Mostrar el registro sencillo del ítem

dc.contributor.authorAcosta, Daisy
dc.contributor.authorRottbeck, Ruth
dc.contributor.authorRodríguez, J. G.
dc.contributor.authorGonzález, Loida M.
dc.contributor.authorAlmánzar, Mary R.
dc.contributor.authorMinaya, Susana N.
dc.contributor.authorOrtiz, María del C.
dc.contributor.authorFerri, Cleusa P.
dc.contributor.authorPrince, Martin J.
dc.date.accessioned2018-11-27T11:24:08Z
dc.date.available2018-11-27T11:24:08Z
dc.date.issued2010
dc.identifier.citationAcosta D, Rottbeck R, Rodríguez JG, González LM, Almánzar MR, Minaya SN ... et al. The prevalence and social patterning of chronic diseases among older people in a population undergoing health transition: a 10/66 group cross-sectional population-based survey in the Dominican Republic. BMC Public Health. 2010 ; 10 (344) :1-17en
dc.identifier.issn14712458
dc.identifier.urihttps://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-10-344
dc.description.abstractVery little of the increased attention towards chronic diseases in countries with low and middle incomes has been directed towards older people, who contribute 72% of all deaths, and 14% of all Disability Adjusted Life Years linked to this group of conditions in those regions. We aimed to study the prevalence of physical, mental and cognitive diseases and impairments among older people in the Dominican Republic, their social patterning, and their relative contributions to disability. Methods. A cross-sectional catchment area one-phase survey of chronic disease diagnoses, physical impairments, risk factors and associated disability among 2011 people aged 65 years and over (of whom 1451 gave fasting blood samples) in Santo Domingo, Dominican Republic. Results. The most prevalent diagnoses were hypertension (73.0%), anaemia (35.0%), diabetes (17.5%), depression (13.8%) and dementia (11.7%), with 39.6% meeting criteria for metabolic syndrome. After direct standardization (for age and sex) the prevalences of stroke (standardized morbidity ratio [SMR] 100) and hypertension (SMR 108) were similar to those in the United States of America National Health and Nutrition Examination Survey (NHANES reference SMR 100), while those of diabetes (SMR 83) and metabolic syndrome (SMR 72) were somewhat lower. Anaemia was three times more common than in the USA (SMR 310). Diabetes, ypertension, dyslipidaemia, obesity and the metabolic syndrome were associated with affluence and female sex. Arthritis, anaemia, dementia and stroke were strongly age-associated and these conditions were also the main independent contributors to disability. Conclusions. The prevalence of many chronic diseases is similar in predominately low socioeconomic status neighbourhoods in the Dominican Republic to that in the USA. Prevalence of age-associated conditions is likely to increase with demographic ageing. There is also scope for increases in cardiovascular disease prevalence, if, as observed in other settings undergoing the epidemiologic transition, the burden of risk factors shifts towards the less affluent. Monitoring future trends in the prevalence and social patterning of chronic diseases may help to assess the effectiveness and equity of primary and secondary prevention strategies. Specific recommendations from our research include identifying and targeting the causes of anaemia among older people, and addressing women's health disadvantages.en
dc.language.isoenen
dc.publisherBMC Public Healthen
dc.relation.ispartofseries10;art no.344
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectTrastornos de la memoriaes_ES
dc.subjectPersonas con discapacidades_ES
dc.subjectAnciano de 80 o más añoses_ES
dc.subjectAncianoes_ES
dc.subjectEnfermedad crónicaes_ES
dc.subjectDemenciaes_ES
dc.subjectFactores socioeconómicoses_ES
dc.subjectFactores de riesgoes_ES
dc.subjectTrastornos mentaleses_ES
dc.subjectEstadísticas y datos numéricoses_ES
dc.subjectRepública Dominicanaes_ES
dc.titleThe prevalence and social patterning of chronic diseases among older people in a population undergoing health transition: a 10/66 group cross-sectional population-based survey in the Dominican Republic .en
dc.typeArticleen


Ficheros en el ítem

Thumbnail
Thumbnail

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem

Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Excepto si se señala otra cosa, la licencia del ítem se describe como Attribution-NonCommercial-NoDerivatives 4.0 Internacional