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Addressing education inequality to combat dementia in Sub-Saharan Africa: Nigerian women in the eye of the storm
* 1, 2 , 3 , 4 , * 3, 5 , * 1, 2
1  Department of Psychiatry and Forensic Medicine, School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
2  Institut de Neurociències, universitat Autònoma de Barcelona, Barcelona, Spain
3  Department of Chemical Pathology, Benue State University Teaching Hospital, Makurdi, Nigeria
4  Department of Internal Medicine, Benue State University Teaching Hospital, Makurdi, Nigeria
5  Department of Chemical Pathology, Faculty of Basic & Allied Medical Sciences, College of Health Sciences, Benue State University, Makurdi, Nigeria.
Academic Editor: Pierluigi Zoccolotti

Abstract:

The unique metabolic profile of Sub-Saharan Africans and African Americans predispose them to a higher prevalence of type 2 diabetes (DM-2) and a 2-to-8fold increased risk of developing dementia compared to Caucasians. This increased risk places a significant strain on health systems. The development and progression of DM-2 are influenced by intrinsic factors such as sex, epigenetics, ethnicity, diet, and lifestyle, as well as extrinsic factors like socioeconomics, cultural nuances, and the environment. However, the complex relationship between diabetes and dementia is not fully understood; thus, further research efforts are needed. Our research group has identified educational level as a key risk factor for dementia, with Nigerian women being particularly affected. In this work, we studied both healthy individuals and those with DM-2 to search for a continuum between educational levels and cognitive function, and to establish education as a trigger factor for dementia prevalence. Our findings demonstrate that lower educational levels correspond to poorer cognitive function test results. Moreover, since women disproportionately have lower educational levels, their cognitive test results deviated more significantly from typical values. This study highlights the critical connection between education and dementia risk, emphasizing the urgent need to address gender education inequalities, particularly in sub-Saharan populations like Nigeria. By improving educational opportunities for women, we can potentially reduce the prevalence of dementia and enhance the overall quality of life in these communities. Addressing this issue is not only a matter of public health, but also a step toward achieving social equity and improving the resilience of health systems.

Keywords: Diabetes, Dementia, Educational level, Gender equality

 
 
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