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Case Identification and Characterization of Migrants with Dementia in the Lazio Region Using Health Administrative Data
- Article/chapterEnglish2023
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LIBRIS-ID:oai:DiVA.org:su-217105
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-217105URI
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https://doi.org/10.3233/JAD-221146DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:152497576URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Background: A crucial step for planning effective public health policies for migrants with dementia is the collection of data on the local dimensions of the phenomenon and patients’ characteristics.Objective: This study aimed to identify and characterize migrants with dementia in the Lazio region using health administrative databases.Methods: Residents with dementia aged 50 years or older, living in the Lazio region as of December 31, 2018, were identified using a validated algorithm based on hospital discharge(s), claims for antidementia drugs, and co-payment exemption for dementia. Migrants were defined as people born abroad and grouped in migrants from High Migratory Pressure Countries (HMPCs) and Highly Developed Countries (HDCs). Overall and age-specific prevalence rates were estimated in native- and foreign-born patients.Results: Dementia was ascertained in 38,460 residents. Among them, 37,280 (96.9%) were born in Italy, 337 (0.9%) were migrants from HDCs, and 843 (2.2%) from HMPCs. Dementia prevalence was higher among natives (1.15%, 95% CI 1.14–1.16) relative to migrants from HDCs (0.60%, 95% CI 0.54–0.67) and HMPCs (0.29%, 95% CI 0.27–0.31). The prevalence of comorbidities did not differ between groups. Migrants with dementia had a lower likelihood of receiving antidementia treatments compared with natives (51.6% in migrants from HDCs, 49.3% in migrants from HMPCs, and 53.5% among Italians).Conclusion: Routinely collected data in healthcare administrative databases can support the identification of migrants with dementia. Migrants exhibited a lower age-standardized prevalence of registered dementia and lower access to dedicated treatments than Italians. These findings are suggestive of underdiagnosis and undertreatment of dementia in migrants.
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Canevelli, MarcoStockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),“Sapienza” University, Italy; Italian National Institute of Health, Italy
(author)
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Agabiti, Nera
(author)
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Angelici, Laura
(author)
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Davoli, Marina
(author)
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Bacigalupo, Ilaria
(author)
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Cova, Ilaria
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Vanacore, Nicola
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Pomati, Simone
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Pantoni, Leonardo
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Acampora, Anna
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Bargagli, Anna Maria
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Ancidoni, Antonio
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Bellomo, Guido
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Giusti, Angela
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Lacorte, Eleonora
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Palazzesi, Ilaria
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Piscopo, Paola
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Porrello, Mariacristina
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Sciancalepore, Francesco
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Zambri, Francesca
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Salvi, Emanuela
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Maestri, Giorgia
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Nicotra, Alessia
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Bruno, Giuseppe
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Zaccaria, Valerio
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Remoli, Giulia
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Valletta, Martina
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Di Blasio, Norina
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De Fiore, Luca
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Visco, Caterina
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Stockholms universitetCentrum för forskning om äldre och åldrande (ARC), (tills m KI)
(creator_code:org_t)
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In:Journal of Alzheimer's Disease92:3, s. 843-8521387-28771875-8908
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Cascini, Silvia
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Canevelli, Marco
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Agabiti, Nera
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Angelici, Laura
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Davoli, Marina
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Bacigalupo, Ilar ...
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Cova, Ilaria
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Vanacore, Nicola
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Pomati, Simone
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Pantoni, Leonard ...
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Acampora, Anna
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Bargagli, Anna M ...
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Ancidoni, Antoni ...
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Bellomo, Guido
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Giusti, Angela
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Lacorte, Eleonor ...
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Palazzesi, Ilari ...
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Piscopo, Paola
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Porrello, Mariac ...
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Sciancalepore, F ...
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Zambri, Francesc ...
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Salvi, Emanuela
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Maestri, Giorgia
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Nicotra, Alessia
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Bruno, Giuseppe
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Zaccaria, Valeri ...
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Remoli, Giulia
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Valletta, Martin ...
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Di Blasio, Norin ...
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De Fiore, Luca
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Visco, Caterina
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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Journal of Alzhe ...
- By the university
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Stockholm University
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Karolinska Institutet