Public Health

Area of Science:

• Public Health
• Gerontology
• Sociology

Background:

• The UK lacks dementia risk prediction methods, with existing models using non-diverse data.
• Low-income and ethnic minority groups face higher dementia risk and diagnostic/treatment inequalities.

Purpose of the Study:

• To explore dementia knowledge, attitudes towards risk prediction, and service access barriers in diverse English populations.
• To identify facilitators for dementia risk prediction and service engagement among underserved groups.

Main Methods:

• Qualitative study utilizing task group methodology with 149 participants (40-80 years old) from low-income and ethnically diverse backgrounds.
• Convenience and purposeful sampling with data analysis via thematic analysis.

Main Results:

• Participants showed some dementia knowledge but faced information access challenges and concerns about healthcare professionals' understanding.
• Attitudes towards dementia risk prediction were positive, viewed as empowering, but awareness and psychological impact need consideration.
• Barriers included healthcare access, stigma, language, and cultural/religious views; recommendations focus on workforce training, language support, and community engagement.

Conclusions:

• The study offers insights into diverse populations' views on dementia risk prediction and tools.
• Identified barriers and recommendations can guide the development of culturally aware and inclusive dementia services.