ricardo
LOPERA, Francisco
SLACHEVSKY, Andrea
CUSTODIO, Nilton
LIRA, David
PIGUET, Olivier
KUMFOR, Fiona
Citação
NEUROLOGY, v.90, n.5, p.222-231, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/26345
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/15
Artigos e Materiais de Revistas Científicas - ODS/01
Artigos e Materiais de Revistas Científicas - ODS/03