Abstract
In Germany the number of people with a migration background was 16.5million people in 2013 with 9% being older than 65years. In this population utilization of health services is low, especially in older people, although they often display worse health outcomes. Little is known about the number of people with dementia and migration background in Germany and their distribution on the state level, resulting in achallenge that is barely assessable for the healthcare system. The depiction of the prevalence of dementia in people with amigration background for Germany and the individual federal states. The number of people with amigration background and dementia living in Germany and the individual federal states was estimated for different ethnic groups using country and state-specific data on the population, dementia frequency and age-specific prevalence. Out of 1.86million people with amigration background who are 65years or older, approximately 96,500 persons (5.2%) have dementia. The majority are of European (84,490), more specifically Polish (13,960), Italian (8920) and Turkish (8840) heritage. North Rhine-Westphalia (26,000), Baden-Wuerttemberg (18,080) and Bavaria (16,710) are presumed to show the highest rates of people affected. In Germany people with a migration background and dementia represent alarge target group for health care; however, the numbers and ethnic populations affected differ considerably between states. These analyses can be used for state-specific healthcare planning of culture-specific and culture-sensitive services and care so that specific healthcare improvements can be achieved.
Highlights
In Germany the number of people with a migration background was 16.5 million people in 2013 with 9% being older than 65 years
Little is known about the number of people with dementia and migration background in Germany and their distribution on the state level, resulting in a challenge that is barely assessable for the healthcare system
The number of people with a migration background and dementia living in Germany and the individual federal states was estimated for different ethnic groups using country and state-specific data on the population, dementia frequency and agespecific prevalence
Summary
Das Ziel der vorliegenden Analyse ist eine nach Bundesländern und Prävalenzen in den Heimatländern der verschiedenen Ethnien differenzierte Schätzung der Zahl an Demenz erkrankter Menschen mit Migrationshintergrund in Deutschland. Die Analyse basiert auf der Zusammenführung verschiedener, öffentlich verfügbarer Datensätze zur Prävalenz von Demenz und zu Bevölkerungszahlen von Menschen mit Migrationshintergrund. Wie viele Menschen mit einem Migrationshintergrund in Deutschland schätzungsweise eine demenzielle Erkrankung aufweisen, wurden im ersten Schritt Prävalenzen für Demenz der verschiedenen Herkunftsländer ermittelt. Darstellung der Prävalenz von Demenz bei Menschen mit Migrationshintergrund für Deutschland und die einzelnen Bundesländer. Daraus wurde die Anzahl von Menschen mit Migrationshintergrund und Demenz in Deutschland geschätzt, und wie diese sich auf die Bundesländer verteilen. Von 1,86 Mio. Menschen mit Migrationshintergrund in Deutschland, die 65 Jahre oder älter sind, sind schätzungsweise 96.500 Personen (5,2 %) an Demenz erkrankt.
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