Home > Review Articles > Māori experience > Do community-dwelling Māori and Pacific peoples present with dementia at a younger age and at a later stage compared with NZ Europeans?

Do community-dwelling Māori and Pacific peoples present with dementia at a younger age and at a later stage compared with NZ Europeans?

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Authors:
Summary:

This investigation examined routinely collected clinical data from a memory assessment service in South Auckland, in order to assess the presentation of dementia in the major New Zealand ethnic groups. The analysis included 360 patients presenting to the memory service with a new diagnosis of dementia. The cohort included 142 New Zealand Europeans (mean age, 79.2 years), 43 Māori (mean age, 70.2 years), 126 Pacific (mean age, 74.3 years), and 49 other ethnicities (mean age, 78.0 years). After adjusting for gender and dementia subtype, the analyses revealed that Māori and Pacific patients were 8.5 and 5.3 years younger, respectively, than New Zealand European patients (p<0.0001). After adjusting for age and gender, the researchers found that Pacific peoples tended to present with more advanced dementia (OR 1.63; 95% CI, 0.98 to 2.70; p=0.06). Dementia subtypes did not differ greatly by ethnicity.

Comment:
Great to have preliminary data about this important health issue. As the authors suggest, a more formal study is required. Such information will support service development for Māori and Pacific peoples, and will be vital for whānau who are often caring for their loved ones with memory loss in the community.
Reference: Int J Geriatr Psychiatry. 2018;33(8):1098-104
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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