Comorbidities and group comparisons of epilepsy-caused mental disability in China

Yang, Ruijie; Zheng, Xiaoying; Tian, Dan; Chen, Gong; Chen, Sanjun

doi:10.1016/j.yebeh.2012.12.011

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…Even though mortality from epilepsy is low, various studies from across the world have revealed a higher risk of premature mortality among people with epilepsy. [ 82 ] Given the higher prevalence and incidence along with poor socioeconomic status and higher treatment gap, higher epilepsy related mortality is likely to be more frequent in India. Data is extremely limited on this issue in India due to absence of defined cohort for follow-up studies, poor medical record system, and the weak vital registration system failing to capture precise cause or conditions at the time of death.…”

Section: Epilepsy In Indiamentioning

confidence: 99%

Epilepsy in India I: Epidemiology and public health

Amudhan¹,

Gururaj²,

Satishchandra³

2015

Ann Indian Acad Neurol

143

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Of the 70 million persons with epilepsy (PWE) worldwide, nearly 12 million PWE are expected to reside in India; which contributes to nearly one-sixth of the global burden. This paper (first of the two part series) provides an in-depth understanding of the epidemiological aspects of epilepsy in India for developing effective public health prevention and control programs. The overall prevalence (3.0-11.9 per 1,000 population) and incidence (0.2-0.6 per 1,000 population per year) data from recent studies in India on general population are comparable to the rates of high-income countries (HICs) despite marked variations in population characteristics and study methodologies. There is a differential distribution of epilepsy among various sociodemographic and economic groups with higher rates reported for the male gender, rural population, and low socioeconomic status. A changing pattern in the age-specific occurrence of epilepsy with preponderance towards the older age group is noticed due to sociodemographic and epidemiological transition. Neuroinfections, neurocysticercosis (NCC), and neurotrauma along with birth injuries have emerged as major risk factors for secondary epilepsy. Despite its varied etiology (unknown and known), majority of the epilepsy are manageable in nature. This paper emphasizes the need for focused and targeted programs based on a life-course perspective and calls for a stronger public health approach based on equity for prevention, control, and management of epilepsy in India.

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Section: Epilepsy In Indiamentioning

confidence: 99%

Epilepsy in India I: Epidemiology and public health

Amudhan¹,

Gururaj²,

Satishchandra³

2015

Ann Indian Acad Neurol

143

View full text Add to dashboard Cite

show abstract

“…and (ii) do you have any difficulty in grasping, writing, washing or dressing? Afterwards, all suspected children with motor impairment were referred to physicians or paediatricians to make final diagnosis, to assess the severity of motor impairment, which was classified into four groups: mild, moderate, severe and extremely severe, and finally, to confirm whether CP was primary cause of motor impairment according to diagnostic manuals …”

Section: Methodsmentioning

confidence: 99%

Children with motor impairment related to cerebral palsy: Prevalence, severity and concurrent impairments in China

Chen

Wang

et al. 2017

J Paediatrics Child Health

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“…A previous study reported comorbidities of EPD with psychiatric disorders, such as organic mental disorders, dementia, and so on in China. [15] Although EPD is related with other mental disorders and epilepsy disease is more common in people with ID than in the general population, there is no a nationwide population-based survey on EPD with ID reported in China. In the study here, we used data from a nationwide survey on disabilities to assess the mutual associations between EPD and ID.…”

Section: Introductionmentioning

confidence: 99%

Mutual associations between intellectual disability and epilepsy-related psychiatry disability

et al. 2017

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Epilepsy is the third-leading cause of psychiatry disability in China, and intellectual disability (ID) is also 1 major type of disabilities in China. This study estimates the prevalence of comorbidities with ID and epilepsy-related psychiatry disability (EPD) and examines mutual associations within ID and EPD.Data were taken from the Second China National Sample Survey on Disability, which was a nationally representative, population-based survey. To derive a nationally representative sample, the survey used multistage, stratified, cluster random sampling with probability proportional to size. The disabled people who had ID and EPD based on the World Health Organization International Classification of Functioning, Disability, and Health and the International Statistical Classification of Diseases. The cox-proportional hazards model was used to examine the associations between ID and EPD considering the happened sequence of ID and EPD.The prevalence of ID with EPD was 0.14 (95% confidence interval: 0.09–0.19) per 1000 people. Age was strongly associated with the risk of EPD, which was diagnosed after ID, especially among young ID population. Except for age, other variables were also associated between ID and EPD considering sequence of ID and EPD.This study is the first national study to explore mutual associations with ID and EPD and highlights the young ID children with high risk of development of epilepsy. To address the challenge of ID with EPD disability in China, the government should adjust its strategies for healthcare systems to prevent disability.

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Comorbidities and group comparisons of epilepsy-caused mental disability in China

Cited by 3 publications

References 25 publications

Epilepsy in India I: Epidemiology and public health

Epilepsy in India I: Epidemiology and public health

Children with motor impairment related to cerebral palsy: Prevalence, severity and concurrent impairments in China

Mutual associations between intellectual disability and epilepsy-related psychiatry disability

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