IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i4p3494-d1070695.html
   My bibliography  Save this article

Dementia and COVID-19 among Older African American Adults: A Scoping Review of Healthcare Access and Resources

Author

Listed:
  • Idorenyin Imoh Udoh

    (Rehabilitation and Health Services, University of North Texas, Chilton Hall, 410 Avenue C, Suite 289, Denton, TX 76201, USA)

  • Elias Mpofu

    (Rehabilitation and Health Services, University of North Texas, Chilton Hall, 410 Avenue C, Suite 289, Denton, TX 76201, USA
    School of Health Sciences, University of Sydney, Camperdown, NSW 2050, Australia
    Educational Psychology, University of Johannesburg, Johannesburg 2000, South Africa)

  • Gayle Prybutok

    (Rehabilitation and Health Services, University of North Texas, Chilton Hall, 410 Avenue C, Suite 289, Denton, TX 76201, USA)

Abstract

African American/Black communities comprise 12.2% of the U.S. population, with a COVID-19 infection rate of more than 18% and marginal access to healthcare services. This scoping review synthesizes the emerging evidence on healthcare accessibility among older African American adult communities with dementia and COVID-19, as well as the resource requirements for this population during the pandemic. Searches of different databases for empirical studies and other sources on dementia and COVID-19 among older African American adults yielded 13 studies that met the following inclusion criteria: (a) focus on dementia and COVID-19, (b) sampled older African American adults, (c) investigated healthcare accessibility and resources, and (d) published between 2019 and 2022. Following the initial selection of the studies, eight were selected for relevance based on the Population, Concept, and Context (PCC) inclusion and exclusion criteria. Thematic analysis indicated that older African Americans with dementia and COVID-19 experienced longer delays in accessing timely healthcare, including transportation, intensive care units (ICUs), and mechanical ventilation. They also had reduced healthcare resources associated with a lack of health insurance, low financial resources, and an increased length of hospital stay, which further aggravated the negative effects of comorbid dementia and COVID-19 infections. Evidence showed that racial and age disparities affected older African American adults with dementia and COVID-19, resulting in lower healthcare access and marginal resources. This is consistent with historical and systemic inequities in meeting the healthcare needs of people of color in the United States, which was compounded for older African Americans during the COVID-19 pandemic.

Suggested Citation

  • Idorenyin Imoh Udoh & Elias Mpofu & Gayle Prybutok, 2023. "Dementia and COVID-19 among Older African American Adults: A Scoping Review of Healthcare Access and Resources," IJERPH, MDPI, vol. 20(4), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3494-:d:1070695
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/4/3494/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/4/3494/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Clarissa Giebel & Caroline Sutcliffe & Frances Darlington-Pollock & Mark A. Green & Asan Akpan & Julie Dickinson & James Watson & Mark Gabbay, 2021. "Health Inequities in the Care Pathways for People Living with Young- and Late-Onset Dementia: From Pre-COVID-19 to Early Pandemic," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    2. Marc A Garcia & Patricia A Homan & Catherine García & Tyson H Brown & Deborah S Carr, 2021. "The Color of COVID-19: Structural Racism and the Disproportionate Impact of the Pandemic on Older Black and Latinx Adults [Racial disparities in mortality in the adult Hispanic population]," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(3), pages 75-80.
    3. Joanne Brooke & Camille Cronin & Marlon Stiell & Omorogieva Ojo, 2018. "The intersection of culture in the provision of dementia care: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(17-18), pages 3241-3253, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Clarissa Giebel & Sarah Robertson & Audrey Beaulen & Sandra Zwakhalen & Dawn Allen & Hilde Verbeek, 2021. "“Nobody Seems to Know Where to Even Turn To”: Barriers in Accessing and Utilising Dementia Care Services in England and The Netherlands," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    2. Lee, Haena & Andrasfay, Theresa & Riley, Alicia & Wu, Qiao & Crimmins, Eileen, 2022. "Do social determinants of health explain racial/ethnic disparities in COVID-19 infection?," Social Science & Medicine, Elsevier, vol. 306(C).
    3. Yayi Zhao & Yaping Ding & Li Liu & Helen Y. L. Chan, 2022. "Feasibility of a Culturally Specific DEmentia Competence Education for Nursing Home Taskforce (DECENT) Programme: A Mixed-Method Approach," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    4. Yen-Ju Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2021. "Explicit and Intrinsic Intention to Receive COVID-19 Vaccination among Heterosexuals and Sexual Minorities in Taiwan," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    5. Dongjuan Xu & Greg Arling, 2023. "Are Frail Older People from Racial/Ethnic Minorities at Double Jeopardy of Putting off Healthcare during the Pandemic?," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    6. Michael Chapman & Jennifer Philip & Paul Komesaroff, 2022. "A person-centred problem," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-11, December.
    7. Tavonia Ekwegh & Sharon Cobb & Edward K. Adinkrah & Roberto Vargas & Lucy W. Kibe & Humberto Sanchez & Joe Waller & Hoorolnesa Ameli & Mohsen Bazargan, 2023. "Factors Associated with Telehealth Utilization among Older African Americans in South Los Angeles during the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(3), pages 1-15, February.
    8. Wilkes, Rima & Karimi, Aryan, 2023. "Multi-group data versus dual-side theory: On race contrasts and police-caused homicides," Social Science & Medicine, Elsevier, vol. 327(C).
    9. Anneliese N. Luck & Irma T. Elo & Samuel H. Preston & Eugenio Paglino & Katherine Hempstead & Andrew C. Stokes, 2023. "COVID-19 and All-Cause Mortality by Race, Ethnicity, and Age Across Five Periods of the Pandemic in the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-29, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3494-:d:1070695. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.