Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey
BackgroundIntegrating the management of dementia into primary healthcare is a cost-effective way to reduce the burden of dementia but the clinical epidemiology of dementia in primary healthcare settings remains unclear. This study investigated the prevalence and correlates of suspected dementia in C...
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1032118/full |
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| author | Zong-Qin Wang Zong-Qin Wang Lei Fei Yan-Min Xu Yan-Min Xu Fang Deng Fang Deng Bao-Liang Zhong Bao-Liang Zhong |
| author_facet | Zong-Qin Wang Zong-Qin Wang Lei Fei Yan-Min Xu Yan-Min Xu Fang Deng Fang Deng Bao-Liang Zhong Bao-Liang Zhong |
| author_sort | Zong-Qin Wang |
| collection | DOAJ |
| description | BackgroundIntegrating the management of dementia into primary healthcare is a cost-effective way to reduce the burden of dementia but the clinical epidemiology of dementia in primary healthcare settings remains unclear. This study investigated the prevalence and correlates of suspected dementia in Chinese older adults receiving primary healthcare.MethodsIn this multicenter cross-sectional survey, a total of 773 older adults (≥65 years) were consecutively recruited from seven urban and six rural primary care clinics in Wuhan, China, and interviewed with the validated Chinese version of the Brief Community Screening Instrument for Dementia (BCSI-D). Participants with suspected dementia were those who were screened positive on the BCSI-D.ResultsThe prevalence of suspected dementia in older primary healthcare adults was 26.8%. Factors significantly associated with suspected dementia were female sex (OR = 1.95, P < 0.001), age-group of 75+ (OR = 1.68, P = 0.004), poor financial status (OR = 4.79, P < 0.001), rural residence (OR = 1.47, P = 0.032), no regular physical exercise (OR = 1.74, P = 0.002), and stroke and other cerebrovascular diseases (OR = 1.97, P = 0.015).ConclusionsChinese older adults receiving primary healthcare are at high risk of suspected dementia. Screening and intervention efforts for dementia in primary healthcare settings may be more useful to target older adults who are women, are 75 years and above, have poor economic status, are rural residents, have no exercise habit, and suffer from cerebrovascular diseases. |
| first_indexed | 2024-04-11T09:20:23Z |
| format | Article |
| id | doaj.art-5a7611b2496d4f0ba45ff0289d59756e |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T09:20:23Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-5a7611b2496d4f0ba45ff0289d59756e2022-12-22T04:32:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.10321181032118Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional surveyZong-Qin Wang0Zong-Qin Wang1Lei Fei2Yan-Min Xu3Yan-Min Xu4Fang Deng5Fang Deng6Bao-Liang Zhong7Bao-Liang Zhong8Department of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Clinical Psychology, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Ultrasound, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Clinical Psychology, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Clinical Psychology, Wuhan Hospital for Psychotherapy, Wuhan, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, ChinaDepartment of Clinical Psychology, Wuhan Hospital for Psychotherapy, Wuhan, ChinaBackgroundIntegrating the management of dementia into primary healthcare is a cost-effective way to reduce the burden of dementia but the clinical epidemiology of dementia in primary healthcare settings remains unclear. This study investigated the prevalence and correlates of suspected dementia in Chinese older adults receiving primary healthcare.MethodsIn this multicenter cross-sectional survey, a total of 773 older adults (≥65 years) were consecutively recruited from seven urban and six rural primary care clinics in Wuhan, China, and interviewed with the validated Chinese version of the Brief Community Screening Instrument for Dementia (BCSI-D). Participants with suspected dementia were those who were screened positive on the BCSI-D.ResultsThe prevalence of suspected dementia in older primary healthcare adults was 26.8%. Factors significantly associated with suspected dementia were female sex (OR = 1.95, P < 0.001), age-group of 75+ (OR = 1.68, P = 0.004), poor financial status (OR = 4.79, P < 0.001), rural residence (OR = 1.47, P = 0.032), no regular physical exercise (OR = 1.74, P = 0.002), and stroke and other cerebrovascular diseases (OR = 1.97, P = 0.015).ConclusionsChinese older adults receiving primary healthcare are at high risk of suspected dementia. Screening and intervention efforts for dementia in primary healthcare settings may be more useful to target older adults who are women, are 75 years and above, have poor economic status, are rural residents, have no exercise habit, and suffer from cerebrovascular diseases.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1032118/fullolder adultsprimary healthcaredementiacross-sectional surveyChina |
| spellingShingle | Zong-Qin Wang Zong-Qin Wang Lei Fei Yan-Min Xu Yan-Min Xu Fang Deng Fang Deng Bao-Liang Zhong Bao-Liang Zhong Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey Frontiers in Public Health older adults primary healthcare dementia cross-sectional survey China |
| title | Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey |
| title_full | Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey |
| title_fullStr | Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey |
| title_full_unstemmed | Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey |
| title_short | Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey |
| title_sort | prevalence and correlates of suspected dementia in older adults receiving primary healthcare in wuhan china a multicenter cross sectional survey |
| topic | older adults primary healthcare dementia cross-sectional survey China |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1032118/full |
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