Sociodemographic Risk Factors and Correlates of Dementia in Older Malaysians

Hamid, Tengku Aizan; Krishnaswamy, Saroja; Abdullah, Siti Suhailah; Momtaz, Yadollah Abolfathi

doi:10.1159/000321672

Cited by 53 publications

(53 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The findings confirm the association of increasing age and lack of schooling with prevalence of dementia syndrome [27,43,44]: a prevalence of 4.4% was obtained in the youngest group against 61.6% among the over 90-year-olds, and a prevalence of 7.8% was observed among those with most schooling against 50.6% among the illiterates. The prevalence in the most advanced age groups was higher than obtained in Brazilian population-based studies [28,30].…”

Section: Discussionsupporting

confidence: 83%

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Ribeiro¹,

Lopes²,

Lourenço³

2013

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Aims: To describe the overall prevalence of dementia syndrome and its major subtypes among elderly clients of a private health care plan and to ascertain the association between this syndrome and socioeconomic characteristics. Methods: A survey was organized in two stages: screening for cognitive impairment and diagnostic evaluation. The study population comprised 683 elderly subjects (aged >67 years), an expanded sample of 7,486 individuals, of the database of the FIBRA-RJ, which evaluated clients of a private health care plan residing in northern districts of the municipality of Rio de Janeiro, Brazil. The diagnosis of dementia was obtained according to DSM-IV criteria. Results: A total of 115 individuals were diagnosed with dementia, resulting in a prevalence of 16.9% (95% CI = 14.4–19.8). The association was strongest among older age groups, i.e. 85–89 years old (prevalence ratio = 8.85; 95% CI = 2.11–37.11) and 90 or more years old (prevalence ratio = 8.85; 95% CI = 2.11–37.11), and among illiterate people (prevalence ratio = 2.77; 95% CI = 1.07–7.19). Sex, personal income and marital status displayed no association with dementia. Conclusion: The prevalence of dementia was higher than found by population-based studies. These findings point to a possibility of a high demand for specialized services among older adults served by the private health care sector.

show abstract

Section: Discussionsupporting

confidence: 83%

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Ribeiro¹,

Lopes²,

Lourenço³

2013

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

show abstract

“…The data used in the study were drawn from a national survey on aging entitled ‘Mental Health and Quality of Life of Older Malaysians (MHQoLOM)', the full details of which have been presented elsewhere [13,19]. Briefly, MHQoLOM was a cross-sectional national survey which gathered extensive information on demographic characteristics, socioeconomic status, social and health status from a representative sample of older Malaysians.…”

Section: Methodsmentioning

confidence: 99%

“…Similarly, a few studies in the United States have shown that African-Americans and Hispanics have higher prevalence rates of dementia than non-Hispanic whites [8]. In Malaysia, the results of a community-based study indicated marked differences in prevalence of dementia among different ethnic groups [13]. The results from a large community-based study in Singapore (which has the same ethnic groups as Malaysia) also showed that elderly Malays had twice the risk for Alzheimer's disease as Chinese [14].…”

Section: Introductionmentioning

confidence: 99%

Do Depression and Educational Attainment Mediate the Association between Ethnicity and Dementia?

Momtaz

Hamid²,

Yusoff³

et al. 2012

Gerontology

Self Cite

View full text Add to dashboard Cite

Introduction: Research shows marked differences in the prevalence of dementia among different ethnic groups. However, there is a relative dearth of studies focusing on how ethnicity may influence dementia. The main aim of the current study is to test potential mediating effects of depression and level of education on the association between ethnicity and dementia. Methods: The sample for this study, consisting of 2,796 community-dwelling elderly people aged 60 years and older, was drawn from a cross-sectional national survey entitled ‘Mental Health and Quality of Life of Older Malaysians'. The Malaysian adapted version of the Geriatric Mental State-Automated Geriatric Examination for Computer-Assisted Taxonomy was used to assess dementia and depression. Data analysis was conducted using IBM SPSS version 19. Results: As expected, the result of the χ² analysis revealed significant ethnic difference in the prevalence of dementia (χ² = 58.05, p ≤ 0.001). The results of the mediational analyses revealed that depression (Z = 4.05, p ≤ 0.001) and education (Z = 2.78, p ≤ 0.01) significantly, but partially, mediate the association between ethnicity and dementia. This suggests that disparities of depressive symptoms and education contribute to ethnic difference in the prevalence of dementia. Conclusions: These findings provide more insight into how ethnicity may influence an individual's vulnerability to dementia. The limitations of the study along with implications of the findings and needs for further study are discussed.

show abstract

“…Research suggests that different cognitive abilities, including fluid and crystallised abilities, show different trajectories of change across the life span. Several moderating lifestyle factors, including educational, occupational and mental activity, have been identified, which may have a protective impact on the development of normal age-associated or pathological cognitive decline [29,33,34]. Accordingly, the high performance of older individuals in this study may be mediated by their high educational level.…”

Section: Discussionmentioning

confidence: 91%

The Assessment of Changes in Cognitive Functioning in the Elderly: Age- and Education-Specific Reliable Change Indices for the SIDAM

Stein

Luppa²,

Maier³

et al. 2012

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Background/Aims: The diagnostic criteria for dementia include reliable evidence of cognitive deterioration over time measured by cognitive tests. The Structured Interview for the Diagnosis of Dementia of the Alzheimer Type, Multi-infarct Dementia and Dementia of other Etiology according to DSM-III-R, DSM-IV and ICD-10 (SIDAM) is a neuropsychological instrument to determine cognitive status in patients with mild cognitive impairment (MCI) and dementia. Normative data for changes in cognitive functioning that normally occur in cognitively healthy individuals are required to interpret changes in SIDAM test scores. Methods: A sample of 1,090 cognitively healthy individuals participating in the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe) aged 75 years and older was assessed four times at 1.5-year intervals over a period of 4.5 years using the SIDAM. Age- and education-specific reliable change indices (RCIs) accounting for probable measurement error and practice effects were computed for a 90% confidence interval. Results: Across different age and education subgroups, changes from at least 3–5 points indicated significant (i.e. reliable) changes in SIDAM test scores at the 90% confidence level. Conclusion: This study offers age- and education-specific normative data for the SIDAM based upon established RCI methods. The RCI scores provided in this study may help clinicians and researchers to interpret cognitive changes in SIDAM test scores and may contribute to the early detection and diagnosis of MCI and dementia in the elderly.

show abstract

Sociodemographic Risk Factors and Correlates of Dementia in Older Malaysians

Cited by 53 publications

References 42 publications

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Do Depression and Educational Attainment Mediate the Association between Ethnicity and Dementia?

The Assessment of Changes in Cognitive Functioning in the Elderly: Age- and Education-Specific Reliable Change Indices for the SIDAM

Contact Info

Product

Resources

About