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Prevalence of dementia in Latin America, India, and China: a population-based cross-sectional survey.
dc.contributor.author | Llibre Rodríguez, Juan J. | |
dc.contributor.author | Acosta, Daisy | |
dc.contributor.author | Guerra, Mariella | |
dc.contributor.author | Huang, Yueqin | |
dc.contributor.author | Salas, Aquiles | |
dc.contributor.author | Sosa, Ana Luisa | |
dc.contributor.author | Acosta, Isaac | |
dc.contributor.author | Gaona, Ciro | |
dc.contributor.author | Li, Shuran | |
dc.contributor.author | Valhuerdi, Adolfo | |
dc.contributor.author | Prince, Martin J. | |
dc.contributor.author | Ferri, Cleusa P. | |
dc.contributor.author | Jacob, K. S. | |
dc.contributor.author | Krishnamoorthy, E. S. | |
dc.contributor.author | Dewey, Michael E. | |
dc.contributor.author | Jotheeswaran, A.T. | |
dc.contributor.author | Rodríguez, Diana | |
dc.contributor.author | Rodríguez Pichardo, Guillermina | |
dc.contributor.author | Senthil Kumar, P. | |
dc.contributor.author | Ferri, Cleusa P. | |
dc.date.accessioned | 2018-11-13T00:07:17Z | |
dc.date.available | 2018-11-13T00:07:17Z | |
dc.date.issued | 2008 | |
dc.identifier | DOI:10.1016/S0140-6736(08)61002-8 | |
dc.identifier.citation | Llibre Rodríguez JJ, Ferri CP, Acosta D, Guerra M, Huang Y, Salas A, Sosa AL, et al. Prevalence of dementia in Latin America, India, and China: a population-based cross-sectional survey. The Lancet. 2008 ; 372 : 464-474. | en |
dc.identifier.issn | 01406736 | |
dc.identifier.uri | https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(08)61002-8/fulltext?code=lancet-site | |
dc.description.abstract | Studies have suggested that the prevalence of dementia is lower in developing than in developed regions. We investigated the prevalence and severity of dementia in sites in low-income and middle-income countries according to two definitions of dementia diagnosis. Methods: We undertook one-phase cross-sectional surveys of all residents aged 65 years and older (n=14 960) in 11 sites in seven low-income and middle-income countries (China, India, Cuba, Dominican Republic, Venezuela, Mexico, and Peru). Dementia diagnosis was made according to the culturally and educationally sensitive 10/66 dementia diagnostic algorithm, which had been prevalidated in 25 Latin American, Asian, and African centres; and by computerised application of the dementia criterion from the Diagnostic and Statistical Manual of Mental Disorders (DSM IV). We also compared prevalence of DSM-IV dementia in each of the study sites with that from estimates in European studies. Findings: The prevalence of DSM-IV dementia varied widely, from 0·3% (95% CI 0·1-0·5) in rural India to 6·3% (5·0-7·7) in Cuba. After standardisation for age and sex, DSM-IV prevalence in urban Latin American sites was four-fifths of that in Europe (standardised morbidity ratio 80 [95% CI 70-91]), but in China the prevalence was only half (56 [32-91] in rural China), and in India and rural Latin America a quarter or less of the European prevalence (18 [5-34] in rural India). 10/66 dementia prevalence was higher than that of DSM-IV dementia, and more consistent across sites, varying between 5·6% (95% CI 4·2-7·0) in rural China and 11·7% (10·3-13·1) in the Dominican Republic. The validity of the 847 of 1345 cases of 10/66 dementia not confirmed by DSM-IV was supported by high levels of associated disability (mean WHO Disability Assessment Schedule II score 33·7 [SD 28·6]). Interpretation: As compared with the 10/66 dementia algorithm, the DSM-IV dementia criterion might underestimate dementia prevalence, especially in regions with low awareness of this emerging public-health problem. | en |
dc.language.iso | en | en |
dc.publisher | The Lancet | en |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Africa | es_ES |
dc.subject | Asia | es_ES |
dc.subject | China | es_ES |
dc.subject | República Dominicana | es_ES |
dc.subject | Venezuela | es_ES |
dc.subject | México | es_ES |
dc.subject | Perú | es_ES |
dc.subject | Demencia | es_ES |
dc.subject | Informe de casos | es_ES |
dc.subject | Adulto | es_ES |
dc.subject | Estadísticas y datos numéricos | es_ES |
dc.title | Prevalence of dementia in Latin America, India, and China: a population-based cross-sectional survey. | en |
dc.type | Article | en |