
Same Disease, Different Struggles: Parkinson’s in South Asian and Black Communities
June 16, 2025
🧩 What Is the East London PD Study?
A team of UK researchers examined 218 people with Parkinson’s and 90 healthy volunteers across East London between 2019 and 2024, with a special focus on South Asian and Black British communities—which make up over 50% of participants. Their goal was to better understand how PD shows up across diverse ethnic backgrounds.
🔍 Key Findings
1. More Severe Movement Symptoms
South Asian and Black participants showed significantly higher motor symptom scores (on the MDS‑UPDRS III scale) compared to White participants—on average 42–47 vs. 35
Tests measured slower finger tapping (akinesia) in South Asian participants, indicating more difficulty with movement coordination.
2. Higher Rates of Cognitive Problems
Cognitive impairment was seen in about 73% of South Asian and 75% of Black participants—far higher than the 45% rate among White participants.
This was assessed carefully using culturally adapted tools (e.g., a Bengali version of the MoCA test) to avoid bias
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3. Worse Non-Motor Symptoms
South Asian participants reported more depression, poorer sleep, and lower quality of life.
Black participants also experienced reduced quality of life .
4. Equal Access, Unequal Outcomes
Time to diagnosis and treatment levels were similar across ethnicities, suggesting equal access to healthcare in East London.
This implies that the more severe symptoms in South Asian and Black participants likely reflect genuine differences in disease manifestations—not differences in care.
🤔 Why This Matters
Representation Counts: Most PD studies have focused overwhelmingly on White, well-off groups. This one reflects real-world diversity.
Tailored Care: The differences in symptom severity suggest PD care and support may need to be adjusted based on ethnicity, not just one-size-fits-all.
Cultural Sensitivity Matters: Using adapted tools (like translated cognitive tests) ensures fair, accurate assessment across ethnic groups.
Health Equity: Finding bigger challenges in traditionally underserved communities highlights the need for more focused resources and support.
✅ Bottom Line
People from South Asian and Black backgrounds with Parkinson’s in East London showed significantly worse movement and cognitive symptoms—even though they reached medical help at the same time and were treated similarly. This highlights a gap in our understanding and suggests that PD care must be more inclusive and tailored.
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