title: Pioneers in migration, pioneering in dementia: first generation immigrants in a European metropolitan memory clinic.
abstract: By reviewing the clinical files of 1,058 consecutive newly admitted outpatients of a Brussels-based memory clinic between 2005 and 2012, this study aims to document the demographic and clinical characteristics of European and non-European first generation immigrants. They accounted for 18.6% of the patients, of which 8.6% came from outside Europe (mostly from Morocco, Turkey and the Democratic Republic of Congo). Immigrants with AD tended to be younger, and there was a higher proportion of males among non-European ethnic minorities. There was a higher proportion of Parkinson-related cognitive disorders and Lewy Body disease among European immigrants, whereas non-Europeans had more often a psychiatric diagnosis. Even after correction for education, non-European immigrants had lower MMSE scores, and they did report longer delays between first symptoms and diagnosis, although this last difference was not statistically significant. These results suggest that non-European immigrants with cognitive problems consult later.
authors: Neurology Department, Memory Clinic of the Brugmann University Hospital, Van Gehuchtenplein 4, 1020, Brussels, Belgium, kurt.segers@chu-brugmann.be.
authors: Kurt
authors: K
authors: Segers
authors: Florence
authors: F
authors: Benoit
authors: Cathérine
authors: C
authors: Colson
authors: Valérie
authors: V
authors: Kovac
authors: Delphine
authors: D
authors: Nury
authors: Valérie
authors: V
authors: Vanderaspoilden
mesh_terms: D000368:Aged; D003704:Dementia / Q000453:epidemiology* / Q000208:ethnology*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005006:Ethnicity; D005060:Europe / Q000208:ethnology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged