Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia

Background: Prevalence of cognitive impairment and dementia among indigenous population were noted by previous studies to be exceptionally high at 66.7% and 32.2, respectively. Objectives: This study aimed to determine the prevalence of dementia and identify the associated risk factors among elder...

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Main Authors: Pu'un, Bawih Inu, Othman, Zahiruddin, Drahman, Ismail
Format: Article
Language:English
Published: Japan International Cultural Exchange Foundation 2014
Subjects:
Online Access:http://eprints.usm.my/44698/
http://eprints.usm.my/44698/1/Dementia%20among%20Elderly%20Melanau%20%282014%29.pdf
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author Pu'un, Bawih Inu
Othman, Zahiruddin
Drahman, Ismail
author_facet Pu'un, Bawih Inu
Othman, Zahiruddin
Drahman, Ismail
author_sort Pu'un, Bawih Inu
building USM Institutional Repository
collection Online Access
description Background: Prevalence of cognitive impairment and dementia among indigenous population were noted by previous studies to be exceptionally high at 66.7% and 32.2, respectively. Objectives: This study aimed to determine the prevalence of dementia and identify the associated risk factors among elderly Melanau, an indigenous population in Sarawak. Methods: All eligible and available elderly Melanau in 8 out of 32 villages in Mukah district were screened with ECAQ. Clinical interview by trained researcher was conducted on subjects with score 5 and below to ascertain the dementia diagnosis. Results: A total of 344 subjects, which constituted about 28% of the elderly Melanau population (mean age 70.4 ± 6.7) were screened. The prevalence of cognitive impairment and dementia among elderly Melanau was 27.3% and 10.5%, respectively. Dementia was independently associated with age (OR 1.19), no education (OR 7.56) and multiple CVS illnesses (OR 3.76). Conclusion: The prevalence of dementia among elderly Melanau is higher compared to in Malays. It is important to promote mental health and healthy lifestyle. Particular attention should be given to vascular risk factors to reduced risk of dementia
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spelling usm-446982019-06-20T09:14:27Z http://eprints.usm.my/44698/ Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia Pu'un, Bawih Inu Othman, Zahiruddin Drahman, Ismail RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Background: Prevalence of cognitive impairment and dementia among indigenous population were noted by previous studies to be exceptionally high at 66.7% and 32.2, respectively. Objectives: This study aimed to determine the prevalence of dementia and identify the associated risk factors among elderly Melanau, an indigenous population in Sarawak. Methods: All eligible and available elderly Melanau in 8 out of 32 villages in Mukah district were screened with ECAQ. Clinical interview by trained researcher was conducted on subjects with score 5 and below to ascertain the dementia diagnosis. Results: A total of 344 subjects, which constituted about 28% of the elderly Melanau population (mean age 70.4 ± 6.7) were screened. The prevalence of cognitive impairment and dementia among elderly Melanau was 27.3% and 10.5%, respectively. Dementia was independently associated with age (OR 1.19), no education (OR 7.56) and multiple CVS illnesses (OR 3.76). Conclusion: The prevalence of dementia among elderly Melanau is higher compared to in Malays. It is important to promote mental health and healthy lifestyle. Particular attention should be given to vascular risk factors to reduced risk of dementia Japan International Cultural Exchange Foundation 2014-10 Article PeerReviewed application/pdf en http://eprints.usm.my/44698/1/Dementia%20among%20Elderly%20Melanau%20%282014%29.pdf Pu'un, Bawih Inu and Othman, Zahiruddin and Drahman, Ismail (2014) Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia. International Medical Journal, 21 (5). pp. 468-471. ISSN 1341-2051 http://www.seronjihou.co.jp/IMJ/backnumber-IMJ.html
spellingShingle RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Pu'un, Bawih Inu
Othman, Zahiruddin
Drahman, Ismail
Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia
title Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia
title_full Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia
title_fullStr Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia
title_full_unstemmed Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia
title_short Dementia among Elderly Melanau: A Community Survey of an Indigenous People in East Malaysia
title_sort dementia among elderly melanau: a community survey of an indigenous people in east malaysia
topic RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
url http://eprints.usm.my/44698/
http://eprints.usm.my/44698/
http://eprints.usm.my/44698/1/Dementia%20among%20Elderly%20Melanau%20%282014%29.pdf