Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-25T06:21:47.239Z Has data issue: false hasContentIssue false

Dementia among the Elderly in a Rural Korean Community

Published online by Cambridge University Press:  02 January 2018

Jonghan Park*
Affiliation:
Department of Psychiatry, Keimyung University School of Medicine
Hyo Jin Ko
Affiliation:
Department of Psychiatry, Catholic University Medical College
Young Nam Park
Affiliation:
Department of Psychiatry, Keimyung University School of Medicine
Chul-Ho Jung
Affiliation:
Department of Psychiatry, Keimyung University School of Medicine
*
Department of Psychiatry, Keimyung University School of Medicine, 194 Dongsan-Dong, Taegu 700–310, South Korea

Abstract

The age-specific prevalence of dementia, its sex difference, and the relative prevalence of important types of dementia were studied in the elderly people in a Korean rural community. A two-stage approach was employed, involving screening and clinical assessment. The prevalence among individuals aged 65 and over was found to be 10.8%, with rates of 7.2% in men and 14.5% in women. The dementia was of the Alzheimer type in 60.0% of cases, multi-infarct dementia in 12.0%, mixed dementia of Alzheimer type and multi-infarct in 10.7%, alcoholic dementia in 8.0%, and others and unclassifiable in 9.3%. The prevalence of dementia of the Alzheimer type was significantly higher in women and rapidly increased with age in both sexes. The prevalence of multi-infarct dementia was not related to sex or age. Alcoholic dementia was identified only in men. These findings indicate that the prevalence of dementia in rural Korea is similar to that reported in Western countries and that the prevalence of dementia of the Alzheimer type in rural Korea is greater than that of multi-infarct dementia.

