An Epidemiological Study of Dementia in a Rural Community in Kerala, India

Shaji, S; Promodu, K; Abraham, Traci H.; Roy, K.; Verghese, Abraham

doi:10.1192/bjp.168.6.745

Cited by 138 publications

(156 citation statements)

References 6 publications

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“…Sete estudos populacionais sobre o assunto, realizados recentemente em países em desenvolvimento, 2,14,19,21,23,26,32 com metodologias adequadas para seus contextos culturais, apresentaram resultados consistentes de prevalências de demência ajustadas por idade inferiores às encontradas nos estudos realizados na Europa, 6 tanto para pessoas com 60 anos ou mais (variação entre os estudos: 1,3% a 5,3%), como para pessoas com 65 anos ou mais (variação entre os estudos: 1,7% a 5,2%). Três destes estudos foram realizados na Índia, 2,23,26 dois na China, 19,32 um na Tailândia 21 e um na Nigéria.…”

Section: Epidemiologia Da Demência Em Países Em Desenvolvimentounclassified

Investigações epidemiológicas sobre demência nos países em desenvolvimento

et al. 2002

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ResumoNa medida em que a população mundial está envelhecendo, a demência está se constituindo em importante problema de saúde pública, particularmente nos países em desenvolvimento. Investigações epidemiológicas nestes países são escassas e apresentam dificuldades metodológicas adicionais, principalmente no que se refere à adequação sociocultural dos instrumentos utilizados para a definição de casos. Tendo em vista estas preocupações, foi fundado o "Grupo de Pesquisa em Demência 10/66", que é constituído por uma rede internacional de pesquisadores, predominantemente de países em desenvolvimento. O nome do grupo tem como referência o paradoxo de que menos de 10% dos estudos populacionais sobre demência são dirigidos aos 2/3 ou mais de casos de pessoas com demência que vivem em países em desenvolvimento. O objetivo do artigo é atualizar informações da literatura sobre as diferenças de prevalência e incidência de demência encontradas em países desenvolvidos e em desenvolvimento. Abstract As the world population is ageing, dementia becomes an important public health problem, particularly in developing countries. Epidemiological research in these settings is scarce and present additional methodological difficulties, mainly regarding the socio-cultural adequacy of instruments used to identify cases of dementia. As a result of these concerns the 10/66 Dementia Research Group was founded to fill this gap. This is an international network of investigators, mostly from developing countries,and the group's name was based on the paradox that less than 10% of the populationbased studies on dementia are directed to 2/3 or more cases of people with dementia living in developing countries. The aim of the paper is to update data in the literature regarding the differences in dementia prevalence and incidence seen in developed and developing countries.

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Section: Epidemiologia Da Demência Em Países Em Desenvolvimentounclassified

Investigações epidemiológicas sobre demência nos países em desenvolvimento

et al. 2002

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“…12 A study in a rural community in Kerala showed a prevalence of 33.9 per 1000 in people aged 60 years and above. 13 Compared to this study, a western study showed a higher prevalence rate (9.8%). 14 Prevalence of dementia varied from one study to another depending on the geographical area and the demographic profile of the study population.…”

Section: Discussionmentioning

confidence: 74%

Dementia among older patients attending National Institute of Mental Health (NIMH), Dhaka, Bangladesh

Haq

Sarkar²,

Roy

et al. 2017

Bang J Psychiatry

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IntroductionThe older population is rapidly growing throughout the world. It has been estimated that the elderly will exceed 1 billion by 2020. 1 The increasing number of the older people has imposed a huge health impact on the society and is also accompanied by the greater decline in health and different domains of function. 2 Among the old population dementia has become the focus of attention of health care professionals' worldwide. This chronic progressive neurodegenerative disorder is a major cause of morbidity and mortality in the elderly population. Dementia is a condition which usually starts after the age of 65 years, but it may occur before the age of 65 years. 3 In Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) dementia is placed under major neurocognitive disorders where cognitive deficits interfere with independence in everyday activities. 4 The prevalence of dementia is approximately 5% in general population older than 65 years of age and 20-40% in general population older than 85 years. 5 Different studies in Asia showed the prevalence of dementia among the persons aged 65 years and above were in between 2.4% to 3.5%. [6][7][8] According to World Health Organization (WHO), dementia has emerged as a public health priority because it causes the devastating economic burden on families and nations. The cost of dementia will rise at a greater rate than the prevalence. Therefore, societies all over the world should be prepared to face the social and economic burden of dementia. 9 Dementia is overwhelming for the caregivers. One study in India found that caregivers of people with dementia spent significantly longer time providing care and 16 times more likely to have a common mental disorder than care givers of other chronic disorders. 10 With the world's eighth largest population with 160 million people, the percentage of people aged more than 60 years in Bangladesh is projected to increase to 9% by 2025 and 21% by 2050. 11 Considering the above-mentioned facts on the dearth of data on dementia in Bangladesh and its huge importance have impelled the author to undertake the study. The objective of the study was to find out the proportion of dementia among older patients as well as to identify the socio-demographic characteristics of patients with dementia. This study will be a baseline study on dementia. SummaryDementia has become the focus of attention of health care professionals' worldwide. The objective of the study was to find out the proportion of dementia among older patients as well as to identify the socio-demographic characteristics of patients with dementia attending National Institute of Mental Health (NIMH), Sher-E-Bangla Nagar, Dhaka, Bangladesh. This was a cross sectional study conducted in NIMH during the period from 1 st November 2014 to 30 th April 2015. For this purpose, 78 elderly patients aged e"60 years attending both in outpatient and inpatient departments of NIMH, satisfying inclusion and exclusion criteria were selected by convenient sampling tech...

