BACKGROUND: We aimed to estimate the prevalence, correlates and impact of dementia in Havana and Matanzas, Cuba. METHODS: A 1-phase catchment area survey of all over 65-year-old residents of 7 catchment areas in Havana and 1 in Matanzas was conducted. Dementia diagnosis was established according to DSM-IV and our own, pre-validated 10/66 criteria. The impact of dementia was assessed through associations with needs for care, cutting back on work to care and caregiver psychological morbidity. RESULTS: We interviewed 2,944 older people, a response proportion of 96.4%. The prevalence of DSM-IV dementia was 6.4% and that of 10/66 dementia 10.8%. Both dementia outcomes were associated with older age, less education, a family history of dementia, shorter leg length and smaller skull circumference. Dementia, rather than physical health problems or depression, was the main contributor to needs for care (population-attributable prevalence fraction = 64.6%) and caregiver cutting back on work (population-attributable prevalence fraction = 57.3%). CONCLUSION: The prevalence of dementia in Cuba is similar to Europe. Among health conditions, dementia is the major contributor to dependency and caregiver economic and psychological strain. More attention needs to be given to it and other chronic diseases associated more with disability than premature mortality. Copyright 2008 S. Karger AG, Basel.
BACKGROUND: We aimed to estimate the prevalence, correlates and impact of dementia in Havana and Matanzas, Cuba. METHODS: A 1-phase catchment area survey of all over 65-year-old residents of 7 catchment areas in Havana and 1 in Matanzas was conducted. Dementia diagnosis was established according to DSM-IV and our own, pre-validated 10/66 criteria. The impact of dementia was assessed through associations with needs for care, cutting back on work to care and caregiver psychological morbidity. RESULTS: We interviewed 2,944 older people, a response proportion of 96.4%. The prevalence of DSM-IV dementia was 6.4% and that of 10/66 dementia 10.8%. Both dementia outcomes were associated with older age, less education, a family history of dementia, shorter leg length and smaller skull circumference. Dementia, rather than physical health problems or depression, was the main contributor to needs for care (population-attributable prevalence fraction = 64.6%) and caregiver cutting back on work (population-attributable prevalence fraction = 57.3%). CONCLUSION: The prevalence of dementia in Cuba is similar to Europe. Among health conditions, dementia is the major contributor to dependency and caregiver economic and psychological strain. More attention needs to be given to it and other chronic diseases associated more with disability than premature mortality. Copyright 2008 S. Karger AG, Basel.
Authors: K M Langa; M E Chernew; M U Kabeto; A R Herzog; M B Ofstedal; R J Willis; R B Wallace; L M Mucha; W L Straus; A M Fendrick Journal: J Gen Intern Med Date: 2001-11 Impact factor: 5.128
Authors: Martin Prince; Daisy Acosta; Alan D Dangour; Ricardo Uauy; Mariella Guerra; Yueqin Huang; K S Jacob; Juan J Llibre Rodriguez; Aquiles Salas; Ana Luisa Sosa; Joseph D Williams; Isaac Acosta; Emiliano Albanese; Michael E Dewey; Cleusa P Ferri; Robert Stewart; Ciro Gaona; A T Jotheeswaran; P Senthil Kumar; Shuran Li; Juan C Llibre Guerra; Diana Rodriguez; Guillermina Rodriguez Journal: Int Psychogeriatr Date: 2010-08-12 Impact factor: 3.878
Authors: Renata M Sousa; Cleusa P Ferri; Daisy Acosta; Mariella Guerra; Yueqin Huang; Ks Jacob; At Jotheeswaran; Milagros A Guerra Hernandez; Zhaorui Liu; Guillermina Rodriguez Pichardo; Juan J Llibre Rodriguez; Aquiles Salas; Ana Luisa Sosa; Joseph Williams; Tirso Zuniga; Martin Prince Journal: BMC Geriatr Date: 2010-08-06 Impact factor: 3.921
Authors: Beatriz Marcheco Teruel; Juan J Llibre Rodríguez; Paul McKeigue; Teresa Collazo Mesa T; Evelyn Fuentes; Adolfo Valhuerdi Cepero A; Milagros A Guerra Hernandez; John R M Copeland J R M; Cleusa P Ferri; Martin J Prince Journal: BMC Med Genet Date: 2011-03-24 Impact factor: 2.103
Authors: Renata M Sousa; Cleusa P Ferri; Daisy Acosta; Emiliano Albanese; Mariella Guerra; Yueqin Huang; K S Jacob; A T Jotheeswaran; Juan J Llibre Rodriguez; Guillermina Rodriguez Pichardo; Marina Calvo Rodriguez; Aquiles Salas; Ana Luisa Sosa; Joseph Williams; Tirso Zuniga; Martin Prince Journal: Lancet Date: 2009-11-28 Impact factor: 79.321
Authors: Rosie Mayston; Mariella Guerra; Yueqin Huang; Ana Luisa Sosa; Richard Uwakwe; Isaac Acosta; Peter Ezeah; Sara Gallardo; Veronica Montes de Oca; Hong Wang; Maëlenn Guerchet; Zhaorui Liu; Maria Sanchez; Peter Lloyd-Sherlock; Martin J Prince Journal: Springerplus Date: 2014-07-28
Authors: Olga Lucia Pedraza; Ana Maria Salazar Montes; Fabio Alexander Sierra; Maria Camila Montalvo; Yolanda Muñoz; Jose Miguel Díaz; Angela Lozano; Cesar Piñeros Journal: Dement Neuropsychol Date: 2017 Jul-Sep
Authors: Juan J Llibre Rodríguez; Adolfo Valhuerdi Cepero; Isis Y Sanchez Gil; Ana M López Medina; Juan C Llibre-Guerra; Jorge J Llibre-Guerra; Beatriz Marcheco Teruel; Cleusa P Ferri; Martin Prince Journal: Dement Neuropsychol Date: 2014 Oct-Dec