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The place for dementia-friendly communities in England and its relationship with epidemiological need
- Source :
- International Journal of Geriatric Psychiatry
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Objectives: The dementia‐friendly community (DFC) initiative was set up to enable people living with dementia to remain active, engaged, and valued members of society. Dementia prevalence varies nationally and is strongly associated with the age and sex distribution of the population and level of social deprivation. As part of a wider project to evaluate DFCs, we examined whether there is a relationship between provision of DFCs and epidemiological need. Methods: Dementia‐friendly communities were identified through the formal recognition process of DFC status by the Alzheimer's Society and mapped against areas defined by English Clinical Commissioning Groups. We tested whether provision of a DFC was associated with: (1) dementia prevalence, (2) number of known cases, and (3) known plus estimated number of unknown cases. Results: Of the 209 English Clinical Commissioning Group areas, 115 had at least one DFC. The presence of a DFC was significantly associated with number of known dementia cases (mean difference = 577; 95% CI, 249 to 905; P = 0.001) and unknown dementia cases (mean difference = 881; 95% CI, 349 to 1413; P = 0.001) but not prevalence (mean difference = 0.03; 95% CI, −0.09 to 0.16; P = 0.61). This remains true when controlling for potential confounding variables. Conclusions: Our findings suggest that DFC provision is consistent with epidemiological‐based need. Dementia‐friendly communities are located in areas where they can have the greatest impact. A retrospective understanding of how DFCs have developed in England can inform how equivalent international initiatives might be designed and implemented.
- Subjects :
- Male
medicine.medical_specialty
Project commissioning
Population
Age and sex
03 medical and health sciences
0302 clinical medicine
Epidemiology
medicine
epidemiological need
Prevalence
Dementia
Humans
Community Health Services
mapping
education
Research Articles
Aged
Retrospective Studies
Aged, 80 and over
education.field_of_study
Health Services Needs and Demand
030214 geriatrics
business.industry
dementia-friendly community
Confounding
Dementia friendly
dementia‐friendly community
medicine.disease
Psychiatry and Mental health
Social deprivation
Logistic Models
England
Female
Geriatrics and Gerontology
business
Demography
Research Article
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- International Journal of Geriatric Psychiatry
- Accession number :
- edsair.doi.dedup.....114183c667af6035a3f167564249e98b
- Full Text :
- https://doi.org/10.17863/cam.27996