Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study
Background: Taiwan is a rapidly aging society. The elderly with mild cognitive impairment (MCI) have increased risk of dementia, and this is a population-based report using standard neuropsychological tests and expert consensus diagnosis to assess the MCI prevalence and its associated factors in Tai...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664621001108 |
| _version_ | 1819066025355771904 |
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| author | Yi-Fang Chuang Yi-Chien Liu Hsin-Yi Tseng Pei-Xuan Lin Cheng-Yi Li Ming-Hsiung Shih Kuan-Chia Lin TienYu Owen Yang Sui-Hing Yan Yen-Ling Chiu |
| author_facet | Yi-Fang Chuang Yi-Chien Liu Hsin-Yi Tseng Pei-Xuan Lin Cheng-Yi Li Ming-Hsiung Shih Kuan-Chia Lin TienYu Owen Yang Sui-Hing Yan Yen-Ling Chiu |
| author_sort | Yi-Fang Chuang |
| collection | DOAJ |
| description | Background: Taiwan is a rapidly aging society. The elderly with mild cognitive impairment (MCI) have increased risk of dementia, and this is a population-based report using standard neuropsychological tests and expert consensus diagnosis to assess the MCI prevalence and its associated factors in Taiwan. Method: The Epidemiology of Mild Cognitive Impairment study in Taiwan (EMCIT) is a community-based, prospective cohort study. Independently-living individuals aged ≧60 years in a rural area (n = 122) and in an urban area (n = 348) of New Taipei City, Taiwan, completed detailed neuropsychological tests at the cohort baseline. Diagnosis of MCI was ascertained through expert consensus based on 2011 NIA-AA criteria. Results: Of 470 participants recruited between 2017 and 2019 (mean age 71.2 ± 5.4 years), the prevalence of MCI was higher in the rural area than in the urban area (25.1% vs. 10.8%, p < 0.001) after standardized for age, gender, and level of education. Having lower education and having depression symptoms were consistently associated with increased risk of MCI in both urban and rural areas (p < 0.05). Being male and diabetes were additionally associated with MCI prevalence in urban areas. Conclusion: In this community-based prospective cohort study in Taiwan, the prevalence of MCI in the rural community was much higher than that in the urban community. Different strategies may be needed to targeted different types of communities. |
| first_indexed | 2024-12-21T15:55:48Z |
| format | Article |
| id | doaj.art-242bdd47c29644288ca12fbea9bd6260 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-21T15:55:48Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-242bdd47c29644288ca12fbea9bd62602022-12-21T18:58:05ZengElsevierJournal of the Formosan Medical Association0929-66462021-09-01120917491757Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT studyYi-Fang Chuang0Yi-Chien Liu1Hsin-Yi Tseng2Pei-Xuan Lin3Cheng-Yi Li4Ming-Hsiung Shih5Kuan-Chia Lin6TienYu Owen Yang7Sui-Hing Yan8Yen-Ling Chiu9Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei, TaiwanDepartment of Neurology, Cardinal Tien Hospital, New Taipei, Taiwan; Medical school of Fu-Jen University, New Taipei, Taiwan; Geriatric Behavioral Neurology Project, Tohoku University New Industry Hatchery Center (NICHe), Sendai, JapanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanInstitute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanPublic Health Center, Ping-Ling District, New Taipei, TaiwanDepartment of Family Medicine, Far Eastern Memorial Hospital, New Taipei, TaiwanCommunity Research Center, Institute of Hospital and Health Care Administration, National Yang-Ming Chiao Tung University, Taipei, TaiwanNuffield Department of Population Health, University of Oxford, Oxford, UK; University Hospitals Coventry and Warwickshire NHS Trust and Coventry & Warwickshire Partnership NHS Trust, UKDepartment of Neurology, Far Eastern Memorial Hospital, New Taipei, TaiwanGraduate Program in Biomedical Informatics, Department of Computer Science and Engineering, College of Informatics, Yuan Ze University, Taoyuan, Taiwan; Department of Medical Research, Far Eastern Memorial Hospital, New Taipei City, Taiwan; Department of Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan; Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan; Graduate Institute of Medicine, Yuan Ze University, Taoyuan, Taiwan; Corresponding author. Department of Medical Research, Far Eastern Memorial Hospital. No.21, Section 2, Nanya S Rd, Banciao District, New Taipei City, Taiwan (220).Background: Taiwan is a rapidly aging society. The elderly with mild cognitive impairment (MCI) have increased risk of dementia, and this is a population-based report using standard neuropsychological tests and expert consensus diagnosis to assess the MCI prevalence and its associated factors in Taiwan. Method: The Epidemiology of Mild Cognitive Impairment study in Taiwan (EMCIT) is a community-based, prospective cohort study. Independently-living individuals aged ≧60 years in a rural area (n = 122) and in an urban area (n = 348) of New Taipei City, Taiwan, completed detailed neuropsychological tests at the cohort baseline. Diagnosis of MCI was ascertained through expert consensus based on 2011 NIA-AA criteria. Results: Of 470 participants recruited between 2017 and 2019 (mean age 71.2 ± 5.4 years), the prevalence of MCI was higher in the rural area than in the urban area (25.1% vs. 10.8%, p < 0.001) after standardized for age, gender, and level of education. Having lower education and having depression symptoms were consistently associated with increased risk of MCI in both urban and rural areas (p < 0.05). Being male and diabetes were additionally associated with MCI prevalence in urban areas. Conclusion: In this community-based prospective cohort study in Taiwan, the prevalence of MCI in the rural community was much higher than that in the urban community. Different strategies may be needed to targeted different types of communities.http://www.sciencedirect.com/science/article/pii/S0929664621001108Mild cognitive impairmentPrevalenceEpidemiologyRural population |
| spellingShingle | Yi-Fang Chuang Yi-Chien Liu Hsin-Yi Tseng Pei-Xuan Lin Cheng-Yi Li Ming-Hsiung Shih Kuan-Chia Lin TienYu Owen Yang Sui-Hing Yan Yen-Ling Chiu Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study Journal of the Formosan Medical Association Mild cognitive impairment Prevalence Epidemiology Rural population |
| title | Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study |
| title_full | Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study |
| title_fullStr | Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study |
| title_full_unstemmed | Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study |
| title_short | Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study |
| title_sort | urban rural differences in the prevalence and correlates of mild cognitive impairment in community dwelling older adults in taiwan the emcit study |
| topic | Mild cognitive impairment Prevalence Epidemiology Rural population |
| url | http://www.sciencedirect.com/science/article/pii/S0929664621001108 |
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