An estimate of the prevalence of dementia in Africa: A systematic analysis
Identifieur interne : 003491 ( Main/Exploration ); précédent : 003490; suivant : 003492An estimate of the prevalence of dementia in Africa: A systematic analysis
Auteurs : Rhiannon George-Carey [Royaume-Uni] ; Davies Adeloye [Royaume-Uni] ; Kit Yee Chan [Australie, République populaire de Chine] ; Abigail Paul [Royaume-Uni] ; Ivana Kol I [Croatie] ; Harry Campbell [Royaume-Uni] ; Igor Rudan [Royaume-Uni]Source :
- Journal of Global Health [ 2047-2978 ] ; 2012.
Abstract
The burden of non–communicable diseases is growing, particularly in developing countries. The greatest economic burden is due to dementia, the prevalence of which is rising with increasing longevity. In Africa, where the rate of increase of elderly persons is the fastest in the world, dementia is normally dismissed as a part of normal ageing. The lack of awareness means that many patients are suffering undiagnosed. This review aims to assess the information on the prevalence of dementia in Africa in order to estimate the current burden.
A parallel search of Medline, EMBASE and Global Health limited to post–1980 found only 10 relevant studies. Data on prevalence and risk factors were extracted and analysed. We modelled the available information and used the UN population figures for Africa to determine the age–specific and overall burden of dementia.
The overall prevalence of dementia in adults older than 50 years in Africa was estimated to be about 2.4%, which translates to 2.76 million people living with a disease in 2010. About 2.10 millions of them live in Sub–Saharan Africa. Prevalence was the highest among females aged 80 and over (19.7%) and there was little variation between regions. Alzheimer disease was the most prevalent cause of dementia (57.1%) followed by vascular dementia (26.9%). The main risk factors were increasing age, female sex and cardiovascular disease.
Information on dementia prevalence in Africa is very limited. Further research will not only provide a more reliable estimate of prevalence, and consequently the burden of disease, but will also raise awareness of the problem. This is critical in promoting help–seeking behaviour and generating the political commitment to make dementia a public health priority in Africa.
Url:
DOI: 10.7189/jogh.02.020401
PubMed: 23289076
PubMed Central: 3529309
Affiliations:
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Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author><author><name sortKey="Adeloye, Davies" sort="Adeloye, Davies" uniqKey="Adeloye D" first="Davies" last="Adeloye">Davies Adeloye</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author><author><name sortKey="Chan, Kit Yee" sort="Chan, Kit Yee" uniqKey="Chan K" first="Kit Yee" last="Chan">Kit Yee Chan</name><affiliation wicri:level="1"><nlm:aff id="aff2">Nossal Institute for Global Health, Melbourne University, Melbourne, Australia</nlm:aff><country 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xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author><author><name sortKey="Kol I, Ivana" sort="Kol I, Ivana" uniqKey="Kol I I" first="Ivana" last="Kol I">Ivana Kol I</name><affiliation wicri:level="1"><nlm:aff id="aff4">Croatian Centre for Global Health, University of Split School of Medicine, Split, Croatia</nlm:aff><country xml:lang="fr">Croatie</country><wicri:regionArea>Croatian Centre for Global Health, University of Split School of Medicine, Split</wicri:regionArea><wicri:noRegion>Split</wicri:noRegion></affiliation></author><author><name sortKey="Campbell, Harry" sort="Campbell, Harry" uniqKey="Campbell H" first="Harry" last="Campbell">Harry Campbell</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author><author><name sortKey="Rudan, Igor" sort="Rudan, Igor" uniqKey="Rudan I" first="Igor" last="Rudan">Igor Rudan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Population Health Sciences, University of Edinburgh Medical School, Edinburgh, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Global Health</title><idno type="ISSN">2047-2978</idno><idno type="eISSN">2047-2986</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The burden of non–communicable diseases is growing, particularly in developing countries. The greatest economic burden is due to dementia, the prevalence of which is rising with increasing longevity. In Africa, where the rate of increase of elderly persons is the fastest in the world, dementia is normally dismissed as a part of normal ageing. The lack of awareness means that many patients are suffering undiagnosed. This review aims to assess the information on the prevalence of dementia in Africa in order to estimate the current burden.