Park J, Ko H J, Park Y N, Jung C H
Department of Psychiatry, Keimyung University School of Medicine, Taegu, South Korea.
Br J Psychiatry. 1994 Jun;164(6):796-801. doi: 10.1192/bjp.164.6.796.
The age-specific prevalence of dementia, its sex difference, and the relative prevalence of important types of dementia were studied in the elderly people in a Korean rural community. A two-stage approach was employed, involving screening and clinical assessment. The prevalence among individuals aged 65 and over was found to be 10.8%, with rates of 7.2% in men and 14.5% in women. The dementia was of the Alzheimer type in 60.0% of cases, multi-infarct dementia in 12.0%, mixed dementia of Alzheimer type and multi-infarct in 10.7%, alcoholic dementia in 8.0%, and others and unclassifiable in 9.3%. The prevalence of dementia of the Alzheimer type was significantly higher in women and rapidly increased with age in both sexes. The prevalence of multi-infarct dementia was not related to sex or age. Alcoholic dementia was identified only in men. These findings indicate that the prevalence of dementia in rural Korea is similar to that reported in Western countries and that the prevalence of dementia of the Alzheimer type in rural Korea is greater than that of multi-infarct dementia.
在韩国一个农村社区的老年人中，研究了特定年龄的痴呆患病率、性别差异以及重要类型痴呆的相对患病率。采用了两阶段方法，包括筛查和临床评估。65岁及以上人群的患病率为10.8%，男性为7.2%，女性为14.5%。60.0%的病例为阿尔茨海默型痴呆，12.0%为多发梗死性痴呆，10.7%为阿尔茨海默型和多发梗死性混合痴呆，8.0%为酒精性痴呆，9.3%为其他类型及无法分类的痴呆。阿尔茨海默型痴呆的患病率在女性中显著更高，且在两性中均随年龄快速增加。多发梗死性痴呆的患病率与性别或年龄无关。酒精性痴呆仅在男性中被发现。这些发现表明，韩国农村地区痴呆的患病率与西方国家报道的相似，且韩国农村地区阿尔茨海默型痴呆的患病率高于多发梗死性痴呆。
