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Prevalence of dementia in an urban population in Kerala, India.

机译:印度喀拉拉邦城市人口中痴呆症的患病率。

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BACKGROUND: Dementia is emerging as an important health problem of elderly people in India. AIMS: To investigate the prevalence, psychosocial correlates and risk factors of various dementing disorders in an urban population in Kerala, southern India. METHOD: A door-to-door survey was conducted in the city of Kochi (Cochin) to identify residents aged > or =65 years using cluster sampling. Of 1934 people screened with a vernacular adaptation of the Mini-Mental State Examination, all those scoring at or below the cut-off of 23 were evaluated further and those with confirmed cognitive and functional impairment were assigned diagnoses according to DSM-IV criteria. Identified cases were categorised by ICD-10 criteria. Ten per cent of those screened as negative were evaluated at each stage. RESULTS: Prevalence of dementia was 33.6 per 1000 (95% CI 27.3-40.7). Alzheimer's disease was the most common type (54%) followed by vascular dementia (39%), and 7% of cases were due to causes such as infection, tumour andtrauma. Family history of dementia was a risk factor for Alzheimer's disease and history of hypertension was a risk factor for vascular dementia. CONCLUSIONS: Dementia is an important health problem of the elderly population. Identification of risk factors points towards the possibility of prevention.
机译:背景:痴呆症正在成为印度老年人的重要健康问题。目的:调查印度南部喀拉拉邦城市人口中各种痴呆症的患病率,心理社会相关性和危险因素。方法:在科钦市(科钦)进行了门到门调查,使用整群抽样方法识别年龄≥65岁的居民。在对1934年接受了迷你精神状态检查的白话适应症筛查的人中,对所有得分在23分或以下的人进行了进一步评估,并根据DSM-IV标准对确诊为认知功能障碍的人进行了诊断。识别出的病例按ICD-10标准分类。在每个阶段,被筛选为阴性的人中有10%进行了评估。结果:痴呆的患病率为每千人33.6(95%CI 27.3-40.7)。阿尔茨海默氏病是最常见的类型(54%),其次是血管性痴呆(39%),而7%的病例是由于感染,肿瘤和创伤等原因引起的。痴呆症家族史是阿尔茨海默氏病的危险因素,而高血压病史则是血管性痴呆症的危险因素。结论:痴呆是老年人的重要健康问题。识别风险因素指出了预防的可能性。

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