Journal of Preventive Medicine and Public Health

  • 제38권3호
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  • Pages.351-358
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  • 2005
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지

새로운 치매 선별검사를 이용한 도시지역 노인의 치매 유병률과 관련요인

Prevalence and Related Factors of Dementia in an Urban Elderly Population Using a New Screening Method

  • 신희영 (전남대학교병원 임상시험센터) ;
  • 이정애 (전남대학교 의과대학 예방의학교실) ;
  • 윤진상 (전남대학교 의과대학 정신과학교실) ;
  • 김재민 (전남대학교 의과대학 정신과학교실) ;
  • 정은경 (전남대학교 의과대학 의학교육학과)
  • Shin, Hee-Young (Clinical Trial Center, Chonnam National University Hospital) ;
  • Rhee, Jung-Ae (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Yoon, Jin-Sang (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Jae-Min (Department of Psychiatry, Chonnam National University Medical School) ;
  • Chung, Eun-Kyung (Department of Medical Education, Chonnam National University Medical School)
  • 발행 : 2005.09.01
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초록

Objectives : Dementia has rapidly increased with the prolongation of life expectancy and aging in Korea. This study was conducted to estimate the prevalence of, and find related factors for, dementia in an urban elderly population, using a newly developed screening method. Methods : Seven hundred and six people, aged over 65 years-old, in Dong district of Gwangju, Korea, were recruited using stratified cluster sampling, and completed Korean version of Geriatric Mental State Schedule B3 (GMS B3-K), the Korean version of the Community Screening Interview for Dementia (CSID-K) and modified 10 word list-learning from the Consortium to Establish a Registry of Alzheimer's Disease (CERAD). Dementia was diagnosed by an algorithm derived from all three of these measures. Results : The crude and age adjusted prevalence rates of dementia were 13.0 and 11.5%, respectively. Age, education, marital status and a history of cerebrovascular disease were identified as factors related with dementia. Conclusions : The new instrument, using the GMS B3-K, CSID-K and modified 10 word list-learning from the CERAD, was considered effective as a community screening and diagnostic tool for dementia. The results of this study can also be used to develop a community-based prevention and management system for dementia in the future.

