Dementia in low-income and middle-income countries: Different realities mandate tailored solutions
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{"title"=>"Dementia in low-income and middle-income countries: Different realities mandate tailored solutions", "type"=>"journal", "authors"=>[{"first_name"=>"Cleusa Pinheiro", "last_name"=>"Ferri", "scopus_author_id"=>"7103090584"}, {"first_name"=>"K. S.", "last_name"=>"Jacob", "scopus_author_id"=>"35513085700"}], "year"=>2017, "source"=>"PLoS Medicine", "identifiers"=>{"doi"=>"10.1371/journal.pmed.1002271", "sgr"=>"85016622161", "isbn"=>"1111111111", "issn"=>"15491676", "scopus"=>"2-s2.0-85016622161", "pui"=>"615141503"}, "id"=>"73d14dac-2a42-3aee-afef-3b4c917a69b1", "abstract"=>"The ageing of populations is the most significant social transformation of the 21st century [1] and has highlighted the importance of age-related conditions such as dementia, which has been recognised across regions, countries, and cultures. The number of people living with dementia has been increasing and is estimated to reach 75 million worldwide by 2030, with the majority of these individuals living in low-income and middle-income countries (LMICs) [2]. The assessment, recognition, and care of people living with dementia in LMICs are complex issues. Dementia is often seen as part of the ageing process, and even when rec-ognized, there still remain problems related to stigma, lack of resources for the adequate care of people with dementia (PWD), variations in the way the condition is assessed and per-ceived, and how it is addressed in noncommunicable disease (NCD) policies and prevention strategies. Prevalence Ageing across the world's populations is not a homogenous and uniform process. Over the next 15 years, the number of older people is projected to increase by 71% in Latin America and the Caribbean, 66% in Asia, 64% in Africa, 47% in Oceania, 41% in North America, and 23% in Europe [1]. The differences in the base populations and the rates of growth and longevity mean there will be wide variations between regions. While the estimates of people living with dementia across regions and countries show a clear increase in numbers, differences in prevalence rates have been reported. A recent system-atic review of the global prevalence of dementia [3] showed that age-standardized prevalence (to the population of western Europe) varied from 2.1% in sub-Saharan Africa to 8.5% in Latin America. While true differences in population prevalence exist (attributed to differing genetic and environmental factors, life expectancy, duration with disease, and age-specific incidence), variations in prevalence data may also be due to the use of different data collection procedures (one stage/two stage), assessment schedules, diagnostic criteria, and cultural conceptions of the condition. Initiatives such as the 10/66 Dementia Research Group employed a standardised methodol-ogy to assess the prevalence of dementia in several LMICs (e.g., countries in Latin America, China, and India) [4]. However, an analysis of data from Vellore, India, which was part of the consortium, demonstrated wide variations in prevalence depending on the diagnostic criteria used. The prevalence of dementia among people aged 65 years and over was 63.4% according to the Geriatric Mental State Examination, 21.2% with the original 10/66 diagnostic algorithm,", "link"=>"http://www.mendeley.com/research/dementia-lowincome-middleincome-countries-different-realities-mandate-tailored-solutions", "reader_count"=>16, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>1, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>2, "Student > Master"=>3, "Student > Bachelor"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>1, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>2, "Student > Master"=>3, "Student > Bachelor"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Biochemistry, Genetics and Molecular Biology"=>3, "Medicine and Dentistry"=>5, "Neuroscience"=>1, "Psychology"=>2, "Social Sciences"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>5}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>2}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>0}

Scopus | Further Information

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