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上海郊区社区轻度认知障碍的高患病率和低知晓率。

High Prevalence and Low Awareness of Mild Cognitive Impairment in a Suburban Community in Shanghai.

机构信息

Department of Neurology,Shanghai Tenth People's Hospital, School of Medicine, Tongji University; Department of Neurology, Shanghai Pudong New Area People's Hospital, Shanghai, 201299, China.

Department of Neurology, Shanghai Pudong New Area People's Hospital, Shanghai, 201299, China.

出版信息

Neurol India. 2021 Nov-Dec;69(6):1693-1700. doi: 10.4103/0028-3886.333524.

DOI:10.4103/0028-3886.333524
PMID:34979671
Abstract

BACKGROUND

The prevalence of mild cognitive impairment (MCI), herein China, was without involving the suburban communities, where the awareness of MCI still remains extremely weak.

OBJECTIVE

The objective of this study is to investigate the prevalence of MCI in the Chinese residents aged ≥65 in the suburban communities of Shanghai, China, and study the awareness of MCI in terms of its symptom, prevention, and intervention.

METHODS

A total of 925 suburban community residents aged ≥65 were evaluated with a series of clinical examinations and scale questionnaire, and 600 participated in a five-dimension questionnaire survey pertaining to the awareness of MCI.

RESULTS

The prevalence of MCI was up to 29.8% and of dementia was 11.1%, respectively. A difference was observed among the three groups of dementia, MCI, and normal in each dimension of age, gender, education, being widowed, and living with the next generation (P < 0.05). The degree of cognitive impairment was linearly correlated with age (P < 0.001). The prevalence of MCI was higher in the females (P < 0.001), in the group of low educational level (P < 0.001), in the widowed residents (P < 0.01), and in those who did not live with their next generations (P < 0.01). The family's concern for MCI symptoms in the elderly accounted for 60%; the awareness rate of MCI symptoms, 25.5%; the awareness rate of MCI prevention, 15.5%; and the rate of taking MCI seniors to the doctor, 32%.

CONCLUSIONS

The prevalence of MCI in the suburban communities of Shanghai was high but the awareness of MCI was low.

摘要

背景

在中国,轻度认知障碍(MCI)的患病率尚不含郊区社区,而那里对 MCI 的认识仍然极其薄弱。

目的

本研究旨在调查中国上海郊区社区≥65 岁居民中 MCI 的患病率,并研究对 MCI 的症状、预防和干预的认识。

方法

对 925 名≥65 岁的郊区社区居民进行了一系列临床检查和量表问卷调查,其中 600 名居民参加了关于 MCI 认知度的五维度问卷调查。

结果

MCI 的患病率高达 29.8%,痴呆的患病率为 11.1%。痴呆、MCI 和正常三组在年龄、性别、教育、丧偶和与下一代同住等各维度上存在差异(P<0.05)。认知障碍程度与年龄呈线性相关(P<0.001)。女性(P<0.001)、低教育水平(P<0.001)、丧偶居民(P<0.01)和不与子女同住的居民(P<0.01)中 MCI 的患病率较高。家庭对老年人 MCI 症状的关注占 60%;MCI 症状的知晓率为 25.5%;MCI 预防的知晓率为 15.5%;带 MCI 老人去看医生的比例为 32%。

结论

上海郊区社区 MCI 的患病率较高,但对 MCI 的认识较低。

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