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. 2013 Jun 6;104(6 Suppl 1):S16-20.
doi: 10.17269/cjph.104.3455.

[Access to the early diagnosis of dementia in New Brunswick: perceptions of potential users of services depending on the language and the middle of life]

[Article in French]
Sarah Pakzad  1 , Jalila Jbilou, Marie-Claire Paulin, Véronique Fontaine, Denise Donovan, Mathieu Bélanger, Paul-Émile Bourque
Affiliations

[Access to the early diagnosis of dementia in New Brunswick: perceptions of potential users of services depending on the language and the middle of life]

[Article in French]
Sarah Pakzad et al. Can J Public Health. .

Abstract
in English, French

Objectives: The early diagnosis of dementia (EDD) enables the identification of reversible causes of dementia and allows the timely implementation of secondary preventive and therapeutic interventions. This study explores New Brunswick seniors' perceptions of the accessibility and availability of EDD services as well as their satisfaction with them while taking into account their language of use and place of residence (urban or rural).

Method: Self-administered survey exploring perceptions of EDD services in Francophone and Anglophone seniors from rural and urban areas of New Brunswick. Univariate and bivariate analyses were carried out.

Results: Of the 157 participants aged 65 years and over who filled out the survey and whose data were analyzed, 84 identified as Francophone, 72 of whom lived in rural areas. Bivariate analyses showed that linguistic groups were comparable with regard to their perceptions of the availability, access to, and satisfaction with EDD services. However, when taking the geographic dimension into account, linguistic intergroup and intragroup disparities were observed, notably in the areas pertaining to the type of services available in the area.

Conclusions: These results suggest that seniors who live in rural areas of New Brunswick are a particularly vulnerable group with perceived limited access to EDD services in their area.

Objectifs: Le diagnostic précoce de la démence (DPD) est crucial autant pour l’identification des causes réversibles que pour la mise en place rapide d’interventions de prévention secondaire et de prise en charge thérapeutique. Cette étude explore la perception d’aînés du Nouveau-Brunswick concernant l’accessibilité, la disponibilité et la satisfaction des services de DPD, en tenant compte de leur langue d’usage et de leur milieu de vie (urbain ou rural).

Méthode: Questionnaire auto-administré explorant les perceptions d’aînés francophones et anglophones de régions rurales et urbaines du Nouveau-Brunswick concernant les services de DPD. Des analyses univariées et bivariées ont été réalisées.

Résultats: Parmi les 157 participants âgés de 65 ans et plus ayant répondu au questionnaire et dont les données ont été analysées, 84 déclarent être principalement francophones et 72 parmi eux vivent en milieu rural. Les analyses bivariées suggèrent que les groupes linguistiques étudiés sont comparables en ce qui concerne leurs perceptions de la disponibilité, l’accès et la satisfaction des services de DPD. Toutefois, l’introduction de la dimension géographique montre des disparités intragroupes et intergroupes linguistiques, notamment en ce qui a trait à l’information relative au type de services disponibles dans la région.

Conclusion: Ces résultats suggèrent que les aînés vivant en milieu rural au Nouveau-Brunswick représentent un groupe particulièrement vulnérable ayant une perception d’accès limité aux services de DPD dans leur région.

Keywords: Dementia; early diagnosis; health care; linguistic minority; rural health.

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