High prevalence of dementia and cognitive impairment in Indigenous Australians
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Abstract
Objectives: To determine the prevalence of dementia and cognitive impairment among older Indigenous Australians.
Methods: A total of 363 Indigenous Australians aged over 45 years from the Kimberley region in the far north of Western Australia were assessed with the Kimberley Indigenous Cognitive Assessment (KICA). All those scoring less than 37 on the KICA and a percentage of those scoring 37 or more were reviewed by specialist clinicians and DSM-IV consensus diagnoses were obtained from two other specialists blinded to KICA results.
Results: The prevalence of dementia was 12.4%, substantially higher than in the Australian general population. The prevalence of cognitive impairment not dementia was 8.0%.
Conclusions: The prevalence of dementia among Indigenous Australians is substantially higher than that found in non–Indigenous Australians and all other studied populations.
Glossary
- CIND=
- cognitive impairment not dementia;
- DSM-IV=
- Diagnostic and Statistical Manual of Mental Disorders, 4th edition;
- KICA=
- Kimberley Indigenous Cognitive Assessment.
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Letters: Rapid online correspondence
- High prevalence of dementia and cognitive impairment in Indigenous Australians
- Jannis Kountouras, Department of Medicine, Second Medical Clinic,, Aristotle University of Thessaloniki, Ippokration Hospital, Thessaloniki, GREECEjannis@med.auth.gr
- Emmanuel Gavalas, Marina Boziki, Christos Zavos, Georgia Deretzi, Nikolaos Grigoriadis, Eleni Tsiaousi, Panagiotis Katsinelos, Dimitrios Chatzopoulos, Dimitrios Tzilves, Georgios Kouklakis
Submitted January 16, 2009 - Reply from the authors
- Kate Smith, West Australian Centre for Health and Ageing, University of Western Australia, Royal Perth Hospital, Box X2213, Perth, WA Australia 6001kate.smith@uwa.edu.au
- Leon Flicker, Nicola Lautenschlager, Osvaldo Almeida, David Atkinson and Dina LoGiudice
Submitted January 16, 2009
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