The prevalence and factors associated with dementia among older adults in Mae Sai Subdistrict, Muang District, Phayao Province
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Abstract
This research was a cross-sectional survey using descriptive research methods. The purpose of the study was to examine the prevalence of dementia and factors associated with dementia among older adults in Muang district, Phayao province. The sample consisted of 197 older adults, and data was collected from July to December 2022. Participants were selected through simple random sampling based on the inclusion criteria. The tools used for data collection included: the Patient Health Questionnaire-2 (2Q) was used to screen and exclude individuals at risk for depression, 14-item Memory Function Screening Questionnaire was used to preliminarily screen individuals at risk for dementia for inclusion in the study, and Mini-Mental State Examination-Thai 2002 (MMSE-Thai 2002) was used to screen individuals at risk for dementia. These tools underwent validity testing and achieved reliability coefficients of .81, .83, and .84, respectively. Data were analyzed using descriptive statistics and the Chi-square test. The study found that the prevalence of dementia among older adults was 7.61 percent. Factors significantly associated with dementia among older adults in Mae Sai Subdistrict, Muang District, Phayao Province, were age and the presence of underlying disease (p < .05). The results of this study can be used to improve care planning, health promotion, and dementia prevention among older adults, making these strategies more effective.
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References
World Health Organization. Ageing and health [Internet]. 2023 [cited 2023 Dec 2]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
National Statistical Office, Ministry of Digital Economy and Society. The 2021 survey of the older persons in Thailand [Internet]. 2022 [cited 2023 Apr 25]. Available from: https://www.dop.go.th/download/knowledge/th1687612748-2406_0.pdf (in Thai)
Department of Older Persons. Older person statistics [Internet]. 2024 [cited 2024 July 18]. Available from: https://www.dop.go.th/th/statistics_page?cat=1&id=2552 (in Thai)
Nichols E, Vos T. The estimation of the global prevalence of dementia from 1990‐2019 and forecasted prevalence through 2050: an analysis for the Global Burden of Disease (GBD) study 2019. Alzheimer's & Dementia 2021;17(10);1-2.
Senanarong V, Rattanabannakit C, Hunnangkul S, Wongkom N, Likitjaroen Y, Witoonpanich P, et al. Five year dementia registry in Thailand: Regional distribution, etiologies, and outcome of dementia. Alzheimer's & Dementia 2023;19:e061560.
Department of Health Service Support, Ministry of Public Health. Phayao Province data report [Internet]. 2023 [cited 2023 Dec 2]. Available from: https://3doctor.hss.moph.go.th/main/rp_ampur?region=1&prov=NTY=&provn (in Thai)
Tantanokit T, Bosittipichet T, Leesri T. The study of prevalence and associated factors of dementia in the elderly. Siriraj Medical Journal 2021;73(4):224-35.
Sornchai C, Powwattana A, Kerdmongkol P. Factors related to depression of caregivers of older adult with dementia. Journal of Public Health Nursing 2020;34(2):66-83. (in Thai)
Anandiloklit P. Mild cognitive impairment or mild neurocognitive disorder. Regional Health Promotion Center 9 Journal 2023;17(1):381-93. (in Thai)
Lindeza P, Rodrigues M, Costa J, Guerreiro M, Rosa MM. Impact of dementia on informal care: A systematic review of family caregivers’ perceptions. BMJ supportive & palliative care 2020;0:1-12.
Suwan A, Trakulsittichok S. Prevalence and factors associated with dementia among elderly in Lukhok Subdistrict, Muang District, Pathumtani Province. Association of Private Higher Education Institutions of Thailand Journal 2016;5(2):21-32. (in Thai)
Saipanya A. Prevalence and factors associated with dementia and mild cognitive impairment (MCI) among Elderly in Na-Mafuang Subdistrict, Amphur Muang, Nongbua Lamphu Province. Udonthani Hospital Medical Journal 2022;30(3):376-86. (in Thai)
Tantanokit T, Bosittipichet T, Leesri T. The study of Prevalence and associated factors of dementia in the elderly. Siriraj Medical Journal 2021;73(4):224-35. (in Thai)
Office of Social Development and Human Security, Phayao Province. Report on the social situation in Phayao Province [Internet]. 2022 [cited 2023 Apr 5]. Available from: https://www.m-society.go.th/ewtadmin/ewt/mso_web/download/article/article_20220920160640.pdf (in Thai)
Polit DF, Beck CT. Nursing research. Generating and assessing evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2008.
Ministry of Public Health. Older adults health screening and assessment manual 2021 [Internet]. 2021 [cited 2024 July 18] Available from: https://ddc.moph.go.th (in Thai)
Sangna R, Pinyopornpanish K, Jiraporncharoen W, Angkurawaranon C. Validation of a 14-item self-reporting questionnaire for the screening of dementia in the elderly. Journal of Mental Health of Thailand 2020;28(3):199-210. (in Thai)
Soonthornchaiya R, Kongsuk T, Arunpongpaisal S, Wisetrit W, Sukhawaha S, Leejongpermpool J. The development and construct validity testing of depressive symptom inventory for Thai older persons with depressive disorders. The Journal of Psychiatric Nursing and Mental Health 2018;32(2):100-12. (in Thai)
Na Chiangmai N, Wongupparaj P. Dementia screening tests in Thai older adults: A systematic review. Journal of Mental Health of Thailand 2020;28(3):252-65. (in Thai)
Manoochehr K. What's the minimum sample needed for reliability check? [Internet]. 2017 [cited 2024 July 18] Available from: https://www.researchgate.net/post/Whats_the_minimum_sample_needed_for_reliability_check/58a20b333d7f4b99233b6498/citation/download.
Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai elderly [Internet]. 2020 [cited 2023 Dec 6]. Available from: file:///C:/Users/winut/Downloads/ThaiElderly_2563%20(1).pdf (in Thai)
Duangchan C, Yodthong D, Dechduang P. The prevalence and predicting factors of dementia among older people living in community, Phetchaburi Province. Journal of Prachomklao College of Nursing, Phetchaburi Province 2020;3(2):133-48. (in Thai)
Sutchai K. The effect of telephone counselling program to the recovery of patients with major depression. Office of Disease Prevention and Control. Journal of Medical and Public Health Region 4 2022;12(2):48-57. (in Thai)
Imarb C. Prevalence and associated factors of cognitive impairment among elderly in Watphleng District, Ratchaburi Province. Journal of Health Science 2019;28(5):782-91. (in Thai)
Sanghuachang W, Khunpinit K, Ubolwan K. Brain training program based on neurobic exercise theory for memory enhancement in older adults with mild neurocognitive disorder. Regional Health Promotion Center 9 Journal 2023;17(3):856-67. (in Thai)