| 李红,张洪惠,黄和,汪银洲,黄华玲.福州市鼓山镇农村老年期痴呆患病率调查[J].Chinese journal of Epidemiology,2009,30(8):772-775 |
| 福州市鼓山镇农村老年期痴呆患病率调查 |
| Prevalence of dementia among rural elderly in Gushan township,Fuzhou |
| Received:December 11, 2008 |
| DOI： |
| KeyWord: 痴呆 患病率 老年人 |
| English Key Word: Dementia Prevalence rate Elderly |
| FundProject:福州市城郊居民慢性病社区诊断及健康管理干预的效果评价(2009J01111) |
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| Abstract: |
| 目的 调查福州市鼓山镇农村≥65岁人群痴呆的患病率.方法 采用普查法,对福州市鼓山镇22个村委会≥65岁的老年人进行痴呆患病率的调查,调查采用筛查和确诊两阶段法,按美国精神病协会的精神障碍诊断与统计手册第4版(DSM-Ⅳ)的标准诊断痴呆.结果 符合样本纳入标准的人群共2913人,实际调查2696人,共确诊痴呆患者197例,患病率为7.3%.其中男、女性痴呆患病率分别为5.1%、8.9%,男性低于女性.不同受教育程度人群痴呆患病率不同,文盲人群痴呆患病率最高,达9.2%;小学文化程度痴呆患病率居其次,为5.2%;初中文化程度痴呆患病率为3.9%;高中文化程度痴呆患病率最低,为2.5%.多因素非条件logistic回归分析显示,年龄、日常生活能力情况、婚姻状况、月收入、看电视、打麻将及照顾家人是老年痴呆的影响因素.结论 痴呆患病率随年龄的增加而逐渐升高;受教育程度低者痴呆的患病率较高;经常看电视/电影或现场表演、玩牌,麻将或下棋及照顾家人等业余活动者痴呆的患病率较低. |
| English Abstract: |
| Objective To study the prevalence of dementia and its related risk factors in people aged 65 years and older in Gushan township.Methods People aged 65 years or older in 22 villages of Gushan township were screened,from July 2007 to November 2007.Face to face interview with mini-mental state examination,and followed by clinical assessment.A series of neuropsychological examination was done on selected subjects based on the results of the screening tests.Clinical diagnosis on dementia was made according to the Diagnosis and Statistical Manual of Mentai Disorder Fourth Edition.Resuits Out of the 2913 people 2696 aged 65 years or older,were enrolled.Among the participants,197 were confirmed of having dementia,accounting for the overall rate as 7.3%.The prevalence rate of dementia was 5.1% in males and 8.9% in females.Prevalence of dementia in the highly educated intellectuals was 9.2%,followed by 5.2%,3.9% and 2.5% in those having received primary,junior high or senior high school education.Results from logistic regression analysis showed that the major risk factors which influencing the prevalence of dementia would include age,aetivies of daily living,marital status,monthly income,frequency in watching TV/movie/field show,poker player or tress and taking care of the family etc.Conclusion The prevalence rate of dementia went up along with age.Factors as watching TV/movie/field show or playing poker/chess more frequently,as well as taking good care on families tend tO help reduce or postpone the development of dementia. |
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