Type
Papers
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Bachman, D. L., Wolf, P. A., Linn, R. T., et al (1986) Dementia in a community: prevalence of dementia in the Framingham heart cohort. Neurology, 36 (supplement 1), 107.Google Scholar
Brayne, C. & Calloway, P. (1989) An epidemiological study of dementia in a rural population of elderly women. British Journal of Psychiatry, 155, 214219.Google Scholar
Breslow, N. E. & Day, N. E. (1980) Statistical Methods in Cancer Research, Vol. 1. The Analysis of Case-Control Studies, pp. 146154. Lyon: WHO International Agency for Research on Cancer Scientific Publications, No. 32.Google Scholar
Broe, G. A., Akhtar, A. J., Andrews, G. R., et al (1976) Neurological disorders in the elderly at home. Journal of Neurology, Neurosurgery, and Psychiatry, 39, 362366.CrossRefGoogle ScholarPubMed
Cooper, B. & Sosna, U. (1983) Psychische Erkrankung in der Altenbevolkerung: eine epidemiologische Feldstudie in Mannheim. Nervenarzt, 54, 239249.Google ScholarPubMed
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) ‘Minimental state$’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.Google Scholar
Folstein, M. F., Anthony, J. C., Parhad, I., et al (1985) The meaning of cognitive impairment in the elderly. Journal of American Geriatrics Society, 33, 228235.Google Scholar
Fratiglioni, L., Grut, M., Forsell, Y., et al (1991) Prevalence of Alzheimer's disease and other dementias in an elderly urban population: relationship with age, sex, and education. Neurology, 41, 18861892.Google Scholar
Hachinski, V. C. Iliff, L. D., Zilhka, E., et al (1975) Cerebral blood flow in dementia. Archives of Neurology, 32, 632637.Google Scholar
Hasegawa, K., Homma, A. & Imai, Y. (1986) An epidemiological study of age-related dementia in the community. International Journal of Geriatric Psychiatry, 1, 4555.CrossRefGoogle Scholar
Jorm, A. F., Korten, A. E. & Henderson, A. S. (1987) The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatrica Scandinavica, 76, 465479.Google Scholar
Jun, Y. S., Suh, B. Y. & Lee, C. W. (1963) KWIS: Korean Wechsler Intelligence Scale. Seoul: Central Education Research Institute.Google Scholar
Kay, D. W. K., Henderson, A. S., Scott, R., et al (1985) Dementia and depression among the elderly living in the Hobart community: the effect of the diagnostic criteria on the prevalence rates. Psychological Medicine, 15, 771788.Google Scholar
Li, G., Shen, Y. C., Chen, C. H., et al (1989) An epidemiological survey of age-related dementia in an urban area of Beijing. Acta Psychiatrica Scandinavica, 79, 557563.Google Scholar
Marsden, C. D. & Harrison, M. D. C. (1972) Outcome of investigation of patients with presenile dementia. British Medical Journal, ii, 249252.Google Scholar
Mattis, S. (1976) Mental Status Examination for Organic Mental Syndrome in the Elderly Patient. In Geriatric Psychiatry: a Handbook for Psychiatrists and Primary Care Physicians (eds Bellak, L. & Karasu, T. B.), pp. 77121. New York: Grune & Strait on.Google Scholar
Molsa, P. K., Marttila, R. J. & Rinne, U. K. (1982) Epidemiology of dementia in a Finnish population. Acta Neurologica Scandinavica, 65, 541552.CrossRefGoogle Scholar
Namkoong, K., Lee, H. Y., Lee, M. H., et al (1989) The epidemiological study of alcoholism in the elderly in a Korean rural community (Kangwha county) (English abstract). Journal of the Korean Neuropsychiatric Association, 28, 10821090.Google Scholar
O'Connor, D. W., Pollitt, P. A., Hyde, J. B., et al (1989) The prevalence of dementia as measured by the Cambridge Mental Disorders of the Elderly Examination. Acta Psychiatrica Scandinavica, 79, 190198.Google Scholar
Park, J.-H. & Kwon, Y. C. (1990) Modification of the mini-mental state examination for use in the elderly in a non-western society: Part I. Development of Korean version of mini-mental state examination. International Journal of Geriatric Psychiatry, 5, 381387.Google Scholar
Park, J.-H., Park, Y. N. & Ko, H. J. (1991) Modification of the mini-mental state examination for use with the elderly in a non-western society: Part II. Cutoff points and their diagnostic validities. International Journal of Geriatric Psychiatry, 6, 875882.Google Scholar
Pattie, A. (1988) Measuring Levels of Disability: the Clifton Assessment Procedures for the Elderly. In Psychological Assessment of the Elderly (eds Wattis, J. P. & Hindmarch, I.), pp. 6180. Edinburgh: Churchill Livingstone.Google Scholar
Rocca, W. A., Bonaiuto, S., Lippi, A., et al (1990) Prevalence of clinically diagnosed Alzheimer's disease and other dementing disorders: a door-to-door survey in Appignano, Macerata Province, Italy. Neurology, 40, 626631.Google Scholar
Roth, M., Huppert, F. A., Tym, E., et al (1988) The Cambridge Examination for Mental Disorders of the Elderly (CAMDEX). Cambridge: Cambridge University Press.Google Scholar
Royal College of Physicians (1981) Organic mental impairment in the elderly: implications for research, education, and provision of services. Journal of the Royal College of Physicians of London, 15, 141167.Google Scholar
Schoenberg, B. S., Anderson, D. W. & Haerer, A. F. (1985) Severe dementia: prevalence and clinical features in a biracial US population. Archives of Neurology, 42, 740743.Google Scholar
Serby, N., Chou, J. C.-Y. & Franssen, E. H. (1987) Dementia in an American-Chinese nursing home population. American Journal of Psychiatry, 144, 811812.Google Scholar
Shibayama, H., Kasahara, Y., Kobayashi, H., et al (1986) Prevalence of dementia in a Japanese elderly population. Acta Psychiatrica Scandinavica, 74, 144151.Google Scholar
Smith, J. S. & Kiloh, L. G. (1981) The investigation of dementia: results in 200 consecutive admissions. Lancet, i, 824827.Google Scholar
Suetsugu, M., Shimura, J., Ichimiya, A., et al (1985) The prevalence study on age-associated dementia in Fukuoka City (in Japanese). Geriatric Psychiatry, 2, 919927.Google Scholar
Sulkava, R., Wikstrom, J., Aromaa, A., et al (1985) Prevalence of severe dementia in Finland. Neurology, 35, 10251029.Google Scholar
Tomlinson, B. E., Blessed, G. & Roth, M. (1970) Observations on the brains of demented old people. Journal of the Neurological Sciences, 11, 205242.Google Scholar
Zhano, M., Katzman, R., Slamon, D., et al (1990) The prevalence of dementia and Alzheimer's disease in Shanghai, China: impact of age, gender, and education. Annals of Neurology, 27, 428437.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.