High prevalence of dementia and cognitive impairment in Indigenous Australians

被引:120
|
作者
Smith, K. [1 ,2 ,3 ]
Flicker, L. [1 ,3 ,5 ]
Lautenschlager, N. T. [1 ,4 ,6 ,8 ]
Almeida, O. P. [1 ,4 ,6 ]
Atkinson, D. [1 ,2 ,7 ]
Dwyer, A. [1 ]
LoGiudice, D. [9 ,10 ]
机构
[1] Univ Western Australia, Western Australian Ctr Hlth & Ageing, Perth, WA 6001, Australia
[2] Univ Western Australia, Sch Primary Aboriginal & Rural Hlth Care, Perth, WA 6001, Australia
[3] Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6001, Australia
[4] Univ Western Australia, Sch Psychiat & Clin Neurosci, Perth, WA 6001, Australia
[5] Royal Perth Hosp, Dept Geriatr Med, Perth, WA, Australia
[6] Royal Perth Hosp, Dept Psychiat, Perth, WA, Australia
[7] Kimberley Aboriginal Med Serv Council, Broome, WA, Australia
[8] Univ Melbourne, Dept Psychiat, Melbourne, Vic 3010, Australia
[9] Univ Melbourne, St Vincents Hlth, Acad Unit Psychiat Old Age, Melbourne, Vic 3010, Australia
[10] Royal Pk Melbourne Hlth & Natl Ageing Res Inst, Melbourne, Vic, Australia
基金
英国医学研究理事会;
关键词
D O I
10.1212/01.wnl.0000320508.11013.4f
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: To determine the prevalence of dementia and cognitive impairment among older Indigenous Australians. Methods: A total of 363 Indigenous Australians aged over 45 years from the Kimberley region in the far north of Western Australia were assessed with the Kimberley Indigenous Cognitive Assessment (KICA). All those scoring less than 37 on the KICA and a percentage of those scoring 37 or more were reviewed by specialist clinicians and DSM-IV consensus diagnoses were obtained from two other specialists blinded to KICA results. Results: The prevalence of dementia was 12.4%, substantially higher than in the Australian general population. The prevalence of cognitive impairment not dementia was 8.0%. Conclusions: The prevalence of dementia among Indigenous Australians is substantially higher than that found in non-Indigenous Australians and all other studied populations. Neurology (R) 2008;71:1470-1473
引用
收藏
页码:1470 / 1473
页数:4
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