Prevalence of Cognitive Impairment and Related Factors Among the Elderly in Rural Communities of Jeju Province

  • Published : 2003.06.01

Abstract

Purpose. The purpose of this study was to survey the prevalence rate of cognitive impairments and to identify the factors influencing cognitive impairment in the elderly in rural communities of Jeju Province. Methods. 590 elderly in 6 rural communities of Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics, health behavior, quality of life, and MMSE-K Results. Prevalence of cognitive impairment was 33.1 % (39.1 % of females, 16.76% of males). Prevalence of dementia was 12.4% (16.3% of females, 2.87% of males). Factors related to cognitive impairment were age, sex, education, standard of living, employment status, and subjective health state. Conclusions. In community health care for the elderly, factors relating to cognitive impairment have to be considered. When planning community health care, priority should be given to the elderly; who need care but live alone; who lack social support; who have a low standard of living; who experience discomfort in the activities of daily living; who believe they are not in a good state of health; or whose life satisfaction is low.

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References

  1. Cho, M. J., Hahm, B. J., Jhoo. J. H, Bae, J. N., & Kwon. J. S. (1998). Prevalence of Cognitive Impairment and Depressive Symptoms among the Elderly in an Urban Community, J of Korean Neuropsychiatr Association, 37(2), 352-362
  2. Ebersole, P., and Hess, P. (1998). Toward Healthy Aging(5th ed). ST Louis: Mosby-Year Book, Inc
  3. Fratiglioni, J., Gurt, M., Forsell, Y., Viitanen, M., Grafstrom, M, Hohmen, K., Ericsson, K., Backman, J., Ahlborn, A., & Winblad, B. (1991). Prevalence of Alzheimer's disease and other dementias in an elderly urban population: Relationship with age, sex and education, Neurology, 41, 1886-1892
  4. Hyun, I. S. (2000). A study on the level of cognitive function by Minimental State Scale, J of the Korea Gerontological Society, 20(3), 51-59
  5. Kim, K. W., Ahn, S.Y., Lee, D.Y., & Kil, Y.N. (2001). The Influences of Education, Age, and Gender on the Korean version of Hasegawa Dementia Scale Scores, Yong-In Psychiatr Bull. 8(2), 152-158
  6. Kang, H. S., Go, K. J., Kim, W.O., Kim, E. S., Khim, S. Y., Kim, H. J., Shin, S. O., Oh, S. E., Won, J. S., Li, C. Y., Jung, M., & Choe, N. H. (1999). The Lives of Daughters-in-Law Who Care for Parents with Dementia, J of Korean Acad of Nur, 29(6), 1233-1243
  7. Kwon, Y. C.,& Park, J. H. (1989). Korean Version of Mini-Mental State Examination(MMSE-K). part 1: Development of the Test for the Elderly, J of Korean Neuropsychiatr Association, 28(1), 125-135
  8. Landerman, R., Blazer, D.G., & Anthony, J. G. (1991). Cognitive Impairment. In J. N. Robins & D. A. Regier(Eds), Psychiatric disorders in America: The epidemiologic Catchment Area Study(pp.291-327). New York: The Free Press
  9. Oh, J. J. (1995). A Study on Development of Health Care Services for the Demented Elderly in Korean,. Unpublished doctoral dissertation. Seoul National University
  10. Park, E. H., Kim, S. K., Lee, W. K., Suh, Y. S., Kim, D. H., Shin, D., H., Shin., D., H., & Suh, S., K. (1997). Cognitive function, family function and depression in rural elderly, J of the Korean acadof family medicine, 18(8), 814-823
  11. Park, J. (1999). Cognitive function and Survival among The Elderly in a Rural Korean Community, Korean Neuropsychiatc Association, 38(1), 166-172
  12. Park, J., & Kim, H. C. (1997). Aging-Related Cognitive Decline, Keimyung University School of Medicine, 16(3), 382-389
  13. Park, J., Ko, H. J., Ha, J. C., Park, Y. N., & Jung, C. H. (1991). Prevalence of Dementia in the Elderly in a Myun Area of Yungil County, Kyungpook Province, J of Korean Neuropsychiatr Assoc. 30(6), 1121-1126
  14. Park, J. H., Park, Y N., & Ko, H. J. (1991). Modification of the mini-mental state examination for use with the elderly in a non-Western society. Part II. Cutoff points and their diagnostic validities. Int J Geriatr Psychiatry 6(2), 875-882
  15. Shim, H. S., Kim, S. M., Cho, K., W., Hong, M. H., Chang, J., A., & Park, Y K. (1999). One year follow up Study of the MMSE-K in the Elderly, The Korean J of Geriatr Society,3(2), 37-45
  16. Woo, J. I., Lee, J. H., Yoo, K. Y., Hong, J. P., Kim, C. Y., Kim, Y. I., & Lee, J. W.(1997). The Prevalence of dementia among the elderly in a rural area of Korea, J Korean Neuropsychiatr Assoc 36(1), 92-101