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“…The prevalence of dementia in rural population of South India and North India showed a widely varying rate ranging from 3.39 to 0.84%, respectively. 4,5 In two other studies conducted in Jammu district, the prevalence was found to be 1.83% in Chattha zone while it was 6.55% in Mishriwala area of Jammu. 6,7 A higher prevalence in our study could be attributed to different lifestyles of local population versus Kashmiri migrant population, lesser awareness and illiteracy among people residing in these zones.…”

Section: Discussionmentioning

confidence: 99%

An exploratory study on the prevalence of early dementia among geriatric population in a rural area of district Jammu

Sahni

Dewan

Kumar

et al. 2017

Int J Community Med Public Health

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INTRODUCTIONDementia is not a normal part of ageing. Continuous improvements in health care have contributed to longer and healthier life expectancies which also has resulted in an increase in non-communicable diseases especially dementia. Current estimates indicate 35.6 million people worldwide are living with dementia.1 Nearly 60 percent of the burden of dementia is concentrated in low-and middle-income countries. Dementia not only affect individuals, it also affects and changes the lives of family members and caregivers. There is a lack of awareness and understanding of dementia resulting in isolation and stigmatization. Poor knowledge creates barriers to timely diagnosis and accessing ongoing medical and social care, leading to a large gap in treatment and management. Dementia has impact on social, economic, and health domains of individuals. There is very limited research on dementia especially in developing countries and the modifiable risk factors of dementia are even less explored. Though there is no current standard treatment to cure or even alter the course of dementia. The focus should be on early diagnosis, optimising physical health, and cognition, detecting and treating behavioural and psychological symptoms and providing information and long-term support to caregivers.The detection of dementia should be conducted without unduly alarming the patient. In this respect, informant-based assessments ABSTRACT Background: Dementia is one of the major causes of disability and dependency among older people worldwide. Dementia can no longer be neglected but should be considered as a public health priority especially by those who are involved in framing and implementing various health policies and programmes. Community based screening to detect dementia in undiagnosed individuals is emerging as a promising health promotion strategy. Methods: The present study was an exploratory cross sectional community based study, conducted in rural area of Jammu region in the month of July and August 2016 among all individual aged 60 years or more who were willing to participate in the study. A brief informant-based screening questionnaire, namely the Symptoms of Early Dementia-11 Questionnaire (SED-11Q) for screening of early dementia was used. Results: A total of 129 individuals participated in the study and out of them 18 persons were categorised to be suffering from early dementia using SED-11Q with overall prevalence rate of 13.95%. Dementia was more common among females as compared to males and prevalence of dementia was highest among people belonging to lowermiddle and middle socioeconomic classes. Conclusions: The SED-11Q categorised nearly 13.95% asymptomatic individuals to be suffering from dementia which is an alarming figure considering it as a disease which affects quality of life and contributes to morbidity of affected individuals.

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An Epidemiological Study of Dementia in a Rural Community in Kerala, India

Abstract: Dementia is an important cause of morbidity in the geriatric population in this community, where families take responsibility for the care of relatives with dementia.

Cited by 138 publications

References 6 publications

Investigações epidemiológicas sobre demência nos países em desenvolvimento

Investigações epidemiológicas sobre demência nos países em desenvolvimento

Dementia among older patients attending National Institute of Mental Health (NIMH), Dhaka, Bangladesh

An exploratory study on the prevalence of early dementia among geriatric population in a rural area of district Jammu

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