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dc.contributor.authorWoodward, Michael
dc.contributor.authorArthur, Antony
dc.contributor.authorDarlington, Nicole
dc.contributor.authorBuckner, Stefanie
dc.contributor.authorKillett, Anne
dc.contributor.authorThurman, John
dc.contributor.authorBuswell, Marina
dc.contributor.authorLafortune, Louise
dc.contributor.authorMathie, Elspeth
dc.contributor.authorMayrhofer, Andrea
dc.contributor.authorGoodman, Claire
dc.date.accessioned2018-09-21T15:21:42Z
dc.date.available2018-09-21T15:21:42Z
dc.date.issued2019-01
dc.identifier.issn0885-6230
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/280630
dc.description.abstractOBJECTIVES: The dementia-friendly community (DFC) initiative was set up to enable people living with dementia to remain active, engaged, and valued members of society. Dementia prevalence varies nationally and is strongly associated with the age and sex distribution of the population and level of social deprivation. As part of a wider project to evaluate DFCs, we examined whether there is a relationship between provision of DFCs and epidemiological need. METHODS: Dementia-friendly communities were identified through the formal recognition process of DFC status by the Alzheimer's Society and mapped against areas defined by English Clinical Commissioning Groups. We tested whether provision of a DFC was associated with: (1) dementia prevalence, (2) number of known cases, and (3) known plus estimated number of unknown cases. RESULTS: Of the 209 English Clinical Commissioning Group areas, 115 had at least one DFC. The presence of a DFC was significantly associated with number of known dementia cases (mean difference = 577; 95% CI, 249 to 905; P = 0.001) and unknown dementia cases (mean difference = 881; 95% CI, 349 to 1413; P = 0.001) but not prevalence (mean difference = 0.03; 95% CI, -0.09 to 0.16; P = 0.61). This remains true when controlling for potential confounding variables. CONCLUSIONS: Our findings suggest that DFC provision is consistent with epidemiological-based need. Dementia-friendly communities are located in areas where they can have the greatest impact. A retrospective understanding of how DFCs have developed in England can inform how equivalent international initiatives might be designed and implemented.
dc.description.sponsorshipNIHR Policy Research Programme, PR-R15-0116-21003
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherWiley
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHumans
dc.subjectDementia
dc.subjectPrevalence
dc.subjectLogistic Models
dc.subjectRetrospective Studies
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCommunity Health Services
dc.subjectHealth Services Needs and Demand
dc.subjectEngland
dc.subjectFemale
dc.subjectMale
dc.titleThe place for dementia-friendly communities in England and its relationship with epidemiological need.
dc.typeArticle
prism.endingPage71
prism.issueIdentifier1
prism.publicationDate2019
prism.publicationNameInt J Geriatr Psychiatry
prism.startingPage67
prism.volume34
dc.identifier.doi10.17863/CAM.27996
dcterms.dateAccepted2018-08-06
rioxxterms.versionofrecord10.1002/gps.4987
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-01
dc.contributor.orcidWoodward, Michael [0000-0002-6702-2971]
dc.contributor.orcidBuckner, Stefanie [0000-0001-6820-7057]
dc.contributor.orcidLafortune, Louise [0000-0002-9018-1217]
dc.identifier.eissn1099-1166
rioxxterms.typeJournal Article/Review
pubs.funder-project-idDepartment of Health (via University of Hertfordshire) (PR-R15-0116-21003)
cam.issuedOnline2018-09-24
cam.orpheus.successThu Jan 30 10:54:22 GMT 2020 - The item has an open VoR version.
rioxxterms.freetoread.startdate2100-01-01


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Attribution-NonCommercial 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial 4.0 International