Vol. 69 No. 2 (2023): EL Alzheimer y su impacto social
Articles

Prevalence, Risk Factors and Impact of Dementia in the Dominican Republic: The 10/66 population-based study in the Dominican Republic

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  • Daisy Acosta
DOI: https://doi.org/10.33413/aulahcs.2023.69i2.253

Published 2023-07-10

Keywords

  • Dementia,
  • risk factors,
  • prevalence,
  • chronic noncommunicable diseases,
  • comorbidity,
  • caregiver,
  • dependency
    • ...More
    Less

How to Cite

Acosta, D. (2023). Prevalence, Risk Factors and Impact of Dementia in the Dominican Republic: The 10/66 population-based study in the Dominican Republic . AULA Revista De Humanidades Y Ciencias Sociales, 69(2). https://doi.org/10.33413/aulahcs.2023.69i2.253

Copyright (c) 2023 AULA Revista de Humanidades y Ciencias Sociales

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Introduction: Dementia is the first cause of disability in older adults and the largest contributor to dependency, economic burden and psychological stress in the caregiver, however, it still does not receive the same priority as other chronic non-communicable diseases.

Objective: To estimate the prevalence, risk associations, and impact o7f dementia in adults 65 years and older in a low-income community in Santo Domingo, Dominican Republic.

Subjects and Methods: A prospective longitudinal study of a cohort of 2,011 adults aged 65 years and over was carried out in the sectors of Villa Francisca, San Carlos, Colonial Zone, Social Improvement and surrounding areas, in two phases: the first, a study cross-sectional, door-to-door, during the period 2003-2006 and the second, the follow-up and evaluation of the cohort carried out between 2007 and 2010, with a mean follow-up of 5.1 years. The diagnosis of dementia was made according to the DSM IV criteria and the criteria proposed by the Research Group 10/66. Vascular risk factors and other chronic diseases were evaluated according to internationally established criteria. Two indicators were used to assess the impact of dementia: care needs and psychological morbidity of the caregiver. This cohort was followed up again 2015 - 2019 in a study titled “Life at Years 10/66: 10 years of follow-up”. These data are still being analyzed and are therefore not included in this article.

Results: The prevalence of dementia syndrome according to the DSM IV criteria is 5.4% and 11.7% according to the 10/66 criteria in the population aged 65 and over, associating in the cross-sectional study various risk factors, in particular advanced age, history of head trauma, family history of dementia, and history of stroke. Dementia in a greater proportion than stroke, depression and having limiting physical illnesses constituted the largest contributor to needing care in the population studied.

Conclusion: The prevalence of dementia in the Dominican Republic is high. It is necessary to give a higher priority to chronic diseases, such as dementia in particular, since it is associated with greater care needs and therefore greater disability, generating a high social, economic and health burden.

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