한빛사논문
Jinkook Lee 1,2, Erik Meijer 1, Kenneth M Langa 3,4,5, Mary Ganguli 6, Mathew Varghese 7, Joyita Banerjee 8, Pranali Khobragade 1, Marco Angrisani 1,2, Ravi Kurup 9, Sankha Shubhra Chakrabarti 10, Indrajeet Singh Gambhir 10, Parvaiz A Koul 11, Debabrata Goswami 12, Arunanshu Talukdar 13, Rashmi Ranjan Mohanty 14, Raju Sathyanarayana Yadati 15, Mekala Padmaja 15, Lalit Sankhe 16, Chhaya Rajguru 16, Monica Gupta 17, Govind Kumar 18, Minakshi Dhar 19, Prasun Chatterjee 8, Sunny Singhal 8, Rishav Bansal 8, Swati Bajpai 8, Gaurav Desai 8, Abhijith R Rao 8, Palanimuthu T Sivakumar 7, Krishna Prasad Muliyala 7, Swaroop Bhatankar 20, Aparajita Chattopadhyay 21, Dipti Govil 21, Sarang Pedgaonkar 21, T V Sekher 21, David E Bloom 22, Eileen M Crimmins 23, Aparajit Ballav Dey 8
1Center for Economic and Social Research, University of Southern California, Los Angeles, California, USA.
2Department of Economics, University of Southern California, Los Angeles, California, USA.
3Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
4Center for Clinical Management Research, Veterans Affairs, Ann Arbor, Michigan, USA.
5Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
6Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
7Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India.
8Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, India.
9Department of Medicine, Government Medical College, Thiruvananthapuram, India.
10Department of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
11Department of Internal and Pulmonary Medicine, Sher-e-Kashmir Institute of Medical Sciences, Srinagar, India.
12Department of Medicine, Guwahati Medical College, Guwahati, India.
13Department of Geriatric Medicine, Medical College, Kolkata, India.
14Department of Medicine, All India Institute of Medical Sciences, Bhubaneshwar, India.
15Department of Medicine, Nizam's Institute of Medical Sciences, Hyderabad, India.
16Department of Community Medicine, Grant Medical College and J.J. Hospital, Mumbai, India.
17Department of General Medicine, Government Medical College and Hospital, Chandigarh, India.
18Department of Medicine, Indira Gandhi Institute of Medical Science, Patna, India.
19Department of Medicine, All India Institute of Medical Sciences, Rishikesh, India.
20Institute of the Psychological Health, Mumbai, India.
21International Institute for Population Sciences, Mumbai, India.
22Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
23School of Gerontology, University of Southern California, Los Angeles, California, USA.
CORRESPONDING AUTHOR : Jinkook Lee
Abstract
Introduction: Prior estimates of dementia prevalence in India were based on samples from selected communities, inadequately representing the national and state populations.
Methods: From the Longitudinal Aging Study in India (LASI) we recruited a sample of adults ages 60+ and administered a rich battery of neuropsychological tests and an informant interview in 2018 through 2020. We obtained a clinical consensus rating of dementia status for a subsample (N = 2528), fitted a logistic model for dementia status on this subsample, and then imputed dementia status for all other LASI respondents aged 60+ (N = 28,949).
Results: The estimated dementia prevalence for adults ages 60+ in India is 7.4%, with significant age and education gradients, sex and urban/rural differences, and cross-state variation.
Discussion: An estimated 8.8 million Indians older than 60 years have dementia. The burden of dementia cases is unevenly distributed across states and subpopulations and may therefore require different levels of local planning and support.
Highlights: The estimated dementia prevalence for adults ages 60+ in India is 7.4%. About 8.8 million Indians older than 60 years live with dementia. Dementia is more prevalent among females than males and in rural than urban areas. Significant cross-state variation exists in dementia prevalence.
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