Dementia among the Elderly in a Rural Korean Community

1994 ◽  
Vol 164 (6) ◽  
pp. 796-801 ◽  
Author(s):  
Jonghan Park ◽  
Hyo Jin Ko ◽  
Young Nam Park ◽  
Chul-Ho Jung

The age-specific prevalence of dementia, its sex difference, and the relative prevalence of important types of dementia were studied in the elderly people in a Korean rural community. A two-stage approach was employed, involving screening and clinical assessment. The prevalence among individuals aged 65 and over was found to be 10.8%, with rates of 7.2% in men and 14.5% in women. The dementia was of the Alzheimer type in 60.0% of cases, multi-infarct dementia in 12.0%, mixed dementia of Alzheimer type and multi-infarct in 10.7%, alcoholic dementia in 8.0%, and others and unclassifiable in 9.3%. The prevalence of dementia of the Alzheimer type was significantly higher in women and rapidly increased with age in both sexes. The prevalence of multi-infarct dementia was not related to sex or age. Alcoholic dementia was identified only in men. These findings indicate that the prevalence of dementia in rural Korea is similar to that reported in Western countries and that the prevalence of dementia of the Alzheimer type in rural Korea is greater than that of multi-infarct dementia.

1989 ◽  
Vol 155 (2) ◽  
pp. 214-219 ◽  
Author(s):  
Carol Brayne ◽  
Paul Calloway

A study of 365 women aged 70–79 in a rural community was carried out using the Cambridge Examination of Mental Disorders in the Elderly (CAMDEX). Prevalence rates of dementia are reported by severity for the 70–74 and 75–79 age groups. Differential diagnosis was made according to CAMDEX guidelines. Senile dementia of Alzheimer type accounted for half the dementia cases. The prevalence rates overall did not differ from those reported in other recent studies, but the rates for levels greater than mild/moderate were lower, despite the inclusion of subjects in institutions.


2001 ◽  
Vol 179 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Steffi G. Riedel-Heller ◽  
Anja Busse ◽  
Conny Aurich ◽  
Herbert Matschinger ◽  
Matthias C. Angermeyer

BackgroundThe prevalence of dementia diagnosis according to ICD–10 and DSM–III–R in population surveys remains poorly understood.AimsTo report and compare prevalence rates according to DSM–III–R and ICD–10.MethodA population-based sample (n=1692, age 75+ years) was investigated by a Structured Interview for Diagnosis of Dementia of Alzheimer Type, Multiinfarct Dementia and Dementia of other Aetiology according to DSM–III–R and ICD–10 (SIDAM).ResultsWhereas 17.4% (95% CI=15.9–19.5) of individuals aged 75+ years suffer from dementia according to DSM–III–R, only 12.4% (95% CI=10.6–14.2) are diagnosed as having dementia according to ICD–10. The results revealed lower ICD–10 rates in all investigated age groups. The largest differences appear in the oldest of the elderly.ConclusionsThe ICD–10 sets a higher threshold for dementia diagnosis. Larger differences in the eldest age groups might reflect difficulties in applying case definitions, especially in those beyond 90 years old.


1997 ◽  
Vol 171 (3) ◽  
pp. 269-273 ◽  
Author(s):  
C. F. M. McCracken ◽  
M. A. Boneham ◽  
J. R. M. Copeland ◽  
K. E. Williams ◽  
K. Wilson ◽  
...  

BackgroundThis study was designed to identify all elderly people of ethnic minorities living in a defined geographical area in inner-city Liverpool and to identify psychiatric morbidity and barriers to use of services. This paper reports the prevalence of dementia and depression.MethodA survey of the community was carried out using the Geriatric Mental State Examination, AGECAT and ethnically matched interviewers. The sampling frame consisted of Family Health Services Authority lists as a basis, with additional information from community lists, ‘snow-balling’ and a door-to-door survey.Results418 people were interviewed, with a high percentage (55%) of young elderly (65–74) men. The prevalence of dementia ranged from 2 to 9% and of depression from 5 to 19%, and there were no significant differences in levels between English-speaking ethnic groups and the indigenous population. Higher levels of dementia were found among non-English-speaking groups.ConclusionsA complete enumeration of the elderly in ethnic minority groups is best achieved by using several different methods. Diagnosis of dementia may be misleading among those who do not speak the dominant language.


2021 ◽  
pp. 20-23
Author(s):  
Mithun Biswas ◽  
Soumyajit Sanyal ◽  
Om Prakash ◽  
Suman Kushwaha ◽  
Rachana Agarwal

Objectives: The present study was undertaken with an objective to explore if thyroid is related to dementia among participants aged 45 years and above. Design: Participants aged more than 45 years of age, giving written informed consent and meeting the selection criteria were enrolled in the study. The participants were administered with a series of paper pencil tests. The data was further analyzed for any association using the Statistical Package for Social Sciences, version 22 (SPSS 22). Setting: Participants attending the Outpatient Department (OPD) at Institute of Human Behaviour and Allied sciences (IHBAS), a tertiary care neuropsychiatric hospital and normal elderly controls from local community. Participants: A sample size of at least 40 cases of Dementia of Alzheimer type and at least 40 cases of vascular/ mixed dementia and 60 normal controls were recruited. Measurements: Semi-structured Performa for demographic and clinical variables; Hindi mental status examination (HMSE) for cognitive functions was applied as screening tools for both case and control groups;Tools for patients with dementia: NINCDS-ADRDA criteria for Probable Alzheimer's disease (McKhann et al), NINDS /AIREN criteria for diagnosis of probable vascular dementia (VaD), NINDS-AIREN diagnostic criteria for “Alzheimer's disease with Cerebro-Vascular Disease” (mixed dementia), Clinical Dementia Rating Scale (Morris et al 1997), and 5 ml blood sample collection and analysis through vein puncture. Results: The results of the study indicate that subclinical hypothyroidism is associated with dementia of Alzheimer type. Conclusion: When considered in light with varied ndings of prior studies, it may be implied that subclinical thyroid dysfunction not especially hypo or hyperthyroidism is a risk for DAT.


2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center


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