Journal of Preventive Medicine and Public Health
- 제32권3호
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- Pages.306-316
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- 1999
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- 1975-8375(pISSN)
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- 2233-4521(eISSN)
도시지역 노인들의 치매유병률에 관한 단면조사연구
Prevalence of Dementia in the Elderly of an Urban Community in Korea
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나덕렬
(성균관대학교 의과대학 신경과학교실, 삼성서울병원 신경과) ;
- 연병길 (한림대학교 의과대학 정신과학교실) ;
- 강연욱 (삼성서울병원 신경과) ;
- 민경복 (한림대학교 의과대학 사회의학교실) ;
- 이수현 (한림대학교 의과대학 사회의학교실) ;
- 이상숙 (광명시 보건소) ;
- 이미라 (광명시 보건소) ;
- 표옥정 (광명시 보건소) ;
- 박찬병 (광명시 보건소) ;
- 김선민 (한림대학교 의과대학 사회의학교실) ;
- 배상수 (한림대학교 의과대학 사회의학교실) ;
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김동현
(한림대학교 의과대학 사회의학교실)
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Na, Duk-L.
(Department of Neurology, Sungkyunkwan University College of Medicine, Department of Neurology, Samsung Medical Center) ;
- Yeon, Byeon-Gil (Department of Psychiatry, Hallym University College of Medicine) ;
- Kang, Yeon-Wook (Department of Neurology, Samsung Medical Center) ;
- Min, Kyung-Bok (Department of Social and Preventive Medicine, Hallym University College of Medicine) ;
- Lee, Soo-Hyun (Department of Social and Preventive Medicine, Hallym University College of Medicine) ;
- Lee, Sang-Suk (Kwangmyung Health Center) ;
- Lee, Mi-Ra (Kwangmyung Health Center) ;
- Pyo, Ok-Jung (Kwangmyung Health Center) ;
- Park, Chan-Byung (Kwangmyung Health Center) ;
- Kim, Sun-Mean (Department of Social and Preventive Medicine, Hallym University College of Medicine) ;
- Bae, Sang-Soo (Department of Social and Preventive Medicine, Hallym University College of Medicine) ;
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Kim, Dong-Hyun
(Department of Social and Preventive Medicine, Hallym University College of Medicine)
- 발행 : 1999.09.01
초록
Objectives: In Korea, as in most countries, there will be a sharp increase in the number of dementia patients in the near future. However basic data on dementia prevalence, which is important in defining epidemiologic characteristics and in implementing preventive strategy, are limited. This study was conducted to estimate the prevalence rate of dementia in the urban elderly aged 65 or older in Kwangmyung, Korea. Methods: A two phase design was used for case finding and case identification. In phase I, a representative sample aged 65 or older was selected and interviewed by door-to-door survey with a Korean version of the Mini-Mental State Examination (K-MMSE). In phase II, Of the 946 subjects interviewed in phase 1,356 elderly were randomly selected disproportionately according to K-MMSE score. Of these elderly, 223 (61.5%) underwent standardized clinical evaluations, including psychiatric interview, neurological examination, and neuropsychological assessment. Dementia was diagnosed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. The diagnosis of Alzheimer's disease (AD) was made by National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and feinted Disorders Association(NINCDS-ADRDA) criteria and vascular dementia (VD) by DSM-IV. Results: The overall weighted prevalence rate of all dementia among Kwangmyung residents aged 65 or older was 12,8%(age-adjusted rate: 13,0%, 95% Confidence Interval[CI]: 10.6-15.3%). Women had much higher prevalence rate than men even when age was controlled(15.9%[95% CI 12.6-19.2%] vs 7.5%[95% CI 4.0-10.4%]), The rates of dementia were 5.2%, 12.2%, 17.0%, and 34.3% for the age groups of 65-69, 70-74, 75-79 and 80 and over, respectively. The rate of AD appeared to be slightly higher than that of VD(5.2% vs 4.8%), though not statistically significant. Most of the cases(69%) were mild dementia according to CDR(<1) in these subjects. Conclusions : These results showed that the prevalence rate of dementia among urban elderly in Korea appears to be higher than those of other Asian countries.