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- Wimo, Anders, et al.
(författare)
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Cohort Effects in the Prevalence and Survival of People with Dementia in a Rural Area in Northern Sweden
- 2016
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Ingår i: Journal of Alzheimer's Disease. - 1387-2877 .- 1875-8908. ; 50:2, s. 387-396
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Tidskriftsartikel (refereegranskat)abstract
- Background: Recent studies suggest that trends in cardiovascular risk may result in a decrease in age-specific prevalence of dementia. Studies in rural areas are rare.Objectives: To study cohort effects in dementia prevalence and survival of people with dementia in a Swedish rural area.Methods: Participants were from the 1995-1998 Nordanstig Project (NP) (n = 303) and the 2001-2003 Swedish National study on Aging and Care in Nordanstig (SNAC-N) (n = 384). Overall 6-year dementia prevalence and mortality in NP and SNAC-N were compared for people 78 years and older. Logistic regression analyses were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for dementia occurrence using the NP study population as the reference group. Cox regression models were used to analyze time to death.Results: The crude prevalence of dementia was 21.8% in NP and 17.4% in SNAC-N. When the NP cohort was used as the reference group, the age- and gender-adjusted OR of dementia was 0.71 (95% CI 0.48-1.04) in SNAC-N; the OR was 0.47 (0.24-0.90) for men and 0.88 (0.54-1.44) for women. In the extended model, the OR of dementia was significantly lower in SNAC-N than in the NP cohort as a whole (0.63; 0.39-0.99) and in men (0.34; 0.15-0.79), but not in women (0.81; 0.46-1.44). The Cox regression models indicated that the hazard ratio of dying was lower in the SNAC-N than NP population.Conclusions: Trends toward a lower prevalence of dementia in high-income countries seem to be evident in this Swedish rural area, at least in men.
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| 2. |
- Khanam, Masuma Akter, et al.
(författare)
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Prevalence and Patterns of Multimorbidity among Elderly People in Rural Bangladesh : A Cross-sectional Study
- 2011
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Ingår i: Journal of Health, Population and Nutrition. - 1606-0997 .- 2072-1315. ; 29:4, s. 406-414
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Tidskriftsartikel (refereegranskat)abstract
- Data on multimorbidity among the elderly people in Bangladesh are lacking. This paper reports the prevalenceand distribution patterns of multimorbidity among the elderly people in rural Bangladesh. This crosssectionalstudy was conducted among persons aged ≥60 years in Matlab, Bangladesh. Information on theirdemographics and literacy was collected through interview in the home. Information about their assets wasobtained from a surveillance database. Physicians conducted clinical examinations at a local health centre.Two physicians diagnosed medical conditions, and two senior geriatricians then evaluated the same separately.Multimorbidity was defined as suffering from two or more of nine chronic medical conditions, suchas arthritis, stroke, obesity, signs of thyroid hypofunction, obstructive pulmonary symptoms, symptomsof heart failure, impaired vision, hearing impairment, and high blood pressure. The overall prevalence ofmultimorbidity among the study population was 53.8%, and it was significantly higher among women, illiterates,persons who were single, and persons in the non-poorest quintile. In multivariable logistic regressionanalyses, female sex and belonging to the non-poorest quintile were independently associated withan increased odds ratio of multimorbidity. The results suggest that the prevalence of multimorbidity is highamong the elderly people in rural Bangladesh. Women and the non-poorest group of the elderly people aremore likely than men and the poorest people to be affected by multimorbidity. The study sheds new lighton the need of primary care for the elderly people with multimorbidity in rural Bangladesh.
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