Community study of dementia in the older Korean rural population.

Objective: This study aims to estimate the prevalence of all dementias, including Alzheimer's disease (AD) and vascular dementia (VaD) in a population of Korean elderly and to identify possible risk factors which correlated with specific types of dementia. Method: A two-phase survey, based on a door...

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Publicado en:Australian & New Zealand Journal of Psychiatry Vol. 37; no. 5; pp. 606 - 613
Autores principales: Suh GH, Kim JK, Cho MJ
Formato: research Journal Article
Publicado: Sage Publications Inc. Oct2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2003
      vid: 37
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Community study of dementia in the older Korean rural population.
      aug:
        au:
          Suh GH
          Kim JK
          Cho MJ
      sug:
        subj:
          Alzheimer's Disease Ethnology
          Dementia, Vascular Ethnology
          Rural Population
          Aged
          Aged, 80 and Over
          Alzheimer's Disease Epidemiology
          Dementia, Vascular Epidemiology
          Demography
          DSM
          Female
          South Korea
          Male
          Prevalence
          Probability Sample
          Questionnaires
          Risk Factors
          Human
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Objective: This study aims to estimate the prevalence of all dementias, including Alzheimer's disease (AD) and vascular dementia (VaD) in a population of Korean elderly and to identify possible risk factors which correlated with specific types of dementia. Method: A two-phase survey, based on a door-to-door survey, was conducted. Initially, the Korean version of the Psychogeriatric Assessment Scale (PAS-K) was administered to all 1037 participants aged 65 years and older. Three hundred and seventy people sampled from the case groups (n = 320) of PAS-K subscales and the non-case group (n = 50) entered the second phase for clinical evaluation. Dementia was defined using the DSM-III-R, NINCDSADRDA and NINDS-AIREN criteria. Results: Among 1037 elderly people aged 65-94 years who completed the interview, 74 cases of dementia were detected, giving an overall age-standardized prevalence (95% CI) of 6.8% (6.1-7.5) (male 6.3% [5.3-7.4]; female 7.1% [6.1-8.0]). The prevalence (95% CI) of AD was 4.2% (3.6-4.7) (male 2.4% [2.0-2.8]; female 5.3% [4.5-6.1]), and it increased with age. The prevalence (95% CI) of VaD was 2.4% (2.0-2.8) (male 3.5% [2.7-4.3]; female 1.6% [1.2-2.1]). Smoking for longer than 30 pack-years significantly increased the risk of VaD (OR = 11.5 [2.8-44,6]). Conclusion: Long-term smoking, much more prevalent in men, may be closely related to higher risk of cerebrovascular disease that leads to vascular dementia.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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