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Inequalities in mental health, cognitive impairment and dementia among older people
- Authors:
- DALY Sorcha, ALLEN Jessica
- Publisher:
- University College London. Institute of Health Equity
- Publication year:
- 2016
- Pagination:
- 78
- Place of publication:
- London
Commissioned by the Department of Health as part of the Social Determinants of Health Programme, this report focuses on inequalities in the experience and prevalence of poor mental health, cognitive impairment and dementia, and their social determinants across the life course. Part one looks at the social, economic and physical environments and how these impact on the prevalence of poor mental health, rates of progression of cognitive decline, and the ability of older people to cope with dementia. Part two examines the social determinants specifically related to later life that impact and potentially widen inequalities in mental health, cognitive impairment and dementia. The evidence shows that social isolation, levels of physical and mental stimulation and access to appropriate health and social care all impact on the likelihood of poor mental health, rate of cognitive decline and dementia. It also shows how lower socioeconomic groups are more likely to live, work and age in physical and economic environments that do not support social connectedness, physical activity or mental stimulation. Part three provides an overview of health and social care interventions to address social isolation, physical activity and mental stimulation and includes short case studies are included. The report concludes with recommendations to help national and local agencies to take action on the social determinants of poor mental health, cognitive impairment and dementia. (Edited publisher abstract)