撒哈拉以南非洲社区疑似痴呆症的概况与影响：伊巴丹衰老研究结果
The profile and impact of probable dementia in a sub-Saharan African community: Results from the Ibadan Study of Aging.
作者信息
Gureje Oye, Ogunniyi Adesola, Kola Lola
机构信息
Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
出版信息
J Psychosom Res. 2006 Sep;61(3):327-33. doi: 10.1016/j.jpsychores.2006.07.016.
Abstract
OBJECTIVE
This study aimed to determine the profile of dementia in a sub-Saharan Africa country and assess its effects on role functioning and quality of life.
METHODS
Using a multistage, stratified, clustered sampling of households in the Yoruba-speaking areas of Nigeria, representing 22% of the national population, 2152 persons aged 65 years and above were studied. Probable dementia was evaluated using a validated cognitive test - the 10-Word Delay Recall Test. Activities of daily living (ADL), instrumental ADL, and quality of life were also assessed.
RESULTS
The prevalence of probable dementia in this sample was 10.1% (95% confidence interval, 8.6-11.8). Female sex and increasing age were risk factors. Also, lifetime history of alcohol use doubles the risk. Affected persons had relatively preserved functioning and quality of life.
CONCLUSION
The findings suggest that the diagnosis of dementia may be downwardly biased in this culture due to relatively preserved levels of social and functional roles.
摘要
目的
本研究旨在确定一个撒哈拉以南非洲国家的痴呆症概况，并评估其对角色功能和生活质量的影响。
方法
采用多阶段、分层、整群抽样方法，对尼日利亚约鲁巴语地区的家庭进行抽样，该地区人口占全国人口的22%，共研究了2152名65岁及以上的人。使用经过验证的认知测试——10词延迟回忆测试评估可能的痴呆症。还评估了日常生活活动（ADL）、工具性ADL和生活质量。
结果
该样本中可能痴呆症的患病率为10.1%（95%置信区间，8.6 - 11.8）。女性和年龄增长是危险因素。此外，终生饮酒史会使风险加倍。受影响者的功能和生活质量相对保持良好。
结论
研究结果表明，由于社会和功能角色水平相对保持良好，在这种文化中痴呆症的诊断可能存在低估。
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本文引用的文献
1
The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI).
Int J Methods Psychiatr Res. 2004;13(2):93-121. doi: 10.1002/mpr.168.
2
The assessment of quality of life in dementia.
Int Psychogeriatr. 2003 Sep;15(3):213-8.
3
STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION.
JAMA. 1963 Sep 21;185:914-9. doi: 10.1001/jama.1963.03060120024016.
4
Dementia diagnosis in developing countries: a cross-cultural validation study.
Lancet. 2003 Mar 15;361(9361):909-17. doi: 10.1016/S0140-6736(03)12772-9.
5
Assessing quality of life in older adults with cognitive impairment.
Psychosom Med. 2002 May-Jun;64(3):510-9. doi: 10.1097/00006842-200205000-00016.
6
Alcohol, aging, and cognitive performance in a cohort of Japanese Americans aged 65 and older: the Kame project.
Int Psychogeriatr. 2001 Jun;13(2):207-23. doi: 10.1017/s1041610201007591.
7
Incidence of dementia and Alzheimer disease in 2 communities: Yoruba residing in Ibadan, Nigeria, and African Americans residing in Indianapolis, Indiana.
JAMA. 2001 Feb 14;285(6):739-47. doi: 10.1001/jama.285.6.739.
8
A longitudinal study of drinking and cognitive performance in elderly Japanese American men: the Honolulu-Asia Aging Study.
Am J Public Health. 2000 Aug;90(8):1254-9. doi: 10.2105/ajph.90.8.1254.
9
The epidemiology of dementia in Africa: a review.
Soc Sci Med. 2000 Jun;50(11):1673-7. doi: 10.1016/s0277-9536(99)00392-5.
10
The geography of dementia: an approach through epidemiology.
Health Place. 1998 Dec;4(4):383-94. doi: 10.1016/s1353-8292(98)00027-6.
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