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Dementia in Kerala, South India
 — prevalence and influence of age, education and gender
Author(s)P S Mathuranath, P Joseph Cherian, Robert Mathew
Journal titleInternational Journal of Geriatric Psychiatry, vol 25, no 3, March 2010
Pagespp 290-297
Sourcehttp://www.interscience.wiley.com/journal/gps doi: 10.1002/gps.2338
KeywordsDementia ; Educational status [elderly] ; Living in the community ; Correlation ; India.
AnnotationData on the prevalence of dementia in India with a large and ageing population is scant. The authors studied prevalence of AD and dementia in Kerala, South India, and effects of age, education and gender on it. The method used was a 2-phase survey on 2466 individuals aged 55+ living in the community. 41% were men, 76.9% were aged 75+ and 69.6% had received 4 or more years of education. Screening (Phase I) used the instrumental activity of daily living scale for the elderly (IADL-E) and the Addenbrooke's cognition examination (ACE). Diagnostic-assessment (Phase II) was in 532 screen-positives and 247 (10%) screen-negatives. Results showed that 93 (3.77%) of those aged 55-64 and 81 (4.86%) of those aged 65+ had dementia. Age adjusted (against US population in 2000) dementia (and AD) rates were 4.86% (1.91%) in age 55-64 and 6.44% (3.56%) in age 65+. Odds for dementia (and AD) were high with increasing-age 5.89 (15.33) in 75-84, 13.23 (25.92) 85 years, and in women 1.62 (2.95); and low 0.27 (0.16) if education was 9 or more years. Age and low education increased dementia. Age and female gender increased AD. Prevalence of dementia and AD is higher than any reported from the subcontinent, suggesting that dementia in Kerala in South India is not uncommon. Increasing age increased dementia and AD. Low-education is associated with dementia and female-gender with AD. (KJ/RH).
Accession NumberCPA-100423204 A
ClassmarkEA: F:V: K4: 49: 7FA

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