Dementia and associated factors among the elderly in Vietnam: a cross-sectional study
Tóm tắt
Dementia poses a serious threat to the wellbeing of the elderly. In the context of the rapidly ageing population of Vietnam however, little is known about the prevalence of symptoms and other related factors. This study aims to detect the prevalence of cognitive symptoms of dementia in the elderly in Vietnam as well as other associated factors. A cross-sectional study was conducted over a period of six communes at the Northern, Central and Southern region of Vietnam. Prevalence of cognitive symptoms of dementia was the outcome of interest and assessed by Mini Mental State Evaluation (MMSE) questionnaire and was standardized according to the age structure of Vietnam. A total of 3308 adults aged 60 and above were included. Association between having cognitive symptoms of dementia and other factors was assessed with logistic regression. Cognitive symptoms of dementia were perceived in 46.4% of the sample group. The symptoms were more common among participants who were older, female, had a lower educational level, were not physically active or have previously had stroke. Prevalence of cognitive symptoms of dementia in adults aged 60 and above was relatively high in Vietnam. Other modifiable associated factors including physical inactivity and social connectedness should also be considered in designing intervention program to prevent dementia in the future.
Tài liệu tham khảo
World Health Organization. Dementia: a public health priority. United Kingdom: World Health Organization; 2012. http://apps.who.int/iris/bitstream/10665/75263/1/9789241564458_eng.pdf?ua=1. Accessed 26 Oct 2018.
Le VT. Epidemiology of dementia among the elderly in two districts of Hanoi 2010–2012. [Hanoi]; 2014. https://doc-08-70-docs.googleusercontent.com/docs/securesc/f1ujo3nfljd5gpuevpja44fjbar7b1u5/jkdpi91gu992c06eaa8isc4n74d1flk3/1540440000000/13262753005187749170/05021755690658172151/0B3xyhqXZTKOsOFRmUUF0ZE5LYkE?e=download&nonce=i2qrcqj3jj180&user=05021755690658172151&hash=819o4phd0que1a3n3qq9dpdqrgthgs4g. Accessed 26 Oct 2018.
Nguyen TV, Pham T, Le QC, Ta TV. Dementia after cerebral infarction and some risk factors. J Pract Med. 2009;3–6.
Giang L. Viet Nam Aging Survey (VNAS), 2011: Key findings. 2012. http://www.wpro.who.int/vietnam/vietnam_ageing_survey_2011.pdf. Accessed 27 May 2019.
Nguyen NH, Le QC. Prevalence of dementia among the elderly in Ba Vi district (2005–2006). J Pract Med. 2009;(662):26–8.
Tran VL, Phan VT, Do TKH. Screening of the elderly who are at risk of dementia in Vu Ban district, Nam Dinh province. J Pract Med. 2013;856(1):47–50.
Vu AN, Nguyen KQ. Epidemiological study on dementia in Ho Chi Minh city. 2007. http://hocday.com/download/nghin-cu-dch-t-bnh-l-sa-st-tr-tu-ti-thnh-ph-h-ch-minh.doc. Accessed 28 Oct 2018.
World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva; 1992. http://www.who.int/iris/handle/10665/37958. Accessed 26 Oct 2018.
Hugo J, Ganguli M. Dementia and cognitive impairment: epidemiology, diagnosis, and treatment. Clin Geriatr Med. 2014;30(3):421–42.
Creavin ST, Wisniewski S, Noel-Storr AH, Trevelyan CM, Hampton T, Rayment D, et al. Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Cochrane Database Syst Rev. 2016. https://doi.org/10.1002/14651858.CD011145.pub2.
General Statistics Office. The 1/4/2013 time-point population change and family planning survey—major findings. Hanoi: General Statistics Office; 2013. https://www.gso.gov.vn/Modules/Doc_Download.aspx?DocID=17009. Accessed 25 Oct 2018.
Matallana D, de Santacruz C, Cano C, Reyes P, Samper-Ternent R, Markides KS, et al. The relationship between education level and mini-mental state examination domains among older Mexican Americans. J Geriatr Psychiatry Neurol. 2011;24(1):9–18.
Brucki SMD, Nitrini R. Mini-Mental State Examination among lower educational levels and illiterates: transcultural evaluation. Dement Neuropsychol. 2010;4(2):120–5.
de Brito-Marques PR, Cabral-Filho JE. The role of education in mini-mental state examination: a study in Northeast Brazil. Arq Neuropsiquiatr. 2004;62(2A):206–11.
Pham T. Hợp tác nghiên cứu một số yếu tố nguy cơ của hội chứng sa sút trí tuệ ở người cao tuổi. Hanoi: Vietnam National Institute of Gerontology; 2010.
UNFPA. The ageing population in Viet Nam: current status, prognosis, and possible policy responses. 2011. p. 68. Report No.: 660–2011/CXB/20–33/DT. https://vietnam.unfpa.org/sites/default/files/pub-pdf/Ageing%20report_ENG_FINAL_27.07.pdf. Accessed 13 Mar 2019.
Ren L, Zheng Y, Wu L, Gu Y, He Y, Jiang B, et al. Investigation of the prevalence of Cognitive Impairment and its risk factors within the elderly population in Shanghai China. Sci Rep. 2018;8(1):3575.