AIM:
People living with dementia with a migration background face persistent inequities in access to community-based health and social care. Structural, linguistic and cultural barriers significantly hinder the utilisation of support and care services for people with a migration background. This study aimed to identify evidence-based measures to improve equity, accessibility and intercultural responsiveness in community dementia care.

METHODS:
An integrative literature review was conducted across PsycInfo, CINAHL and PubMed. Twenty-three relevant studies were identified, of which nineteen were critically appraised. Studies offering recommendations for culturally competent, diversity-sensitive or migration-informed dementia care were included and thematically analysed.

RESULTS:
Findings indicate that perceptions of dementia, help-seeking behaviours and engagement with formal services are strongly shaped by cultural norms, social expectations and linguistic environments. People living with dementia and their families frequently report unmet needs, limited trust in formal care structures and challenges in navigating complex services. Healthcare professionals highlight barriers related to language, limited organisational flexibility and insufficient preparedness for culturally diverse populations. The reviewed literature shows that existing services are often insufficiently adapted to multilingual or culturally diverse populations, which may contribute to inequities in service utilisation and treatment outcomes.

CONCLUSIONS:
Improving equity in dementia care for migrant and diverse populations requires addressing structural and organisational determinants of access. Key strategies include intercultural opening of institutions, diversity-sensitive staff training, recruitment of multilingual personnel and the use of culturally appropriate information and assessment tools. Existing multilingual and culturally diverse staff represent an underused resource that could be better integrated across institutional networks. Adapting service models to the cultural, linguistic and social realities of diverse populations—and involving people living with dementia, family carers and migrant communities in service design—is essential to ensuring equitable and meaningful participation in community-based dementia care.