Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review

ABSTRACT Cognitive screening instruments are influenced by education and/or culture. In Brazil, as illiteracy and low education rates are high, it is necessary to identify the screening tools with the highest diagnostic accuracy for Alzheimer's disease (AD). Objective: To identify the cognitiv...

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Main Authors: Luciane de Fátima Viola Ortega, Ivan Aprahamian, Marcus Kiiti Borges, João de Castilho Cação, Mônica Sanches Yassuda
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2019-05-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000400279&lng=en&tlng=en
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author Luciane de Fátima Viola Ortega
Ivan Aprahamian
Marcus Kiiti Borges
João de Castilho Cação
Mônica Sanches Yassuda
author_facet Luciane de Fátima Viola Ortega
Ivan Aprahamian
Marcus Kiiti Borges
João de Castilho Cação
Mônica Sanches Yassuda
author_sort Luciane de Fátima Viola Ortega
collection DOAJ
description ABSTRACT Cognitive screening instruments are influenced by education and/or culture. In Brazil, as illiteracy and low education rates are high, it is necessary to identify the screening tools with the highest diagnostic accuracy for Alzheimer's disease (AD). Objective: To identify the cognitive screening instruments applied in the Brazilian population with greater accuracy, to detect AD in individuals with a low educational level or who are illiterate. Methods: Systematic search in SciELO, PubMed and LILACS databases of studies that used cognitive screening tests to detect AD in older Brazilian adults with low or no education. Results: We found 328 articles and nine met the inclusion criteria. The identified instruments showed adequate or high diagnostic accuracy. Conclusion: For valid cognitive screening it is important to consider sociocultural and educational factors in the interpretation of results. The construction of specific instruments for the low educated or illiterate elderly should better reflect the difficulties of the Brazilian elderly in different regions of the country.
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spelling doaj.art-0bfcdadb71cc438f9e2be634b5288b4b2022-12-22T00:02:49ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272019-05-0177427928810.1590/0004-282x20190024S0004-282X2019000400279Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic reviewLuciane de Fátima Viola OrtegaIvan AprahamianMarcus Kiiti BorgesJoão de Castilho CaçãoMônica Sanches YassudaABSTRACT Cognitive screening instruments are influenced by education and/or culture. In Brazil, as illiteracy and low education rates are high, it is necessary to identify the screening tools with the highest diagnostic accuracy for Alzheimer's disease (AD). Objective: To identify the cognitive screening instruments applied in the Brazilian population with greater accuracy, to detect AD in individuals with a low educational level or who are illiterate. Methods: Systematic search in SciELO, PubMed and LILACS databases of studies that used cognitive screening tests to detect AD in older Brazilian adults with low or no education. Results: We found 328 articles and nine met the inclusion criteria. The identified instruments showed adequate or high diagnostic accuracy. Conclusion: For valid cognitive screening it is important to consider sociocultural and educational factors in the interpretation of results. The construction of specific instruments for the low educated or illiterate elderly should better reflect the difficulties of the Brazilian elderly in different regions of the country.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000400279&lng=en&tlng=enCogniçãoeducaçãodoença de Alzheimeralfabetizaçãodemência
spellingShingle Luciane de Fátima Viola Ortega
Ivan Aprahamian
Marcus Kiiti Borges
João de Castilho Cação
Mônica Sanches Yassuda
Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review
Arquivos de Neuro-Psiquiatria
Cognição
educação
doença de Alzheimer
alfabetização
demência
title Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review
title_full Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review
title_fullStr Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review
title_full_unstemmed Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review
title_short Screening for Alzheimer's disease in low-educated or illiterate older adults in Brazil: a systematic review
title_sort screening for alzheimer s disease in low educated or illiterate older adults in brazil a systematic review
topic Cognição
educação
doença de Alzheimer
alfabetização
demência
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000400279&lng=en&tlng=en
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