A cross-sectional study of disability rate of dementia and risk factors in Chinese old people
10.3969/j.issn.1000-6729.2024.11.002
- VernacularTitle:中国老年期痴呆残疾的现况调查
- Author:
Wenlei WU
1
,
2
;
Yueqin HUANG
;
Zhaorui LIU
;
Tingting ZHANG
;
Chao MA
;
Yifeng XU
;
Tao LI
;
Xiufeng XU
;
Yaqin YU
;
Yongping YAN
;
Zhizhong WANG
;
Xiangdong XU
;
Limin WANG
;
Qiang LI
;
Guangming XU
;
Shuiyuan XIAO
;
Lingjiang LI
Author Information
1. 北京大学医学部医学技术研究院,北京 100191
2. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
- Keywords:
aged;
dementia;
mental disability;
disability rate in population;
disability rate in patients;
risk factors
- From:
Chinese Mental Health Journal
2024;38(11):936-942
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To describe disability rates of dementia in community residents aged 65 years and over in China,and explore related risk factors of disability.Methods:This study conducted an in-depth data analysis of the China Mental Health Survey.World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0)was used to assess dementia disability,Community Screening Interview for Dementia(CSID)and Geriatric Mental Status Examination(GMS)were used for dementia screening and diagnosing.Univariate analysis was used to calcu-late the weighted disability rates of dementia in population and in patients,and their population distribution.Multiple linear regression and logistic regression were used to analyze the risk factors of the occurrence of dementia disability and its severity.Results:The weighted disability rate of dementia was 2.1％in population,and 38.6％in pa-tients.The disability rates of comorbid dementia in population and in patients were higher than those of patients with only dementia.Female,older age,lower education level,lower economic status,and lower cognitive test scores in CSID had higher disability rates of dementia in population.Female and urban resident had higher disability rates of dementia in patients.Multiple linear regression showed economic status(β=0.11),gender(β=0.11),age(β=0.10),and treatment in the last 12 months(β=-0.20)were statistically associated with WHODAS 2.0 scores.Multiple logistic regression showed female(OR=2.81)and treatment in the last 12 months(OR=2.38)were statistically associated with disability.Conclusions:Persons with low economic status,female and elderly peo-ple are the high-risk groups for dementia disability.It should be paid attention to prevent dementia and its conse-quential disabilities.
