摘要
目的全面了解河北省老年性痴呆的患病情况及其特点和规律,分析老年痴呆的社会人口学因素。方法采用多阶段、整群、分层随机抽样方法,对河北省23个县区共2158例65岁以上老人进行了老年性痴呆的流行病学调查。结果65岁以上老人痴呆的患病率为10.25%。女性明显高于男性,男女之间有显著性差异(P<0.001),农村高于城市,但城乡之间统计学无显著性差异(P>0.05);文化程度越低,患病率越高。其中阿尔茨海默痴呆(AD)的患病率7.81%,血管性痴呆(VD)的患病率2.46%,AD明显高于VD(P<0.01),但城乡之间、性别之间无显著性差异(P>0.05)。结论通过本次调查,基本掌握了河北省老年性痴呆的患病情况、流行特点及分布规律,并对此提出了相应的预防、干预对策。
Objective To study the prevalence of dementia, especially Alzheimer disease （AD） in residents aged 65 years or over in the urban and rural areas in Hebei Province. Methods From Oct. 2004 to Mar. 2005, Stratified multi-stage cluster randomization was used to identify 2 158 subjects ≥65 years of age in Hebei Province. A total of 2 158 elderly were interviewed. The participant aged was interviewed face to face with the Mini--Mental State Examination（MMSE）for screening, and diagnosised with the Diagnostic and Statistical Manual of Mental Disorder. 4th ed. （DSM-IV ）. Results The overall current rate of dementia was 10. 25 %. The overall prevalence of dementia was obviously higher in women than in men （P〈0.01）. and higher in rural than in urban areas, but no significant（P〉0. 05）. Accompanied with the lower education level, the prevalence goes up. The overall prevalence of Alzheimer＇s dementia was higher than the vascular dementia（7. 81%, 2.46%. P〈0.01）. Conclusion Through the investigation, we have kept abreast of the current prevalence and the characteristic of distribution of the dementia in Hebei Province. And provided scientific basis for the prevention and treatment of mental disorders.
出处
《中国健康心理学杂志》
2008年第11期1251-1253,共3页
China Journal of Health Psychology
关键词
老年性痴呆
流行病学
调查
Alzheimer disease
Epidemiology
Investigation
