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本文引用的文献

1
Risk, protective, and biomarkers of dementia in Indigenous peoples: A systematic review.原住民人群痴呆的风险、保护因素和生物标志物:系统评价。
Alzheimers Dement. 2024 Jan;20(1):563-592. doi: 10.1002/alz.13458. Epub 2023 Sep 25.
2
Potentially modifiable dementia risk factors in all Australians and within population groups: an analysis using cross-sectional survey data.所有澳大利亚人和人群中潜在可改变的痴呆风险因素:使用横断面调查数据的分析。
Lancet Public Health. 2023 Sep;8(9):e717-e725. doi: 10.1016/S2468-2667(23)00146-9.
3
Culturally safe, trauma-informed approach to cognitive impairment and dementia in older Aboriginal and Torres Strait Islander people.针对老年原住民和托雷斯海峡岛民认知障碍和痴呆的文化安全、创伤知情方法。
Aust J Gen Pract. 2023 Aug;52(8):505-511. doi: 10.31128/AJGP-01-23-6672.
4
Clinicians' views on cognitive assessment with Aboriginal Australians.临床医生对与澳大利亚原住民进行认知评估的看法。
Aust N Z J Psychiatry. 2024 Feb;58(2):134-141. doi: 10.1177/00048674231183354. Epub 2023 Jun 23.
5
Who cares about Aboriginal Aged Care? Evidence of home care support needs and use in rural South Australia.谁关心原住民老年护理?南澳大利亚农村地区家庭护理支持需求和使用的证据。
Aust J Rural Health. 2023 Aug;31(4):704-713. doi: 10.1111/ajr.12992. Epub 2023 May 8.
6
The Culture is Prevention Project: measuring cultural connectedness and providing evidence that culture is a social determinant of health for Native Americans.文化是预防项目:衡量文化联系,并提供证据表明文化是美国原住民健康的社会决定因素。
BMC Public Health. 2023 Apr 21;23(1):741. doi: 10.1186/s12889-023-15587-x.
7
Co-design of dementia prevention program for Aboriginal Australians (DAMPAA).为澳大利亚原住民设计的痴呆症预防计划(DAMPAA)。
Alzheimers Dement. 2023 Oct;19(10):4564-4571. doi: 10.1002/alz.13032. Epub 2023 Mar 18.
8
Challenges and opportunities in providing dementia care for Aboriginal and Torres Strait Islander peoples living in rural and remote areas.为居住在农村和偏远地区的原住民和托雷斯海峡岛民提供痴呆症护理的挑战和机遇。
Dementia (London). 2023 Jan;22(1):197-217. doi: 10.1177/14713012221138825. Epub 2022 Nov 18.
9
Volume, scope, and consideration of ethical issues in Indigenous cognitive impairment and dementia research: A systematic scoping review of studies published between 2000-2021.原住民认知障碍和痴呆症研究中的伦理问题的规模、范围和考虑因素:2000-2021 年间发表的研究的系统范围综述。
Dementia (London). 2022 Nov;21(8):2647-2676. doi: 10.1177/14713012221119594. Epub 2022 Sep 2.
10
The role of demographic change in explaining the growth of Australia's older migrant population living with dementia, 2016-2051.人口变化在解释澳大利亚老年痴呆症移民人口增长中的作用,2016-2051 年。
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患有痴呆症的老年原住民和托雷斯海峡岛民:基于州和领地情况的未来预测。

Older Aboriginal and Torres Strait Islander populations living with dementia: State and territory scenario-based projections into the future.

作者信息

Luke Joanne, Temple Jeromey, Wilson Tom, Williams Ruth, Taylor Sean, LoGiudice Dina

机构信息

Demography, Centre for Health Policy, School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.

Onemda: Aboriginal and Torres Strait Islander Health and Wellbeing Unit, School of Population and Global Health & Melbourne School of Health Science, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Australas J Ageing. 2025 Sep;44(3):e70068. doi: 10.1111/ajag.70068.

DOI:10.1111/ajag.70068
PMID:40698753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12285214/
Abstract

OBJECTIVE

To produce plausible estimates of the number of Aboriginal and/or Torres Strait Islander people living with dementia within Australia disaggregated by state and territory to mid-century.

METHODS

The Wilson-Grossman variation of the Hamilton-Perry projection model was used to prepare state and territory projections of the Aboriginal and/or Torres Strait Islander population, 2021-2051. Data from the Australian Bureau of Statistics Census (2021) and Australian Institute of Health and Welfare 2021 were used to estimate the number of people living with dementia 2021-2051.

RESULTS

From 2021 to 2051, the Australian Aboriginal and/or Torres Strait Islander population is projected to grow across all states and territories. By 2051, there will be an increasing number and proportion of the population aged over 45, 65 and 80 years, with this increase varying by jurisdiction. This pattern of ageing will see an increase in the number of Aboriginal and/or Torres Strait Islander people living with dementia, regardless of assumptions about future dementia prevalence. This increase will vary in magnitude by juristiction, doubling in the Northern Territory and increasing more than fivefold in the Australian Capital Terrritory, New South Wales, Tasmania and Queensland. Sensitivity analyses of alternative dementia scenarios produce highly similar results.

CONCLUSIONS

Between 2021 and 2051, the estimated number of Aboriginal and/or Torres Strait Islander people living with dementia is projected to increase. Combined with regional demographic variations, this trend highlights the urgent need for targeted responses at both local and national levels.

摘要

目的

对到本世纪中叶澳大利亚患有痴呆症的原住民和/或托雷斯海峡岛民人数进行合理估计,并按州和领地进行分类。

方法

使用汉密尔顿 - 佩里预测模型的威尔逊 - 格罗斯曼变体,对2021 - 2051年原住民和/或托雷斯海峡岛民人口进行州和领地预测。澳大利亚统计局人口普查(2021年)和澳大利亚卫生与福利研究所2021年的数据用于估计2021 - 2051年患有痴呆症的人数。

结果

从2021年到2051年,预计澳大利亚所有州和领地的原住民和/或托雷斯海峡岛民人口都会增长。到2051年,45岁、65岁和80岁以上人口的数量和比例将增加,且不同司法管辖区的增幅有所不同。这种老龄化模式将导致患有痴呆症的原住民和/或托雷斯海峡岛民人数增加,无论对未来痴呆症患病率的假设如何。这种增加在不同司法管辖区的幅度会有所不同,北领地将翻倍,澳大利亚首都领地、新南威尔士州、塔斯马尼亚州和昆士兰州将增加超过五倍。对替代痴呆症情景的敏感性分析产生了高度相似的结果。

结论

在2021年至2051年期间,预计患有痴呆症的原住民和/或托雷斯海峡岛民人数将会增加。结合区域人口结构差异,这一趋势凸显了在地方和国家层面采取针对性应对措施的迫切需求。