Specialized Adult Day Programs and Family Resources. Supportive. Social. Stimulating. Safe. Ray Valle PhD Mario Garrett PhD Anette Asher Dawn Carnerie DeStefani , BSW. Diversity in dementia. MetLife Foundation 2010
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California receives ~ 38% of all Immigrants to the USA
Elizabeth M. Grieco. Race and Hispanic Origin of the Foreign-Born Population in the United States: 2007. American Community Survey Reports. 2010 U.S. Department of Commerce. Economics and Statistics Administration. U.S. CENSUS BUREAU
San Diego County
Developing Dementia Prevalence Rates Among Latinos: A Locally-Attuned, Data-Based, Service Planning Tool
Ramón Valle, PhD
Mario Garrett, PhD
Roberto Velasquez, MSG
Population projections were obtained from the State of California, Department of Finance’s (CDF),population projections for counties for 2000-2050
Haan, M. N., Mungas, D. M., Gonzalez, H. M, Ortiz, T. A., Acharya, A., & Jagust W. J. (2003). From Prevalence of Dementia in Older Latinos: The Influence of Type 2 Diabetes Mellitus, Stroke and Genetic Factors. Journal of the American Geriatric Society 51:169–177
ADAD Prevalence RatesMalesFemales`
60-69 1.31% 60-69 0.61%
70-79 4.66% 70-79 4.71%
80-84 10.00% 80- 9.46%
85+ 23.33% 85+ 17.65 %
ALL 4.05% ALL 3.76%
Age 1 year
Latino vs White
2000, 2010, 2030, 2050
D.A. Evans et al, “Estimated Prevalence of Alzheimer’s Disease in the United States” The Milbank Quarterly 68:2 (1990) 267-289
Evan’s Combined & Haan Comparative Latino ADAD Prevalence Rates
Evans Haan’sMale/Female Male/Female
65-74 3.9% 65-74 2.4%
75-84 16.4% 75-84 6.4%
85 + 47.55% 85+ 19.5%
All 11.3% All 5.0%
Percentage difference from 2000
Year Latino 60 + Anglo 60+Latino 60 + Anglo 60+
200048,299 306,947------- -------
2010 80,180 348,24366% 13%
2030 214,426 618,244 344% 101%
2050 363,372 636,145 652% 107%
Table 1c Percentage difference from 2000
Year Latino 60 + Anglo 60+ Latino 60 + Anglo 60+
2000 1,889 16,592 --------- --------
2010 3,267 18,025 73% 9%
2030 8,815 29,019 367% 74%
2050 23,289 48,152 1,133% 190%
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The Latino culture respects their elderly and usually accompanies an expectation that the family will provide all care needs for their loved ones.
There is usually reluctance and distrust of community options such as day care and nursing home placement.
Few services have successfully provided a culturally correct and competent model that includes the proper language, sights, sounds and rapport.Latino caregivers
Latino caregivers express many of the same concerns as other ethnicities: denial, stress, resistance but one area that separates them is their concerns with doctors in the U.S. Many continue to travel to Mexico as they feel their doctors are more patient and less rushed.
Voices of Latino Caregiving, Latino Alzheimer’s Community Forum June 19, 2010Latino Caregivers
Latino caregivers often resist outside support and therefore carry high amounts of stress and a higher risk of depression.
There are a limited amount of physicians and professionals that are bilingual to obtain a proper diagnosis and treatment plan for the caregiver and their loved one.Caregiver stress and depression
Enrollment of 80% Spanish Speaking participants.
Staff are bilingual, activities and meals are geared to represent the participants.
Professional staff also speak Spanish to provide support and resources.
Ample time is given to build rapport with home visits and assessments.
Have used Latino caregivers in a volunteer capacity to market in the community.Glenner Southbay ADHC/CBAS