title: Challenges to the recognition and assessment of Alzheimer's disease in American Indians of the southwestern United States.
abstract: Little is known about Alzheimer's disease (AD) and related neurodegenerative diseases in American Indian (AI) populations. To provide appropriate health care to elder AIs, whose population is expected to increase dramatically during the next 50 years, it is imperative to attain a better understanding of the interaction of culture and disease in this underserved population. Raising awareness in the AI population regarding the nature of dementia as it compares to normal aging and the development of culturally appropriate instruments to detect and stage AD are essential for future health care efforts. Barriers restricting clinical service to this population include historical factors relating to access to health care, cultural beliefs regarding aging, demographic diversity of the population, competing epidemiologic risk factors, and lack of proper assessment tools for clinicians.
authors.affiliation: Department of Anthropology, University of Arizona, Tucson, AZ, USA. trudyg@email.arizona.edu
authors.forename: Trudy
authors.initials: T
authors.lastname: Griffin-Pierce
authors.forename: Nina
authors.initials: N
authors.lastname: Silverberg
authors.forename: Donald
authors.initials: D
authors.lastname: Connor
authors.forename: Minnie
authors.initials: M
authors.lastname: Jim
authors.forename: Jill
authors.initials: J
authors.lastname: Peters
authors.forename: Alfred
authors.initials: A
authors.lastname: Kaszniak
authors.forename: Marwan N
authors.initials: MN
authors.lastname: Sabbagh
mesh_terms: D000544:Alzheimer Disease / Q000175:diagnosis* / Q000208:ethnology*; D006303:Health Services, Indigenous; D006801:Humans; D007198:Indians, North American; D015206:Southwestern United States