Prevalence of Dementia and Its Correlates among Participants in the National Early Dementia Detection Program during 2006-2009.
- Author:
Moon Doo KIM
1
;
Joon Hyuk PARK
;
Chang In LEE
;
Na Ri KANG
;
Jae Sung RYU
;
Bong Hee JEON
;
Ki Woong KIM
;
Won Myong BAHK
;
Bo Hyun YOON
;
Seunghee WON
;
Jun Hwa LEE
;
Duk Soo KIM
;
Seong Chul HONG
Author Information
1. Department of Psychiatry and Institute of Medical Science, Jeju National University School of Medicine, Jeju, Korea. mdkim66@jejunu.ac.kr
- Publication Type:Original Article
- Keywords:
Dementia;
Prevalence;
Correlates;
MMSE-KC
- MeSH:
Cognitive Reserve;
Dementia;
Depression;
Education, Nursing;
Logistic Models;
Nursing Homes;
Prevalence;
Social Class
- From:Psychiatry Investigation
2012;9(2):134-142
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the prevalence of dementia and its correlates among people with poor socioeconomic status, poor social support systems, and poor performance on the Korean version of the Mini-Mental Status Exam (MMSE-KC). METHODS: We used 2006-2009 data of the National Early Dementia Detection Program (NEDDP) conducted on Jeju Island. This program included all residents >65 years old who were receiving financial assistance. We examined those who performed poorly (standard deviation from the norm of <-1.5) on the MMSE-KC administered as part of the NEDDP, using age-, gender-, and education-adjusted norms for Korean elders. A total of 1708 people were included in this category. RESULTS: The prevalence of dementia in this group was 20.5%. Multivariate logistic regression analysis revealed that the following factors were statistically significantly associated with dementia: age of 80 or older, no education, nursing home residence, and depression. CONCLUSION: The prevalence of dementia is very high among those with lower MMSE-KC scores, and significant correlates include older age, no education, living in a nursing home, and depression. Enhancing lifetime education to improve individuals' cognitive reserves by providing intellectually challenging activities, encouraging living at home rather than in a nursing home, and preventing and treating depression in its early phase could reduce the prevalence of dementia in this population.
