Prevalence estimates of dementia in older adults in rural Kilimanjaro 2009–2010 and 2018–2019: is there evidence of changing prevalence?

Autor: Damas Andrea, Irene Haule, John Kissima, Sarah Urasa, Stella-Maria Paddick, Louise Robinson, Ssenku Safic, Jane Rogathi, Robyn Barber, Declare Mushi, Richard Walker, Catherine Dotchin, Marcella Yoseph, Aoife Colgan, Aloyce Kisoli, William K. Gray
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Geriatric Psychiatry. 36:950-959
ISSN: 1099-1166
0885-6230
Popis: Introduction Although limited, existing epidemiological data on dementia in sub-Saharan Africa indicate that prevalence may be increasing; contrasting recent decreases observed in high-income countries. We have previously reported the age-adjusted prevalence of dementia in rural Tanzania in 2009-2010 as 6.4% (95% CI 4.9-7.9) in individuals aged ≥70 years. We aimed to repeat a community-based dementia prevalence study in the same setting to assess whether prevalence has changed. Methods This was a two-phase door-to-door community-based cross-sectional survey in Kilimanjaro, Tanzania. In Phase I, trained primary health workers screened all consenting individuals aged ≥60 years from 12 villages using previously validated , locally developed, tools (IDEA cognitive screen and IDEA-Instrumental Activities of Daily Living questionnaire). Screening was conducted using a mobile digital application (app) on a hand-held tablet. In Phase II, a stratified sample of those identified in Phase I were clinically assessed using the DSM-5 criteria and diagnoses subsequently confirmed by consensus panel. Results Of 3011 people who consented, 424 screened positive for probable dementia and 227 for possible dementia. During clinical assessment in Phase II, 105 individuals met DSM-5 dementia criteria. The age-adjusted prevalence of dementia was 4.6% (95% CI 2.9-6.4) in those aged ≥60 years and 8.9% (95% CI 6.1-11.8) in those aged ≥70 years. Prevalence rates increased significantly with age. Conclusions The prevalence of dementia in this rural Tanzanian population appears to have increased since 2010, although not significantly. Dementia is likely to become a significant health burden in this population as demographic transition continues. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE
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