일 농촌지역 노인 코호트의 3년 6개월 추적연구

• 영문명: Three and Half Year Follow-Up Study on a Rural Elderly Cohort - Prevalence, Incidence, and Service Utilization of Dementia and Depressive Disorders -
• 발행기관: 대한노인정신의학회
• 저자명: 김장규(Jang-Kyu Kim) 김선욱(Seon-Uk Kim) 함봉진(Bong-Jin Hahm) 이준영(Jun Young Lee) 조맹제(Maeng Je Cho)
• 간행물 정보: 『노인정신의학』노인정신의학 제6권 제2호, 88~96쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2002.12.30

영문 초록

Objectives：To evaluate the incidence rate and associated factors of dementia in the elderly of rural community. Methods：This study was three and half year follow-up of Yonchon cohort, participated in a prevalence study of dementia and depression in 1996 (N=1,037). A two-phase study was conducted using the Korean version of Psychogeriatric Assessment Scale in phase I and the diagnostic interview according to DSM-IV criteria by two psychiatrists in stage II. Results：Of the 968 elderly residents who had not dementia in 1996 prevalence study, 596 residents completed the incidence study. The annual incidence rate for total dementia, dementia of Alzheimer's type and vascular dementia were 1.88% (1.86% in men, 1.98% in women), 1.58% (1.39% in men, 1.80% in women) and 0.34% (0.45% in men, 0.25% in women), respectively. Increasing age was significantly associated with total dementia and dementia of Alzheimer's type (p<0.01, p<0.05, respectively). There was statistically significant difference of the three and half year mortality rate between the dementia patients who were diagnosed in prevalence study and the non-dementic elderly (χ2=28.89, df=1, p<0.001). Only the 2.8% of newly onset dementia patients sought psychiatric service in the previously year. Conclusions：The incidence of dementia among the Korean elderly in a rural community was relatively consistent with the epidemiological studies of other countries. Age was the only risk factor for total dementia and dementia of Alzheimer's type. Very few dementia patients were treated by psychiatrist.

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치매 발병율 사망률 위험인자 의료서비스이용 Dementia Incidence Mortality Risk factor Medical service utilization