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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Prevalence of Dementia-Associated Disability Among Chinese Older Adults: Results from a National Sample Survey
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Prevalence of Dementia-Associated Disability Among Chinese Older Adults: Results from a National Sample Survey

机译：中国老年人痴呆相关残疾的患病率：国家抽样调查的结果

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摘要

Objective: Due to rapid population aging and a tidal wave of dementia, dementia has become an urgent public health issue in China. Few large-scale surveys on dementia have been conducted in China and little was known about the magnitude of dysfunction and disability caused by dementia. In this study, using national sample survey data, we aimed to describe the prevalence rate of dementia-associated disability, its associated factors, and daily activities and social functions of people with dementia-associated disability in Chinese older adults. Methods: We used the second China National Sample Survey on Disability, comprising 2,526,145 persons from 771,797 households. Identification for dementia was based on consensus manuals. Standard weighting procedures were used to construct sample weights considering the multistage stratified cluster sampling survey scheme. Population weighted numbers, weighted prevalence, and the odd ratios (ORs) were calculated. Results: The prevalence rate of dementia-associated disability was 4.64% (95% CI: 4.26-5.01) and it accounted for 41.03% of mental disability among Chinese older adults. Urban residence (OR: 1.33 [1.12-1.57]), older age (80+ years) (OR: 4.12 [3.38-.03]), illiteracy (OR: 1.79 [1.27-2.53]), and currently not married (OR: 1.15 [1.00-1.32]) were associated with increased risk of dementia-associated disability. Compared with those with mental disability of other causes and those with other types of disabilities, older adults with dementia-asscoiated disability were more likely to have severe or extreme difficulty in daily activities and social functions. Conclusion: Countermeasures are warranted to obtain a more precise overview of dementia in China, and strategies on enhancing early identification, treatment, and rehabilitation should be developed for people with dementia.
机译：目的：由于人口的迅速老龄化和痴呆症的浪潮，痴呆症已成为中国迫切的公共卫生问题。在中国，很少进行大规模的痴呆症调查，对于由痴呆症引起的功能障碍和残疾的程度知之甚少。在这项研究中，我们使用全国抽样调查数据，旨在描述中国老年人痴呆相关残疾的患病率，其相关因素以及痴呆相关残疾人士的日常活动和社会功能。方法：我们使用了第二次中国残疾人抽样调查，其中包括来自771797户家庭的2,526,145人。痴呆症的识别基于共识手册。考虑到多阶段分层整群抽样调查方案，使用标准加权程序来构建样本权重。计算人口加权数，加权患病率和奇数比（OR）。结果：痴呆相关残疾的患病率为4.64％（95％CI：4.26-5.01），占中国老年人精神残疾的41.03％。城市居住（OR：1.33 [1.12-1.57]），年龄较大（80岁以上）（OR：4.12 [3.38-.03]），文盲（OR：1.79 [1.27-2.53]）和当前未结婚（OR ：1.15 [1.00-1.32]）与痴呆相关的残疾风险增加有关。与患有其他原因的精神残疾者和其他类型的残疾者相比，患有痴呆症相关残疾的老年人在日常活动和社交功能上更容易出现严重或极端困难。结论：有必要采取对策以更准确地了解中国的痴呆症，并应制定加强痴呆症患者早期识别，治疗和康复的策略。

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