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Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar

BACKGROUND: Globally, elderly population with impaired cognitive function, such as dementia, has been accelerating, and Myanmar is no exception. However, cognitive function among elderly in Myanmar has rarely been assessed. This study aimed to identify the rate of cognitive impairment and its risk f...

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Autores principales: Saw, Yu Mon, Saw, Thu Nandar, Than, Thet Mon, Khaing, Moe, Soe, Pa Pa, Oo, San, Cho, Su Myat, Win, Ei Mon, Mon, Aye Myat, Fuchita, Etsuko, Kariya, Tetsuyoshi, Iriyama, Shigemi, Hamajima, Nobuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7386565/
https://www.ncbi.nlm.nih.gov/pubmed/32722689
http://dx.doi.org/10.1371/journal.pone.0236656
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author Saw, Yu Mon
Saw, Thu Nandar
Than, Thet Mon
Khaing, Moe
Soe, Pa Pa
Oo, San
Cho, Su Myat
Win, Ei Mon
Mon, Aye Myat
Fuchita, Etsuko
Kariya, Tetsuyoshi
Iriyama, Shigemi
Hamajima, Nobuyuki
author_facet Saw, Yu Mon
Saw, Thu Nandar
Than, Thet Mon
Khaing, Moe
Soe, Pa Pa
Oo, San
Cho, Su Myat
Win, Ei Mon
Mon, Aye Myat
Fuchita, Etsuko
Kariya, Tetsuyoshi
Iriyama, Shigemi
Hamajima, Nobuyuki
author_sort Saw, Yu Mon
collection PubMed
description BACKGROUND: Globally, elderly population with impaired cognitive function, such as dementia, has been accelerating, and Myanmar is no exception. However, cognitive function among elderly in Myanmar has rarely been assessed. This study aimed to identify the rate of cognitive impairment and its risk factors among the elderly in Myanmar. METHODS: This cross-sectional study was conducted at rural health centers in Nay Pyi Taw Union Territory, Myanmar, from December 2018 to January 2019. In total, 757 elderly individuals aged 60 years or over (males: 246 [32.5%], females: 511 [67.5%]) were interviewed using a face-to-face method with a pre-tested questionnaire. Descriptive statistics and multivariable logistic regression analyses were performed. RESULTS: The rate of impaired cognitive function among participants was 29.9% (males: 23.6%; females: 32.9%). The following participants were more likely to present cognitive impairment: those aged 70–79 years (adjusted odds ratio [AOR] = 1.8; 95% confidence interval [CI]: 1.19–2.70) and 80 years or older (AOR = 3.9; 95% CI: 2.25–6.76); those who were illiterate (AOR = 9.1; 95% CI: 3.82–21.51); and those dependent on family members (AOR = 1.6; 95% CI: 1.04–2.44). The elderly livening with their families and those who reported having good health (AOR = 0.7; 95% CI: 0.44–0.99) were less likely to have cognitive impairment. CONCLUSION: Using the HDS-R Myanmar version, this study reported that there out of five elderly participants had cognitive impairment, and its risk factors, altering policy makers that Myanmar needs to prepare for adequate healthcare services and social support for elderly with cognitive impairment. Future research should be performed not only to detect general cognitive impairment but also to differentiate specific cognitive domains impairments among Myanmar elderly. Longitudinal studies are needed to observe the causal and protective factors associated with cognitive impairments in Myanmar.
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spelling pubmed-73865652020-08-05 Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar Saw, Yu Mon Saw, Thu Nandar Than, Thet Mon Khaing, Moe Soe, Pa Pa Oo, San Cho, Su Myat Win, Ei Mon Mon, Aye Myat Fuchita, Etsuko Kariya, Tetsuyoshi Iriyama, Shigemi Hamajima, Nobuyuki PLoS One Research Article BACKGROUND: Globally, elderly population with impaired cognitive function, such as dementia, has been accelerating, and Myanmar is no exception. However, cognitive function among elderly in Myanmar has rarely been assessed. This study aimed to identify the rate of cognitive impairment and its risk factors among the elderly in Myanmar. METHODS: This cross-sectional study was conducted at rural health centers in Nay Pyi Taw Union Territory, Myanmar, from December 2018 to January 2019. In total, 757 elderly individuals aged 60 years or over (males: 246 [32.5%], females: 511 [67.5%]) were interviewed using a face-to-face method with a pre-tested questionnaire. Descriptive statistics and multivariable logistic regression analyses were performed. RESULTS: The rate of impaired cognitive function among participants was 29.9% (males: 23.6%; females: 32.9%). The following participants were more likely to present cognitive impairment: those aged 70–79 years (adjusted odds ratio [AOR] = 1.8; 95% confidence interval [CI]: 1.19–2.70) and 80 years or older (AOR = 3.9; 95% CI: 2.25–6.76); those who were illiterate (AOR = 9.1; 95% CI: 3.82–21.51); and those dependent on family members (AOR = 1.6; 95% CI: 1.04–2.44). The elderly livening with their families and those who reported having good health (AOR = 0.7; 95% CI: 0.44–0.99) were less likely to have cognitive impairment. CONCLUSION: Using the HDS-R Myanmar version, this study reported that there out of five elderly participants had cognitive impairment, and its risk factors, altering policy makers that Myanmar needs to prepare for adequate healthcare services and social support for elderly with cognitive impairment. Future research should be performed not only to detect general cognitive impairment but also to differentiate specific cognitive domains impairments among Myanmar elderly. Longitudinal studies are needed to observe the causal and protective factors associated with cognitive impairments in Myanmar. Public Library of Science 2020-07-28 /pmc/articles/PMC7386565/ /pubmed/32722689 http://dx.doi.org/10.1371/journal.pone.0236656 Text en © 2020 Saw et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Saw, Yu Mon
Saw, Thu Nandar
Than, Thet Mon
Khaing, Moe
Soe, Pa Pa
Oo, San
Cho, Su Myat
Win, Ei Mon
Mon, Aye Myat
Fuchita, Etsuko
Kariya, Tetsuyoshi
Iriyama, Shigemi
Hamajima, Nobuyuki
Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar
title Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar
title_full Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar
title_fullStr Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar
title_full_unstemmed Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar
title_short Cognitive impairment and its risk factors among Myanmar elderly using the Revised Hasegawa’s Dementia Scale: A cross-sectional study in Nay Pyi Taw, Myanmar
title_sort cognitive impairment and its risk factors among myanmar elderly using the revised hasegawa’s dementia scale: a cross-sectional study in nay pyi taw, myanmar
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7386565/
https://www.ncbi.nlm.nih.gov/pubmed/32722689
http://dx.doi.org/10.1371/journal.pone.0236656
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