- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Mental Health Treatment and Access
- Intergenerational Family Dynamics and Caregiving
- Aging, Elder Care, and Social Issues
- Chronic Disease Management Strategies
- Nutritional Studies and Diet
- Frailty in Older Adults
- Family Caregiving in Mental Illness
- Health, Environment, Cognitive Aging
- Migration, Health and Trauma
- Neurobiology of Language and Bilingualism
- Pharmaceutical Practices and Patient Outcomes
- COVID-19 and Mental Health
- Intensive Care Unit Cognitive Disorders
- Patient-Provider Communication in Healthcare
- Folate and B Vitamins Research
- Global Maternal and Child Health
- Mental Health and Psychiatry
- Mental Health and Patient Involvement
- Genetic Associations and Epidemiology
- Global Health Care Issues
University College London
2016-2025
Camden and Islington NHS Foundation Trust
2016-2025
St Pancras Hospital
2017-2025
National Health Service
2025
Mental Health Research UK
2014-2023
Queen Mary University of London
2022-2023
Landscape Research Group
2023
Authorised Association Consortium
2023
Fundação do ABC
2019
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College
2019
Nine potentially modifiable risk factors (less childhood education, midlife hearing loss, hypertension, and obesity, later-life smoking, depression, physical inactivity, social isolation, diabetes) account for 35% of worldwide dementia, but most data to calculate these come from high-income countries only. We aimed population attributable fractions (PAFs) dementia in selected low-income middle-income (LMICs) identify potential prevention targets countries.The study was an analysis...
Dementia risk reduction is a global public health priority. Existing primary prevention approaches have favored individual-level interventions, with research and policy gap for population-level interventions. We conducted complex, multi-stage, evidence review to identify empirical on interventions each of the modifiable factors identified by Lancet Commission dementia (2020). Through comprehensive series targeted searches, we 4604 articles, which 135 met our inclusion criteria. synthesized...
ABSTRACT Background : Western policy initiatives prioritize early diagnosis of dementia, but minority ethnic (ME) people currently present later to dementia specialist care than their indigenous counterparts. In order allow the development rational interventions, we completed this first study explore link between attitudes help-seeking for and pathway in ME population. Methods We purposively recruited a maximum variation sample comprising 18 family carers with from major UK groups. used...
Stigma is a state of social disgrace, which marks an individual as discreditable or inferior in some way. The diagnosis dementia, like other mental illnesses, carries significant stigma, partly due to cultural beliefs about etiology but also the unsocial behaviors that can result from cognitive impairment. not only affects self-esteem and causes distress, inclusion delay dementia. In order optimize uptake early intervention healthcare initiatives improve outcomes, we need explore...
Objectives: We compared incidence of dementia diagnosis by white, black, and Asian ethnic groups estimated the proportion UK white black people developing in 2015 who had a for first time UK-wide study. Methods: analyzed primary care electronic health records from The Health Improvement Network database between 2007 to community cohort studies. study sample comprised 2,511,681 individuals aged 50–105 years did not have prior start follow-up. Results: A total 66,083 (4.87/1,000 person-years...
Twelve potentially modifiable risk factors (less education, hypertension, obesity, alcohol, traumatic brain injury (TBI), hearing loss, smoking, depression, physical inactivity, social isolation, diabetes, air pollution) account for an estimated 40% of worldwide dementia cases. We aimed to calculate population attributable fractions (PAFs) the four largest New Zealand ethnic groups (European, Māori, Asian, and Pacific peoples) identify whether optimal prevention targets differed by ethnicity.
Objective: Over the past decades European societies have become increasingly diverse. This diversity in culture, education, and language significantly impacts neuropsychological assessment. Although several initiatives are under way to overcome these barriers – e.g. newly developed validated test batteries there is a need for more collaboration development implementation of tests, such as domains social cognition language. Method: To address gaps cross-cultural assessment Europe, Consortium...
Abstract Introduction Twelve risk factors (RFs) account for 40% of dementia cases worldwide. However, most data population attributable fractions (PAFs) are from high‐income countries (HIC). We estimated how much these RFs in Brazil, stratifying estimates by race and socioeconomic level. Methods calculated the prevalence communalities 12 using 9412 Brazilian Longitudinal Study Aging participants, then stratified according to self‐reported country macro‐regions. Results The overall weighted...
Objectives We aimed to identify and explore the barriers help-seeking for memory problems, specifically within UK Black African Caribbean communities. Method purposively recruited participants from community groups subsequent snowball sampling, achieve a maximum variation sample employed thematic analysis. Our qualitative semi-structured interviews used vignette portraying person with symptoms of dementia, we asked what they or their family should do. stopped recruiting when no new themes...
The potential economic value of interventions to prevent late-onset dementia is unknown. We modelled this for potentially modifiable risk factors dementia.For modelling study, we searched PubMed and Web Science from inception March 12, 2020, included that: successfully targeted any nine prespecified (hypertension, diabetes, hearing loss, obesity, physical inactivity, social isolation, depression, cigarette smoking, less childhood education); had robust evidence that the intervention improved...
Most evidence about dementia risk comes from relatively affluent people of White European ancestry. We aimed to determine the association between ethnicity, area level socioeconomic deprivation and risk, extent which variation in might be attributable known modifiable clinical factors health behaviours.In this nested case-control study, we analysed data primary care medical records a population 1,016,277 four inner East London boroughs, United Kingdom, collected 2009 2018. The outcome...
We investigated the incidence of diagnosed dementia and whether age at diagnosis survival afterward differs among United Kingdom's three largest ethnic groups.We used primary care electronic health records, linked Hospital Episode Statistics mortality data for adults aged ≥65 years. compared recorded 1997-2018, diagnosis, time death after in White, South Asian, Black people.Dementia was higher people (incidence rate ratios [IRR] 1.22, 95% CI 1.15-1.30). Asian with had a younger than White...