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学科主题: 精神卫生
题名:
"The contribution of chronic diseases to the prevalence of dependence among older people in Latin America, China and India: a 10/66 Dementia Research Group population-based survey"
作者: Sousa, Renata M.1; Ferri, Cleusa P.1; Acosta, Daisy2; Guerra, Mariella3; Huang, Yueqin4; Jacob, K. S.5; Jotheeswaran, A. T.6; Guerra Hernandez, Milagros A.7; Liu, Zhaorui4; Rodriguez Pichardo, Guillermina8; Llibre Rodriguez, Juan J.9; Salas, Aquiles10; Luisa Sosa, Ana11; Williams, Joseph6; Zuniga, Tirso11; Prince, Martin1
刊名: BMC GERIATRICS
发表日期: 2010
DOI: 10.1186/1471-2318-10-53
卷: 10
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Geriatrics & Gerontology ; Gerontology
研究领域[WOS]: Geriatrics & Gerontology
英文摘要:

Background: The number of older people is set to increase dramatically worldwide. Demographic changes are likely to result in the rise of age-related chronic diseases which largely contribute to years lived with a disability and future dependence. However dependence is much less studied although intrinsically linked to disability. We investigated the prevalence and correlates of dependence among older people from middle income countries.

Methods: A one-phase cross-sectional survey was carried out at 11 sites in seven countries (urban sites in Cuba, Venezuela, and Dominican Republic, urban and rural sites in Peru, Mexico, China and India). All those aged 65 years and over living in geographically defined catchment areas were eligible. In all, 15,022 interviews were completed with an informant interview for each participant. The full 10/66 Dementia Research Group survey protocol was applied, including ascertainment of depression, dementia, physical impairments and self-reported diagnoses. Dependence was interviewer-rated based on a key informant′s responses to a set of open-ended questions on the participant′s needs for care. We estimated the prevalence of dependence and the independent contribution of underlying health conditions. Site-specific prevalence ratios were meta-analysed, and population attributable prevalence fractions (PAPF) calculated.

Results: The prevalence of dependence increased with age at all sites, with a tendency for the prevalence to be lower in men than in women. Age-standardised prevalence was lower in all sites than in the USA. Other than in rural China, dementia made the largest independent contribution to dependence, with a median PAPF of 34% (range 23%-59%). Other substantial contributors were limb impairment (9%, 1%-46%), stroke (8%, 2%-17%), and depression (8%, 1%-27%).

Conclusion: The demographic and health transitions will lead to large and rapid increases in the numbers of dependent older people particularly in middle income countries (MIC). The prevention and control of chronic neurological and neuropsychiatric diseases and the development of long-term care policies and plans should be urgent priorities.

语种: 英语
所属项目编号: GR066133 ; IIRG - 04 - 1286
项目资助者: The Wellcome Trust (UK) ; World Health Organisation ; US Alzheimer&prime ; s Association ; Fondo Nacional de Ciencia Y Tecnologia, Consejo de Desarrollo Cientifico Y Humanistico, Universidad Central de Venezuela (Venezuela) ; GlaxoSmithKline ; Novartis ; Lundbeck ; Pfizer ; Eisai
WOS记录号: WOS:000208731600053
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/68266
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.Policlin Univ 27 Noviembre, Marianao Ciudad Habana, Cuba
2.Med Univ Havana, Fac Med Finlay Albarran, Havana, Cuba
3.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
4.Voluntary Hlth Serv, Inst Community Hlth, Chennai, Tamil Nadu, India
5.UNPHU, Geriatr Sect, Dept Internal Med, Santo Domingo, Dominican Rep
6.Kings Coll London, Inst Psychiat, Hlth Serv & Populat Res Dept, Ctr Publ Mental Hlth, London SE5 8AF, England
7.Natl Inst Mental Hlth Honorio Delgado Hideyo Nogu, Psychogeriatr Unit, Lima, Peru
8.Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
9.Colegio Dominicano Estadist & Demografos CODE, Santo Domingo, Dominican Rep
10.Cent Univ Venezuela, Dept Med, Caracas Univ Hosp, Fac Med, Caracas, Venezuela
11.Univ Nacl Autonoma Mexico, Natl Inst Neurol & Neurosurg Mexico, Mexico City 04510, DF, Mexico

Recommended Citation:
Sousa, Renata M.,Ferri, Cleusa P.,Acosta, Daisy,et al. "The contribution of chronic diseases to the prevalence of dependence among older people in Latin America, China and India: a 10/66 Dementia Research Group population-based survey"[J]. BMC GERIATRICS,2010,10.
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