Overcoming the stigma of dementia, a challenge to the Cuban society

• Published in: Revista habanera de ciencias médicas Vol. 16; no. 7; pp. 1142 - 1152
• Main Authors: Rodolfo Bosch Bayard, Juan de Jesús Llibre Rodríguez, Tania Zayas Llerena, Elaine Hernández Ulloa
• Format: Journal Article
• Language: English
• Published: Universidad de Ciencias Médicas de La Habana 01-05-2018
• ISSN: 1729-519X

Introduction: Alzheimer´s Disease International developed a campaign to overcome the stigma of dementia in 2012.  Stigma is the greatest obstacle to identify health problems, find their solution, and use the health services the most efficient way.
Objective:  To present the effect of the stigma of dementia on the patient, the family, and society.
Material and Methods: A bibliographic review of articles published from July 2010 to March 2016 was carried out.  The information was taken in electronic format via INFOMED; and we used databases such as Pubmed, Ebsco, Medline, Sciencedirect, Clinicalkey, and Scielo. The data obtained were analyzed and discussed.
Development: Stigma interferes with a successful social life, opportunities about seeking good jobs, and loss of mental functions in those people suffering from dementia.  It is closely related with ageing and loss of mental functions. The areas of the greatest impact of stigma are: work area; driving; and the possibility to give consent for medical procedures, which can have an effect on a premature loss of dignity and autonomy.
Conclusions: To overcome the present stigma of dementia, it is necessary to offer more acceptance and support to patients and families; increase the quality of the attention to those people with cognitive impairment; educate the population, create favorable environments; implement social networks and social support; and call on the participation of all social sectors.
Keywords: social stigma, dementia, social discrimination, health plan, family, society, Cuba.