Prevalence of Dementia among Well-Educated Old-Age Pensioners in Parakou (Benin) in 2014.

Journal: Dementia and geriatric cognitive disorders

Volume: 49

Issue: 2

Year of Publication: 2021

Affiliated Institutions:  Unité d'Enseignement et de Recherche de Neurologie, Université de Parakou, Parakou, Benin, adoukonouthierry@yahoo.fr. Laboratory of Chronic Diseases Epidemiology (LEMACEN), Faculty of Health Sciences, School of Health Sciences, University of Abomey-Calavi (UAC), Cotonou, Benin. Unité d'Enseignement et de Recherche de Neurologie, Université de Parakou, Parakou, Benin. King's College London, Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neurosciences, London, United Kingdom. Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, INSERM, Limoges, France. Institut Régional de Santé Publique, Ouidah, Benin.

Abstract summary 

The number of people living with dementia is growing worldwide and most rapidly in low- and middle-income countries. Little is known about dementia in Benin. We estimated the prevalence of dementia among retired people in Parakou, a northern city in Benin, and then assessed associated factors.A cross-sectional study was performed in Parakou from July to August 2014. Participants were recruited at 2 centers, the National Center of Social Security and the Public Treasury of Benin. Participants with cognitive impairment were defined as having a low cognitive score (<7) for the brief version of the Community Screening Interview for Dementia and were invited to neurological examination. DSM-IV-TR criteria were used to diagnose dementia and the HACHINSKI score was used to differentiate dementia subtypes. A logistic regression model was performed to identify factors associated with dementia.Overall, 440 retired people were included in the study. They were mainly male (92.3%) and their mean age was 64.9 ± 6.0 years. The prevalence of cognitive impairment was 7.7% (95% CI 5.2-10.2). Fourteen participants were diagnosed with dementia, representing a prevalence of 3.2% (95% CI 1.5-4.8). Alzheimer disease was the most frequent subtype (64.3%), followed by vascular dementia (21.4%). Retired people diagnosed with dementia were all men and were aged between 61 and 71 years. Most of them were living alone. The main factors associated with dementia were older age, low fruit and vegetables consumption, and living alone.This study showed a low prevalence of dementia among retired older people in Benin. Despite this, greater attention must be given to the potential burden dementia places on families for better care, before the expected aging of the population becomes more significant.

Authors & Co-authors:  Adoukonou Thierry T Yoro-Zohoun Inès I Gnonlonfoun Dieu Donné DD Amoussou Paulin P Takpara Claire C Agbetou Mendinatou M Guerchet Maëlenn M Preux Pierre-Marie PM Houinato Dismand D Ouendo Edgard-Marius EM

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1159/000508623
SSN : 1421-9824
Study Population
Men,Male
Mesh Terms
Aged
Other Terms
Benin;Dementia;Older adults;Prevalence;Retirement;Sub-Saharan Africa
Study Design
Study Approach
Country of Study
Benin
Publication Country
Switzerland