The experiences of living with dementia within an under-served geographical area: a systematic review and qualitative synthesis.
Background Dementia affects millions globally and presents diverse challenges shaped by personal, social and environmental factors. People living in under-served rural, coastal and deprived communities often face additional barriers to diagnosis, care and support, limiting person-centred approaches....
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 14 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jun2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195099738&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099738 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099738 10.1093/ageing/afag190 ppf: 1 ppct: 13 formats: tig: atl: The experiences of living with dementia within an under-served geographical area: a systematic review and qualitative synthesis. aug: au: Kay, Jessica Rait, Greta Burnand, Alice Woodward, Abi Littlejohns, Thomas Armstrong, Megan affil: Research Department of Primary Care and Population Health, UCL Medical School (Royal Free Campus), University College London, London, United Kingdom of Great Britain and Northern Ireland Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom of Great Britain and Northern Ireland Nuffield of Department of Population Health, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland su: Health services accessibility Privacy Population geography Patient-centered care Rural conditions Social support Patients' attitudes Social stigma Medical ethics Self-disclosure Old age Dementia prevention Research funding Systematic reviews MEDLINE Thematic analysis Medical databases Dementia Data analysis software Psychology information storage & retrieval systems sug: subj: Health services accessibility Privacy Population geography Patient-centered care Rural conditions Social support Patients' attitudes Social stigma Medical ethics Self-disclosure Old age Other Individual and Family Services Dementia prevention Research funding Systematic reviews MEDLINE Thematic analysis Medical databases Dementia Data analysis software Psychology information storage & retrieval systems keyword: copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia https://dx.doi.org/10.1093/ageing/afag190 inLanguage:en older people publisher:Oxford University Press qualitative research sameAs:https://pubmed.ncbi.nlm.nih.gov/42341205/ social stigma systematic review underserved areas copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia https://dx.doi.org/10.1093/ageing/afag190 inLanguage:en older people publisher:Oxford University Press qualitative research sameAs:https://pubmed.ncbi.nlm.nih.gov/42341205/ social stigma systematic review underserved areas ab: Background Dementia affects millions globally and presents diverse challenges shaped by personal, social and environmental factors. People living in under-served rural, coastal and deprived communities often face additional barriers to diagnosis, care and support, limiting person-centred approaches. These inequalities can negatively impact quality of life, social inclusion and health outcomes. Whilst dementia experiences have been widely studied, the influence of geographical context remains underexplored. Understanding this is essential to improving equitable, person-centred care across diverse settings. Methods MEDLINE, PsycInfo, Cochrane Library and Web of Science were searched from inception in February 2025 for qualitative studies on people's experiences of living with dementia in rural, coastal or deprived areas. The review was not limited by country or date. Data were coded and thematically synthesised using NVivo. Findings Seventy-three full texts were screened using Rayyan and 15 studies were included in the review. Thirteen studies were based in rural areas and two in deprived areas. No included studies were set in coastal areas. Four analytical themes were developed: navigating stigma, privacy and disclosure , navigating fragmented healthcare systems and services, lack of appropriate and accessible services and positive experiences of managing dementia. Discussion Key barriers to managing dementia included limited service availability, unsuitable support, stigma and logistical challenges. Findings underscored the need for person-centred, context-sensitive care that considers geographic, social and cultural factors. Future research should further explore diverse under-served settings to inform equitable dementia care particularly in deprived and coastal areas. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|