Prevalence of dementia in urban and regional Aboriginal Australians

被引:86
作者
Radford, Kylie [1 ,2 ,3 ]
Mack, Holly A. [1 ]
Draper, Brian [1 ,4 ,5 ]
Chalkley, Simon [1 ,6 ]
Daylight, Gail [7 ]
Cumming, Robert [1 ,8 ]
Bennett, Hayley [1 ]
Delbaere, Kim [1 ,9 ]
Broe, Gerald A. [1 ,2 ,10 ]
机构
[1] Neurosci Res Australia, Sydney, NSW, Australia
[2] Prince Wales Hosp, Ageing Res Ctr, Sydney, NSW, Australia
[3] Univ New S Wales, Sch Med Sci, Sydney, NSW, Australia
[4] Prince Wales Hosp, Euroa Ctr, Acad Dept Old Age Psychiat, Sydney, NSW, Australia
[5] Univ New S Wales, Sch Psychiat, Sydney, NSW, Australia
[6] Univ New S Wales, St Vincents Clin Sch, Sydney, NSW, Australia
[7] South Eastern Sydney Local Hlth Dist, Aboriginal Strategy & Consultat Unit, Sydney, NSW, Australia
[8] Univ Sydney, Sch Publ Hlth, Sydney, NSW 2006, Australia
[9] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia
[10] Univ New S Wales, Geriatr Med, Sydney, NSW, Australia
基金
英国医学研究理事会;
关键词
Indigenous population; Epidemiology of dementia; Alzheimer's disease; Mild cognitive impairment; Vascular dementia; ROWLAND UNIVERSAL DEMENTIA; MILD COGNITIVE IMPAIRMENT; ALZHEIMERS-DISEASE; INDIGENOUS AUSTRALIANS; ASSESSMENT SCALE; RUDAS; ENVIRONMENT; COMMUNITY; DIAGNOSIS; CONSENSUS;
D O I
10.1016/j.jalz.2014.03.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: This study aimed to determine the prevalence of dementia in collaboration with urban/regional Aboriginal communities. Methods: A census of Aboriginal and Torres Strait Islander men and women aged 60 years and above in the target communities identified 546 potential participants, with 336 (61.5%) participating in this cross-sectional study. Participants completed a structured interview and cognitive screening tests. One hundred fifty-three participants also completed a detailed medical assessment. Assessment data were reviewed by a panel of clinicians who determined a diagnosis of dementia or mild cognitive impairment (MCI) according to standard criteria. Results: Crude prevalence of dementia was 13.4%, and age-standardized prevalence was 21.0%. The most common types of dementia were Alzheimer's dementia (44%) and mixed dementia diagnoses (29%). Estimated prevalence of MCI was 17.7%. Conclusion: Consistent with previous findings in a remote population, urban and regional Aboriginal Australians face high rates of dementia at younger ages, most commonly Alzheimer's dementia. (C) 2015 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:271 / 279
页数:9
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