</p></sec><sec><title>Methods</title><p>A parallel search of Medline, EMBASE and Global Health limited to post–1980 found only 10 relevant studies. Data on prevalence and risk factors were extracted and analysed. We modelled the available information and used the UN population figures for Africa to determine the age–specific and overall burden of dementia.</p></sec><sec><title>Results</title><p>The overall prevalence of dementia in adults older than 50 years in Africa was estimated to be about 2.4%, which translates to 2.76 million people living with a disease in 2010. About 2.10 millions of them live in Sub–Saharan Africa. Prevalence was the highest among females aged 80 and over (19.7%) and there was little variation between regions. Alzheimer disease was the most prevalent cause of dementia (57.1%) followed by vascular dementia (26.9%). The main risk factors were increasing age, female sex and cardiovascular disease.</p></sec><sec><title>Conclusions</title><p>Information on dementia prevalence in Africa is very limited. Further research will not only provide a more reliable estimate of prevalence, and consequently the burden of disease, but will also raise awareness of the problem. This is critical in promoting help–seeking behaviour and generating the political commitment to make dementia a public health priority in Africa.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Reardon, S" uniqKey="Reardon S">S Reardon</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Daar, As" uniqKey="Daar A">AS Daar</name></author><author><name sortKey="Singer, Pa" uniqKey="Singer P">PA Singer</name></author><author><name sortKey="Persad, Dl" uniqKey="Persad D">DL Persad</name></author><author><name sortKey="Pramming, Sk" uniqKey="Pramming S">SK Pramming</name></author><author><name sortKey="Matthews, Dr" uniqKey="Matthews D">DR Matthews</name></author><author><name sortKey="Beaglehole, R" uniqKey="Beaglehole R">R 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R">R Elk</name></author><author><name sortKey="Swartz, L" uniqKey="Swartz L">L Swartz</name></author><author><name sortKey="Gillis, Ls" uniqKey="Gillis L">LS Gillis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Riedel Heller, Sg" uniqKey="Riedel Heller S">SG Riedel-Heller</name></author><author><name sortKey="Busse, A" uniqKey="Busse A">A Busse</name></author><author><name sortKey="Aurich, C" uniqKey="Aurich C">C Aurich</name></author><author><name sortKey="Matschinger, H" uniqKey="Matschinger H">H Matschinger</name></author><author><name sortKey="Angermeyer, Mc" uniqKey="Angermeyer M">MC Angermeyer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Naik, M" uniqKey="Naik M">M Naik</name></author><author><name sortKey="Nygaard, Ha" uniqKey="Nygaard H">HA Nygaard</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>Croatie</li><li>Royaume-Uni</li><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="George Carey, Rhiannon" sort="George Carey, Rhiannon" uniqKey="George Carey R" first="Rhiannon" last="George-Carey">Rhiannon George-Carey</name></noRegion><name sortKey="Adeloye, Davies" sort="Adeloye, Davies" uniqKey="Adeloye D" first="Davies" last="Adeloye">Davies Adeloye</name><name sortKey="Campbell, Harry" sort="Campbell, Harry" uniqKey="Campbell H" first="Harry" last="Campbell">Harry Campbell</name><name sortKey="Paul, Abigail" sort="Paul, Abigail" uniqKey="Paul A" first="Abigail" last="Paul">Abigail Paul</name><name sortKey="Rudan, Igor" sort="Rudan, Igor" uniqKey="Rudan I" first="Igor" last="Rudan">Igor Rudan</name></country><country name="Australie"><noRegion><name sortKey="Chan, Kit Yee" sort="Chan, Kit Yee" uniqKey="Chan K" first="Kit Yee" last="Chan">Kit Yee Chan</name></noRegion></country><country name="République populaire de Chine"><noRegion><name sortKey="Chan, Kit Yee" sort="Chan, Kit Yee" uniqKey="Chan K" first="Kit Yee" last="Chan">Kit Yee Chan</name></noRegion></country><country name="Croatie"><noRegion><name sortKey="Kol I, Ivana" sort="Kol I, Ivana" uniqKey="Kol I I" first="Ivana" last="Kol I">Ivana Kol I</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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