Abstract

Diagnosing dementia in culturally diverse populations poses a number of problems. The Indianapolis-Ibadan study is a comparative study of the incidence and risk factors of dementia in two populations, African American and Yoruba, which has been conducted since 1992. It involves the development of culture, fair screening and clinical instruments which requires the processes of harmonization as well as translation. It involves obtaining normative values for these instruments in the study populations. It involves a diagnostic process which can reconcile apparently discsrepant information from different sources, informant-based, clinician-based and neuropsychological-based. Risk factors have been identified and compared between the two cultures. Comparisons of the two populations have been made and trends have been identified. The diagnostic process used in this study will be described to illustrate the above processes.

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