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Knowledge of Alzheimer's disease in four ethnic groups of older adults
- Authors:
- AVALON Liat, AREAN Patricia
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(1), January 2004, pp.51-57.
- Publisher:
- Wiley
The present study evaluated knowledge of Alzheimer's disease (AD) in four ethnic groups of older adults. Ninety-six Anglo, 37 Latino, 30 Asian, and 30 African American older adults completed a short survey about AD. Results indicated that Anglo older adults are significantly more knowledgeable about AD than African American, Asian, and Latino older adults. Level of education partially accounted for differences in knowledge of AD between Latino to Anglo older adults. After controlling for age, number of years of speaking English was associated with knowledge of AD in Asian older adults. The results suggest that certain ethnic minority groups do not have sufficient information about AD, and this may explain the lack of AD service use by minorities. Extensive evaluation of barriers to knowledge of AD is needed in order to specifically target minority groups and educate them about AD and the importance of early intervention.
The prevalence of dementia in a metropolitan city of South Korea
- Authors:
- KIM Jungsoon, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(7), July 2003, pp.617-622.
- Publisher:
- Wiley
There are few studies on the prevalence of dementia in South Korea. This study was designed to estimate the prevalence rate of dementia in a metropolitan city of South Korea, Busan. This was a cross-sectional epidemiological study of 1101 residents aged 65 or over in a metropolitan city (Busan) as of 31 December 2001 who were selected with the stratified three-stage cluster sampling. Dementia was assessed by two-stage examination with Mini-Mental State Examination - Korean version (MMSE-K), psychometric measures and the Barthel index. Crude and sex-age adjusted prevalence rate were obtained. The crude rate was 7.4% (men 2.4%, women 10.5%). The sex-age adjusted rate was 7.0% (men 2.5%, women 9.0%) and 8.0% (men 2.7%, women 10.0%) when adjusted with Busan and whole Korean population, respectively. These results were lower than those of other domestic studies. This is the first well-designed total-population based epidemiologic study on the prevalence rate of dementia of the aged residing in Busan city. Further studies for evaluating the relationships with type and severity of dementia are needed.
Recent trends in elderly suicide rates in a multi-ethnic Asian city
- Authors:
- KUA Eee-Heok, KO Soo-Meng, NG Tze-Pin
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(6), June 2003, pp.533-536.
- Publisher:
- Wiley
There are a few reports on the trends of elderly suicide rates in western countries but none from Asian countries. This article describe the trends of elderly suicide rates of Chinese, Malays and Indians in Singapore from 1991 to 2000. Overall, the suicide rates for the elderly showed a decline from 40.1 per 100,000 in 1990 to 17.8 per 100,000 in 2000, with the most pronounced decline occurring from 1995 to 2000. The suicide rate for elderly Chinese was at a peak of 52 per 100,000 in 1995 and declined to 20 per 100,000 in 2000. The rates for elderly Malays were consistently low at 2.2 per 100,000 for the 10 years; for elderly Indians the rates were between the other two ethnic groups. In the 10-year period, the elderly suicide rates in Singapore declined markedly, especially for elderly Chinese.
The effect of ethnicity and gender on first-contact rates for schizophrenia-like psychosis in Bangladeshi, Black and White elders in Tower Hamlets, London
- Authors:
- MITTER Pamina R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(3), March 2004, pp.286-290.
- Publisher:
- Wiley
A recent study of very-late onset schizophrenia-like psychosis (SLP) in South London showed an increase in first contact rates amongst African- and Caribbean-born elders compared to British-born ones. This study investigates incident first contact rates in an area of East London with a high Bangladeshi population, to investigate if Bangladeshi-born elders also have an increased referral rate for SLP. Retrospective case note review of first contacts to the old age psychiatry service from 1997 to 2002 identifying cases of schizophrenia-like psychosis. In addition, a one-year review of first contacts for all diagnostic categories was completed. Gender, ethnicity and place of birth were established from the case notes. Among the African- and Caribbean-born, but not the Bangladeshi-born, the odds ratio (OR) of being referred with SLP was significantly higher than for the British-born population. We observed a loss of the reported effect of female gender. For Whites the odds ratio for female gender and psychosis was 2.5 (1.0-6.1) and for non-Whites 0.8 (0.3-2.7) which was a trend away from the expected male to female ratio. In the one-year review there was a higher rate of referrals for organic disease in Bangladeshi men compared to Bangladeshi women and British-born men and women. Bangladeshi elderly migrants do not have an increased rate of SLP compared to indigenous elders. The usual female preponderance of SLP is not apparent in this elderly migrant population. Old age psychiatry services in the UK should take into account the increasing needs of Bangladeshi elders with dementia.
Psychiatric disorders in elderly people from the Indian sub-continent living in Bradford
- Authors:
- BHATNAGAR Kumud, FRANK Judith
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(9), September 1997, pp.907-912.
- Publisher:
- Wiley
Describes a community study of the prevalence of psychiatric disorders among elderly South Asian immigrants from the Indian sub-continent (India, Pakistan and Bangladesh) living in Bradford. Finds depression in 20 per cent, dementia in 4 per cent and anxiety neurosis in 4 per cent. Subjects were interviewed at their place of residence by a consultant psychiatrist familiar with their culture and language. Discusses the findings and present limitations in the diagnosis of dementia in cross-cultural research.