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dc.contributor.authorChen, Ruoling
dc.contributor.authorMa, Ying
dc.contributor.authorWilson, Ken
dc.contributor.authorHu, Zhi
dc.contributor.authorSallah, David
dc.contributor.authorWang, Jiaji
dc.contributor.authorFan, Lihua
dc.contributor.authorChen, Ruo-Li
dc.contributor.authorCopeland, John R
dc.date.accessioned2018-08-30T08:54:58Z
dc.date.available2018-08-30T08:54:58Z
dc.date.issued2011-09-21
dc.identifier.issn0885-6230
dc.identifier.pmid21948197
dc.identifier.doi10.1002/gps.2767
dc.identifier.urihttp://hdl.handle.net/2436/621651
dc.description.abstractPrevious studies indicated overall relatively low prevalence of dementia in older people in China, which may be biased by studied samples or methods. We determined the prevalence of dementia cases and subcases in China and examined their socio-economic correlates. Using the Geriatric Mental State interview, we examined random samples of 2917 participants aged ≥ 65 years in urban and rural Anhui, China in 2001-2003, and 3327 in four other provinces in 2008-2009. Dementia cases and subcases were diagnosed by Geriatric Mental State-Automated Geriatric Examination for Computer Assisted Taxonomy. Age-standardised prevalence for cases and subcases of dementia in the Anhui elders was 7.20% (95%CI 6.29%-8.20%) and 10.5% (9.38%-11.6%), and in the four provinces, 9.86% (8.80%-10.9%) and 8.51% (7.51%-9.52%). The matched figures among the participants who were literate were 3.05% (2.08%-4.02%) and 10.0% (8.38%-11.6%), and 4.92% (3.89%-5.96%) and 6.76% (5.55%-7.96%), respectively. There were higher prevalence rates of dementia cases and subcases in the rural elders than in the urban. Both the Anhui and four-province studies showed an obvious association of dementia with higher and lower incomes among elders who had lower educational levels or had the lowest occupational class. The highest risk of dementia was found in those who were illiterate but had the highest income or had the job of business/nonmanual labouring. People in China have a higher prevalence of dementia than previously reported. Its U-shaped relationship with income and the excess subcases prevalence predicates a significant burden of disease, both now and for the future, suggesting preventive strategy for dementia in China.
dc.formatapplication/PDF
dc.language.isoen
dc.publisherWiley
dc.relation.urlhttps://onlinelibrary.wiley.com/doi/abs/10.1002/gps.2767
dc.subjectdementia
dc.subjectdeprivation
dc.subjectelders
dc.subjectprevalence
dc.subjectrisk factors
dc.subjectsocio-economic transition
dc.titleA multicentre community-based study of dementia cases and subcases in older people in China--the GMS-AGECAT prevalence and socio-economic correlates.
dc.typeJournal article
dc.identifier.journalInternational Journal of Geriatric Psychiatry
dc.date.accepted2011-06-28
rioxxterms.funderUniversity of Wolverhampton
rioxxterms.identifier.projectUOW300818RC
rioxxterms.versionAO
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2011-09-21
dc.source.journaltitleInternational journal of geriatric psychiatry
refterms.dateFOA2018-08-30T08:54:59Z


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