The Prevalence, Correlates and Impact of Dementia in Cuba. A 10/66 Group Population-based Survey

Overview

Journal Neuroepidemiology

Specialties Neurology
Public Health

Date 2008 Oct 22

PMID 18931519

Citations 13

Authors

J Llibre Rodriguez

A Valhuerdi

I I Sanchez

C Reyna

M A Guerra

J R M Copeland

P McKeigue

C P Ferri

M J Prince

Affiliations

Soon will be listed here.

Abstract

Background: We aimed to estimate the prevalence, correlates and impact of dementia in Havana and Matanzas, Cuba.

Methods: A 1-phase catchment area survey of all over 65-year-old residents of 7 catchment areas in Havana and 1 in Matanzas was conducted. Dementia diagnosis was established according to DSM-IV and our own, pre-validated 10/66 criteria. The impact of dementia was assessed through associations with needs for care, cutting back on work to care and caregiver psychological morbidity.

Results: We interviewed 2,944 older people, a response proportion of 96.4%. The prevalence of DSM-IV dementia was 6.4% and that of 10/66 dementia 10.8%. Both dementia outcomes were associated with older age, less education, a family history of dementia, shorter leg length and smaller skull circumference. Dementia, rather than physical health problems or depression, was the main contributor to needs for care (population-attributable prevalence fraction = 64.6%) and caregiver cutting back on work (population-attributable prevalence fraction = 57.3%).

Conclusion: The prevalence of dementia in Cuba is similar to Europe. Among health conditions, dementia is the major contributor to dependency and caregiver economic and psychological strain. More attention needs to be given to it and other chronic diseases associated more with disability than premature mortality.

Citing Articles

Associations between education and dementia in the Caribbean and the United States: An international comparison.

Li J, Llibre-Guerra J, Harrati A, Weiss J, Jimenez-Velazquez I, Acosta D Alzheimers Dement (N Y). 2021; 7(1):e12204.

PMID: 34504942 PMC: 8418669. DOI: 10.1002/trc2.12204.

Incidence of dementia and association with APOE genotype in older Cubans.

Rodriguez J, Cepero A, Gil I, Medina A, Llibre-Guerra J, Llibre-Guerra J Dement Neuropsychol. 2017; 8(4):356-363.

PMID: 29213926 PMC: 5619184. DOI: 10.1590/S1980-57642014DN84000009.

Mild cognitive impairment (MCI) and dementia in a sample of adults in the city of Bogotá.

Pedraza O, Montes A, Sierra F, Montalvo M, Munoz Y, Diaz J Dement Neuropsychol. 2017; 11(3):262-269.

PMID: 29213523 PMC: 5674670. DOI: 10.1590/1980-57642016dn11-030008.

Cohort Profile: The 10/66 study.

Prina A, Acosta D, Acosta I, Guerra M, Huang Y, Jotheeswaran A Int J Epidemiol. 2016; 46(2):406-406i.

PMID: 27154633 PMC: 5837706. DOI: 10.1093/ije/dyw056.

Excess mortality from mental, neurological and substance use disorders in the Global Burden of Disease Study 2010.

Charlson F, Baxter A, Dua T, Degenhardt L, Whiteford H, Vos T Epidemiol Psychiatr Sci. 2014; 24(2):121-40.

PMID: 25497332 PMC: 6998140. DOI: 10.1017/S2045796014000687.

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