Poddar K, Kant S, Singh A, Singh T B
Neurology Centre, Varanasi, Uttar Pradesh, India.
Ann Indian Acad Neurol. 2011 Jul;14(3):164-8. doi: 10.4103/0972-2327.85874.
Dementia is one of the most serious health problems of the elderly and their caregivers.
The objective of this study was to estimate the prevalence of dementia in the community, its sociodemographic and behavioral associates to determine the risk factors among resident of two districts of eastern Uttar Pradesh, India.
This study was based on 2890 subjects aged 50 years and above, residing in rural areas of Mirzapur and urban areas of the Varanasi district of eastern Uttar Pradesh, India. Efforts were made to identify the subjects of age 50 years and above using cluster sampling. The Hindi Mental State Examination was used as the instrument tool to determine the score and a cut-off score of ≤23 was considered as the presence of dementia among the identified subjects.
The overall prevalence of dementia was found to be 5.1%. This percentage was increasing with age and decreasing with educational level. Among females, the prevalence of dementia was observed (7.2%) to be double than that in males (3.8%). Widows/widowers/unmarried had a double prevalence (9.3%) as compared with married (4.3%) people. The age, gender, marital status, education, occupation, number of family members in the household and liquor addiction were found to be significantly associated with dementia. The relative risk for the above-mentioned variables was found to be more than 1.
痴呆症是老年人及其照顾者面临的最严重的健康问题之一。
本研究的目的是估计印度北方邦东部两个地区居民中痴呆症的患病率、其社会人口学和行为相关因素，以确定危险因素。
本研究基于2890名年龄在50岁及以上的受试者，他们居住在印度北方邦东部米尔扎布尔的农村地区和瓦拉纳西区的城市地区。采用整群抽样法努力识别50岁及以上的受试者。使用印地语精神状态检查作为工具来确定得分，得分≤23被视为已识别受试者中存在痴呆症。
发现痴呆症的总体患病率为5.1%。这一百分比随年龄增长而增加，随教育水平下降。在女性中，痴呆症的患病率（7.2%）被观察到是男性（3.8%）的两倍。寡妇/鳏夫/未婚者的患病率（9.3%）是已婚者（4.3%）的两倍。发现年龄、性别、婚姻状况、教育程度、职业、家庭中的家庭成员数量和酗酒与痴呆症显著相关。发现上述变量的相对风险超过1。
