This paper critically reviews current knowledge regarding culture and demen
tia in order to identify unanswered questions in the field. Medline was sea
rched from 1993-2000. One hundred nine articles were identified, of which 5
9 were critically reviewed, augmented by additional references from experts
and by books. Limited research evidence was identified in four areas: 1) t
he recognition of dementia across cultures 2) cultural specificity of scree
ning tools 3) identification of differences in risk factors, incidence, ons
et and prevalence across culture 4) culturally related issues in decision m
aking about management. Implications for research and practice are describe
d.