Abstract

Background:The construct of mild cognitive impairment (MCI) is triggering growing clinical and research interest. The detection of MCI may be affected by diverse ethno-cultural determinants possibly influencing the personal and social perception of the individual cognitive functioning as well as the reliability of objective cognitive assessment. These challenges may acquire special relevance in subjects with a migration background and composing ethnic minority groups.Objective:The present study is aimed at providing an estimate of the number of MCI cases occurring in the migrant population living in the extended European Union (EU) in 2018.Methods:The number of MCI cases in older migrants living in Europe and in each of the 32 considered countries was estimated by multiplying the number of migrants, provided by Eurostat, with the age-specific prevalence rates, derived by the harmonized data produced by the COSMIC collaboration and based on different operational definitions of MCI.Results:Nearly 686,000 cases of MCI were estimated in the extended EU by applying age-specific prevalence rates based on the International Working Group criteria. Higher figures were obtained when the Clinical Dementia Rating- and the Mini Mental State Examination-based criteria were applied. The proportion of MCI cases in migrant subjects ranged from 1.1% (Romania) to 54.1% (Liechtenstein) (median: 8.4%; IQR: 4.7%–14.2%).Conclusions:MCI represents and will increasingly constitute a relevant issue in the migrant population living in Europe. The present data reinforce the need of developing approaches and models of care that may be diversity-sensitive and inclusive for a culturally variegated population.

Highlights

  • Mild cognitive impairment (MCI) is commonly intended as a decline in the individual’s cognitive performances not resulting in a significant reduction of functional independence and social or occupational functioning [1]

  • The aim of the present study is to provide an estimate of the number of mild cognitive impairment (MCI) cases occurring in the migrant population living in the extended European Union (EU) in 2018 to start gaining awareness of this phenomenon

  • To the best of our knowledge, the present study constitutes the first attempt to explore the magnitude of the issue of MCI occurring in migrants living in Europe

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Summary

Introduction

Mild cognitive impairment (MCI) is commonly intended as a decline in the individual’s cognitive performances not resulting in a significant reduction of functional independence and social or occupational functioning [1] It is conceived as an intermediate stage between normal cognition and dementia [2]. The detection of MCI may be affected by diverse ethno-cultural determinants possibly influencing the personal and social perception of the individual cognitive functioning as well as the reliability of objective cognitive assessment. These challenges may acquire special relevance in subjects with a migration background and composing ethnic minority groups. The present data reinforce the need of developing approaches and models of care that may be diversity-sensitive and inclusive for a culturally variegated population

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