Epidemca baseline and follow-up: dementia prevalence, incidence and mortality among older adults in Central Africa

Autor: Guerchet, Maëlenn, Ndamba-Bandzouzi, Bébène, M'Belesso, Pascal, Samba, Harielle Anne-Claire, Pilleron, Sophie, Kehoua, Gilles, Lacroix, Philippe, Clément, Jean-Pierre, Dartigues, Jean-François, Preux, Pierre-Marie
Přispěvatelé: Neuroépidémiologie Tropicale ( NET ), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique ( GEIST ), Université de Limoges ( UNILIM ) -Université de Limoges ( UNILIM ) -CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale ( INSERM ), King‘s College London, Service de Chirurgie Thoracique et Vasculaire - Médecine vasculaire [CHU Limoges], CHU Limoges, Centre de Mémoire de Ressources et de Recherches [Limoges] ( CMRR Limoges ), CHU Limoges-CH Esquirol [Limoges] ( CH Esquirol ), Service de Psychiatrie [CHU Limoges], Epidémiologie et Biostatistique [Bordeaux], Université Bordeaux Segalen - Bordeaux 2-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Service de l'Information Médicale et de l'Évaluation [CHU Limoges] ( SIME ), Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges ( UNILIM ), Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Centre de Mémoire de Ressources et de Recherches [Limoges] (CMRR Limoges), CHU Limoges-CH Esquirol [Limoges] (CH Esquirol), Université Bordeaux Segalen - Bordeaux 2-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), Université de Limoges (UNILIM), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: XXIII World Congress of Neurology
XXIII World Congress of Neurology, Sep 2017, Kyoto, Japan
Popis: International audience; A multicenter population-based study was carried out in Central African Republic (CAR) and Republic of Congobetween 2011 and 2012 including both urban and rural sites in each country. Participants aged ≥65 years oldwere interviewed and participants in Congo were followed-up annually between 2012 and 2015 (EPIDEMCA-FUstudy). Qualitative interviews using an ethno-anthropological approach were also performed with peopleidentified with dementia and their relatives in order to investigate social representations, beliefs and stigma.ResultsOverall, 2,002 elderly were interviewed in both countries, including 473 in Nola (rural CAR), 500 in Bangui (urbanCAR), 529 in Gamboma (rural Congo) and 500 in Brazzaville (urban Congo). The crude prevalence of DSM-IVdementia was estimated at 8.5% (CI95%[6.1-11.3] in Nola, at 6.4% (CI95%[4.4-8.9]) in Bangui, 5.7% (CI95%[3.9-8.0] in Gamboma and at 6.6% (CI95%[4.6-9.1]) in Brazzaville. The crude incidence was estimated at 15.8(95% CI 10.2 – 23.3) per 1000 PY. Factors associated with either prevalent or incident dementia in thesestudies, as well as the results of the qualitative interviews, will be detailed during the presentation.ConclusionThe need for targeted social and health policies for older people, as well as strategies for dementia care, isevident and growing in sub-Saharan Africa (SSA).
Databáze: OpenAIRE
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