키워드

참고문헌

  1. Korea Statistical Office. Population Projections. URL: http//www.nso.go.kr
  2. Suh GH. Dementia in Korea: Trend and projection. J Korean Geriatr Psychiatr 2002; 6: 79-87 (Korean)
  3. Kaplan HI, Sadock BJ. Delirium, dementia, amnestic and other cognitive disorders. In: Synopsis of psychiatry, 8th ed, Baltimore, Williams & Wilkins, pp 318-364
  4. Kim JM. Dementia care in Korea: a case study of need. Int J Soc Res Practice 2002; 1: 135- 139
  5. Copeland JRM, Kelleher MJ, Kellett JM, Gourlay BJ, Fleiss JL, Sharpe L. A semistructur ed clinical interview for the assessment of diagnosis of mental state in the elderly: The geriatric mental state schedule. I. Dev Reliabil. Psychol Med. 1976; 6: 439-449 https://doi.org/10.1017/S0033291700015889
  6. Hall KS, Hugh C, Hendrie HC, Brittain HM, Norton JA. The development of a dementia screening interview in two district languages. Int J Meth Psychiatr Res 1993; 3: 1-28
  7. Prince M, Acosta D, Chiu H, Scazufca M, Varghese M. Dementia diagnosis in developing countries: a cross-cultural validation study. Lancet 2003; 361: 909-917 https://doi.org/10.1016/S0140-6736(03)12772-9
  8. Zheng T. Development of Korean version of community screening interview for dementia (CSID-K) [dissertation]. Korea; Chonnam National Univ.: 2004 (Korean)
  9. Burns A, Lawlor B, Craig S. Neuropsychological tests. In: Assessment scales in old age psychiatry. Martin Dunitz. 1999, pp33-72
  10. Coperland JRM, Dewey ME, Griffiths-Jones HM. A computerized psychiatric diagnostic system and case nomenclature for elderly subjects: GMS and AGECAT.Psychol Med 1986; 16 : 89-99 https://doi.org/10.1017/S0033291700057779
  11. Kim JM, Stewart R, Prince M, Shin IS, Yoon JS. Diagnosing dementia in a developing nation: an evaluation of the GMS-AGECAT algorithm in an olderKorean population. Int J Geriatr Psychiatr 2003; 18: 331-336 https://doi.org/10.1002/gps.834
  12. Park JH, Kwon YC. Modification of the minimental state examination for use in the elderly in a non-western society: Part I. development of Korean version of mini-mental state examination. Int J Geriatr Psychiatr 1990; 5: 381-387 https://doi.org/10.1002/gps.930050606
  13. Kang YW, Na DL, Hahn SH. A validity study on the Korean mini-mental state examination (K-MMSE) in dementia patients. J Korean Neurol Assoc 1997; 15: 300-308 (Korean)
  14. Tombaugh TN, McIntyre NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 1992; 40: 922-935
  15. Park J, Lee YH. Effects of gender, age, and education on the performances of the Korean version of the mini-mental state examination in an elderly rural population. J Korean Neuropsychiatr Assoc 1999; 38: 173-180 (Korean)
  16. Hall KS, Ogunniyi AO, Hendrie HC, Osuntokun BO, Hui SL, Musick BS, Rodenberg CA, Unverzagt FW, Guerje O, Baiyewu O. A cross-cultural community based study of dementias: methods and performance of the survey instrument Indianapolis, USA, and Ibadan, Nigeria. Int J Meth Psychiatr Res 1996 ; 6: 129-142 https://doi.org/10.1002/(SICI)1234-988X(199610)6:3<129::AID-MPR164>3.3.CO;2-A
  17. Burns A, Jacoby R, Levy R. Psychiatric phenomena in Alzheimer's disease. Br J Psychiatr 1990; 157: 72-76 https://doi.org/10.1192/bjp.157.1.72
  18. Reifler BV, Larson E, Hanley R. Coexistence of cognitive impairment and depression in geriatric outpatients. Am J Psychiatr 1982; 139: 623-626
  19. Coperland JRM, Dewey ME, Saunders P. The epidemiology of dementia: GMS-AGECAT studies of prevalence and incidence, including studies in progress. Eur Arch Psychiatr Clin Neurosci 1991; 240: 212-217 https://doi.org/10.1007/BF02189529
  20. Rajkumar S, Kumar S, Thara R. Prevalence of dementia in a rural setting: a report from India. Int J Geriatr Psychiatr 1997; 12: 702-707 https://doi.org/10.1002/(SICI)1099-1166(199707)12:7<702::AID-GPS489>3.0.CO;2-H
  21. Folstein MF, Spear BS, Anthony JC, Romanoski AJ, Nestadt GR. Dementia: Case ascertainment in a community survey. J Gerontol 1991; 46: 132-138 https://doi.org/10.1093/geronj/46.4.M132
  22. Graves AB, Larson EB, Edland SD, Bowen JD, McCormick WC, McCurry SM, Rice MM, Wenzlow A, Uomoto JM. Prevalence of dementia and its subtypes in the Japanese American population of King County, Washington State. Am J Epidemiol 1996; 144: 760-771 https://doi.org/10.1093/oxfordjournals.aje.a009000
  23. Fratiglioni L, Grut M, Forsell Y, Viitanen MJ, Grafstrom M, Homen K, Erisccon K, Backmann L, Ahobom A, Winblad B. Prevalence of Alzheimer's disease and other dementias in an elderly urban population: relationship with age, sex, and educaion. Neurology 1991; 41: 1886-1892 https://doi.org/10.1212/WNL.41.12.1886
  24. Obadia Y, Rotily M, Degrand-Guillaud A, Guelain J, Ceccaldi M, Severo C, Poneet M, Aoperovitch A. The PREMAP study: prevalence and risk factors of dementia and clinically diagnosed Alzheimer's disease in Provence, France. Eur J Epidemiol 1997; 13: 247-253 https://doi.org/10.1023/A:1007300305507
  25. Hasegawa K. The clinical issues of age-related dementia. Tohoku J Exp Med 1990; 29(supple) : 29-38
  26. Kiyohara Y, Yoshitake T, Kato I, Ohmura T, Kawano H, Ueda K, Fujushima M. Changing patterns in the prevalence of dementia in a Japanese community: the Hisayama study. Gerontology 1994; 40(supple): 29-35 https://doi.org/10.1159/000213625
  27. Park JH, Ko HJ. Etiological classification of dementia and relative prevalence of important dementia among the elderly in a Myun area of Yungil County, Kyungpook Province. J Korean Neuropsychiatr Assoc 1991; 30: 885- 891 (Korean)
  28. Woo JI, Lee JH, Yoo KY, Hong JP, Kim CY, Kim YI, Lee JW. The prevalence of dementia among the elderly in a rural area of Korea. J Korean Neuropsychiatr Assoc 1997; 36 :92- 101 (Korean)
  29. Cho MJ, Hahm BJ, Ju JH, Bae JN, Kweon JS. The prevalence of cognitive impairment and dementia among the elderly in a city. J Korean Neuropsychiatr Assoc 1998; 37: 352-362 (Korean)
  30. Suh GH, Kim JK, Yeon BK, Park SK, Yoo KY, Yang BK, Kim YS, Cho MJ. Prevalence and risk factors of dementia and depression in the elderly. J Korean Neuropsychiatr Assoc 2000; 39 :809-824 (Korean)
  31. Kim DH, Na DL, Yeon BG, Kang YW, Min KB, Lee SH, Lee SS, Lee MR, Pyo OJ, Park CB. Prevalence of dementia in the elderly of an urban community in Korea. Korean J Prev Med 1999; 32: 306-316 (Korean)
  32. Rockwood K, Stadnyk K. The prevalence of dementia in the elderly: a review. Can J Psychiatr 1994; 39: 253-257
  33. Jorm AF, Korten AE, Henderson AS. The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatr Scand 1987; 74: 144-151 https://doi.org/10.1111/j.1600-0447.1986.tb10598.x
  34. Fratiglioni L, Viitanen M, von Strauss E, Tontodonati V, Herlitz A, Winblad B. Very old women at highest risk of dementia and Alzheimer's disease: incidence data from the lungsholmen project, Stockholm. Neurology 1997; 48: 132-138 https://doi.org/10.1212/WNL.48.1.132
  35. van Duijin CM, Clayton D, Chandra V, Fratiglioni L, Graves AB, Heyman A, Jorm AF, Kokmen E, Kondo M, Mortimer JA. Familial aggregation of Alzheimer's disease and related disorders: a collaborative reanalysis of case-control studies. Int J Epidemiol 1991; 20(supple): 13-20 https://doi.org/10.1093/ije/20.1.13
  36. van Duijin CM, Hofman A. Relation between nicotine intake and Alzheimer's disease? BMJ 1991; 302: 1491-1494 https://doi.org/10.1136/bmj.302.6791.1491
  37. Moroney JT, Bagiella E, Desmond DW, Paik MC, Stern Y, Tatemichi TK. Risk factors for incident dementia after stroke. Role of hypoxic and ischemic disorders. Stroke 1996; 27: 1283- 1289 https://doi.org/10.1161/01.STR.27.8.1283