| Autor: |
Hogervorst E; School of Sports, Exercise &Health Sciences, National Centre for Sports and Exercise Medicine, Loughborough University, Loughborough LE11 3TU, UK., Schröder-Butterfill E; Ageing and Gerontology Group, Department Economic, Social and Political Science, University of Southampton, Southampton SO17 1BJ, UK., Handajani YS; Department of Public Health, Faculty of Medicine, Atma Jaya Catholic University of Indonesia, Daerah Khusus Ibukota Jakarta 12930, Indonesia., Kreager P; Institute of Human Sciences, University of Oxford, Oxford OX1 2JD, UK., Rahardjo TBW; Institute of Human Sciences, University of Oxford, Oxford OX1 2JD, UK.; Faculty of Health Sciences, University of Respati, Daerah Istimewa Yogyakarta 55281, Indonesia. |
| Abstrakt: |
Dementia prevalence is increasing worldwide and developing countries are expected to carry the highest burden of this. Dementia has high care needs and no current effective long-term treatment. However, factors associated with active ageing (e.g., longer employment; participation in society; independent, healthy and secure living; and enabling environments to allow people to remain psychosocially and physically active) could help maintain independence in older people for longer. We investigated proxy indicators of the Active Ageing Index (AAI), which were offset against dementia and dependency (assessed by Instrumental Activities of Daily Living or IADL) in multi-ethnic urban (Jakarta) and rural (Sumedang and Borobudur) health care districts on Java, Indonesia. Dementia was assessed using validated cognitive dementia screening tests, the IADL and carer reports. Dementia and dependency prevalence showed large interregional differences and were highest in rural Borobudur. Dementia and dependency were associated with an older age, lower education (for dementia), worse physical health (for dependency) and not engaging in psychosocial activities, such as attending community events, reading (for dementia) and sport activities (for dependency). By supporting active ageing activities in Puskesmas (primary health care centers) and improving access to medical care, rural areas could possibly reduce dementia and dependency risk. Our follow-up study planned in 2021 should illustrate whether recent relevant policies have rendered success in these areas. Using active ageing indicators could focus policies to support regions with targeted interventions to compress care needs in older people. |
