Addressing Health Disparities in Dementia Care for Black Women

Published on February 9, 2023

In the realm of healthcare, the journey to access timely treatment can sometimes feel like an obstacle course. Imagine being an avid runner, but no matter how fast you go, there are barriers slowing you down at every turn. That’s what it’s like for many Black women seeking dementia care. A recent study highlighted the disparities faced by this population, with 80% reporting obstacles in obtaining healthcare for Alzheimer’s and related dementias. Shockingly, Black women are twice as likely to suffer from these conditions compared to their white counterparts, yet are 35% less likely to receive a diagnosis. The reasons behind this discrepancy include healthcare prejudice, socioeconomic status, and societal factors. Understanding the biological and epidemiological factors contributing to this increased risk is key in addressing the issue. As we delve into this perspective article, we’ll explore intervention programs aimed at promoting health equity and dive into potential solutions for ensuring that Black women receive the care they need and deserve.

In the United States, 80% of surveyed Black patients report experiencing barriers to healthcare for Alzheimer’s disease and related dementias (ADRD), delaying the time-sensitive treatment of a progressive neurodegenerative disease. According to the National Institute on Aging, Black study participants are 35% less likely to be given a diagnosis of ADRD than white participants, despite being twice as likely to suffer from ADRD than their white counterparts. Prior analysis of prevalence for sex, race, and ethnicity by the Centers for Disease Control indicated the highest incidence of ADRD in Black women. Older (≥65 years) Black women are at a disproportionately high risk for ADRD and yet these patients experience distinct inequities in obtaining clinical diagnosis and treatment for their condition. To that end, this perspective article will review a current understanding of biological and epidemiological factors that underlie the increased risk for ADRD in Black women. We will discuss the specific barriers Black women face in obtaining access to ADRD care, including healthcare prejudice, socioeconomic status, and other societal factors. This perspective also aims to evaluate the performance of intervention programs targeted toward this patient population and offer possible solutions to promote health equity.

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