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Local population differences and the needs of people with cognitive impairment
Author(s)David Melzer, Margaret Ely, Carol Brayne
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 9, September 1997
Pagespp 883-887
KeywordsAge groups [elderly] ; Cognitive impairment ; Physical disabilities ; Age group distribution statistics ; Social surveys.
AnnotationVariations in local population age structure have attracted less attention than national population ageing. As moderate and severe cognitive impairment is a major cause of need for long-term care, population-based estimates of numbers and characteristics of this group were calculated, to explore the effects of local differences. The UK Office of Population Censuses and Surveys (OPCS) study of disability in adults (n>14000) was reanalysed. A group with moderate or severe cognitive impairments was identified, and age-specific estimators of socio-demographic characteristics, household types, disabilities and service use were combined with population estimates for health districts in England and Wales. The proportion of the over-65 population who are 85+ varies from 8% to 15% across districts, equivalent to national population projections for 1986 to 2031 respectively. The estimated prevalence of the study group varies from 53 to 70 per 1000 population aged 65+, with 34-48% of cases aged 85+. The proportion with severe disabilities varies little across districts. If national norms are applied, local rates of institutionalisation would vary from 18 to 27 per 1000 aged 65+, and all that implies for local service provision. (RH).
Accession NumberCPA-980827261 A
ClassmarkBB: E4: BN: S6: 3F

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