An epidemiological study of dementia in a rural community in Kerala, India.
This community-based epidemiologic study of dementia in a rural population in India investigated the prevalence of various dementing disorders in the community, psychosocial correlates of the morbidity, and assessment of the risk factors associated with dementia.
A door to door survey was conducted to identify elderly people aged 60 and above.
A total of 2067 elderly persons were then screened with a vernacular adaptation of the MMSE.
All those who scored 23 and below had a detailed neuropsychological evaluation by CAMDEX-Section B, and the care-givers of the people with confirmed cognitive impairment were interviewed using CAMDEX-Section H to confirm the history of deterioration or impairment in social or personal functioning.
In the third phase the subjects with confirmed cognitive impairment were evaluated at home as to whether they satisfied the DSM-III-R criteria for dementia.
Subcategorisation of dementia was done based on ICD-10 diagnostic criteria.
Five per cent of those whose screening was negative were randomly selected and evaluated during each stage.
Sixty-six cases of dementia were identified from 2067 persons aged 60 and above, a prevalence rate of 31.9 per thousand.
After correction this rate was 33.9 per thousand.
Fifty-eight per cent of the dementia cases were diagnosed as vascular dementia and 41% satisfied the criteria for ICD-10 dementia in Alzheimer's disease. (...)
Mots-clés Pascal : Démence sénile, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Prévalence, Epidémiologie, Inde, Asie, Milieu rural, Vieillard, Homme, Enquête
Mots-clés Pascal anglais : Senile dementia, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease, Prevalence, Epidemiology, India, Asia, Rural environment, Elderly, Human, Inquiry
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0328423
Code Inist : 002B18E. Création : 10/04/1997.