According to a study by academics from University College London and the London School of Hygiene and Tropical Medicine, Britons of black and south Asian origin with dementia die younger and sooner after being diagnosed than white people. A team led by Dr. Naheed Mukadam from UCL’s division of psychiatry reached their conclusions after studying health records covering the 21 years between 1997 and 2018 of 662,882 people across the UK who were aged over 65.
This was the first study to investigate the incidence and prevalence of dementia, as well as the age of diagnosis, survival and age of death, across white, black and south Asian ethnic groups using electronic records kept by GP surgery and hospital staff. They have voiced concern about also discovering that south Asian and black people are diagnosed younger, survive for less time and die younger than white people.
The team found several things, including:
Dementia rates have increased across all ethnic groups. Black people are 22 per cent more likely to get dementia than their white peers. Dementia is 17 per cent less common among those of south Asian background.
The team writes in their paper, “The earlier age of dementia diagnosis in people of black and south Asian (origin)… may be related to the higher prevalence of some risk factors for dementia such as, in older south Asians, fewer years of education, and in both groups hypertension, diabetes and obesity. Black and south Asian people survived for less time after a dementia diagnosis and they died at a younger age.”
They added, “Overall, our findings show black and south Asian patients are diagnosed with dementia at a younger age and die at a younger age with dementia than white patients, losing more years of life.”
Mukadam said the stark disparities between ethnic groups are “concerning”. When asked to explain why black and south Asian people die sooner than white people, she replied, “We do not know if earlier death after dementia diagnosis is because dementia is picked up at a later stage in minority ethnic groups and therefore people decline faster, if underlying risk factors in these groups contribute to worse overall health or if there is a difference in post-diagnostic support that results in these differences.”
Director of the NHS Race and Health Observatory, Dr. Habib Naqvi said the findings showed that minority-ethnic patients needed more help after they had been diagnosed. He said, “Dementia is a ‘silent killer’ affecting Asian, black and other ethnic minority group disproportionality, and tragically, at a younger age. These findings are critical and should be a call to action for the NHS and wider social care profession.”
He added, “Evidence shows ethnic minority patients and carers are already more likely to be isolated from mainstream healthcare services. Prolonged delays in seeking support, combined with health and care services that often do not meet diverse needs, can leave vulnerable dementia patients and their families in ‘crisis’,” he said.
