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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Care arrangements for people with dementia in developing countries
International Journal of Geriatric Psychiatry, Volume 19, No. 2, Year 2004
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Description
Background: Rapid demographic ageing will soon lead to large increases in the numbers of persons with dementia in developing countries. This study is the first comprehensive assessment of care arrangements for people with dementia in those regions. Methods: A descriptive and comparative study of dementia care; caregiver characteristics, the nature of care provided, and the practical, psychological (Zarit Burden Interview, General Health Questionnaire) and economic impact upon the caregiver in 24 centres in India, China and South East Asia, Latin America and the Caribbean and Africa. Results: We interviewed 706 persons with dementia, and their caregivers. Most caregivers were women, living with the person with dementia in extended family households. One-quarter to one-half of households included a child. Larger households were associated with lower caregiver strain, where the caregiver was co-resident. However, despite the traditional apparatus of family care, levels of caregiver strain were at least as high as in the developed world. Many had cutback on work to care and faced the additional expense of paid carers and health services. Families from the poorest countries were particularly likely to have used expensive private medical services, and to be spending more than 10% of the per capita GNP on health care. Conclusions: Older people in developing countries are indivisible from their younger family members. The high levels of family strain identified in this study feed into the cycle of disadvantage and should thus be a concern for policymakers in the developing world. Copyright © 2004 John Wiley & Sons, Ltd.
Authors & Co-Authors
Prince, Martin J.
United Kingdom, London
King's College London
Copeland, John R.M.
United Kingdom, Liverpool
University of Liverpool
Varghese, Mathew Tom
India, Bengaluru
National Institute of Mental Health and Neuro Sciences
Thara, Rangaswamy
India, Chennai
Schizophrenia Research Foundation Chennai
Krishnamoorthy, Ennapadam Srinivas
India, Chennai
The Voluntary Health Services, Chennai
Patel, Vikram Harshad
Unknown Affiliation
Dias, Amit F.
Unknown Affiliation
Shaji, Kunnukattil S.
India, Mysore
Mysore Medical College
Chiu, Helen Fung Kum
Hong Kong, Hong Kong
Chinese University of Hong Kong
Liu, Shening
Taiwan, Taipei
Mackay Memorial Hospital Taiwan
Arizaga, Raúl Luciano
Argentina, Buenos Aires
Hospital Santojanni, Buenos Aires
Allegri, Ricardo F.
Argentina, Buenos Aires
Consejo Nacional de Investigaciones Científicas y Técnicas
Scazufca, Márcia
Brazil, Sao Paulo
Universidade de São Paulo
Menezes, Paulo R.
Brazil, Sao Paulo
Universidade de São Paulo
Acosta, Daisy M.
Dominican Republic, Santo Domingo
Universidad Nacional Pedro Henríquez Ureña
Sosa, Ana Luisa
Mexico, Tlalpan
Instituto Nacional de Neurología y Neurocirugía
Guerra, Mariella A.
Peru, Lima
Instituto Nacional de Salud, Lima
Salas, Aquiles
Venezuela, Caracas
Universidad Central de Venezuela
Uwakwe, Richard U.
Unknown Affiliation
Olebuezie, F.
Unknown Affiliation
Statistics
Citations: 223
Authors: 20
Affiliations: 25
Identifiers
Doi:
10.1002/gps.1046
ISSN:
08856230
Research Areas
Maternal And Child Health
Mental Health
Study Design
Cross Sectional Study
Participants Gender
Female