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The Koori Growing Old Well Study
 — investigating aging and dementia in urban Aboriginal Australians
Author(s)Kylie Radford, Holly A Mack, Hamish Robertson
Journal titleInternational Psychogeriatrics, vol 26, no 6, June 2014
PublisherCambridge University Press, June 2014
Pagespp 1033-1043
Sourcejournals.cambridge.org/ipg
KeywordsDementia ; Cognitive impairment ; Ageing process ; 60-64 age group ; Evaluation ; Black people ; Natives ; Urban areas ; Australia.
AnnotationDementia is an emerging health priority in Australian Aboriginal communities but substantial gaps remain in our understanding of this issue, particularly for the large urban section of the population. In remote Aboriginal communities, high prevalence rates of dementia at relatively young ages have been reported. The current study investigated ageing, cognitive decline and dementia in older urban/regional Aboriginal Australians. The study partnered with five Aboriginal communities across New South Wales to undertake a census of all Aboriginal men and women aged 60 years and over residing in these communities. This was followed by a survey of the health, well-being and life history of all consenting participants. Participants were also screened using three cognitive instruments. Those scoring below designated cut-offs, and a 20% random sample of those scoring above (i.e. `normal' range), completed a contact person interview (with a nominated family member) and medical assessment (blind to initial screening results), which formed the basis of `gold standard' clinical consensus determinations of cognitive impairment and dementia. This paper details protocol for a population-based study in collaboration with local Aboriginal community organisations. The study provides the first available prevalence rates for dementia and cognitive impairment in a representative sample of urban Aboriginal people across city and rural communities, where the majority of Aboriginal Australians live. It also contributes to improved assessment of dementia and cognitive impairment and to our understanding of social determinants of successful ageing of international significance. (JL).
Accession NumberCPA-150529299 A
ClassmarkEA: E4: BG: BBC: 4C: TKE: TIN: RK: 7YA

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