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Dementia and Dependency vs. Proxy Indicators of the Active Ageing Index in Indonesia

Bibliographic Data

ID15477262
AuthorsEef Hogervorst (0000-0001-9729-4989, Loughborough University, corresponding author), Elisabeth Schröder-Butterfill (0000-0002-5071-8710, University of Southampton), Yvonne S Handajani (0000-0002-8245-9354, Atma Jaya Catholic University of Indonesia), Philip Kreager (0000-0002-9553-2936, University of Oxford), Tri Budi W Rahardjo (University of Oxford)
Year2021
Volume18
Issue16
Pages8235-8235
Publication date2021-08-04
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18168235
PMID34443985
OpenAlexW3190490911
LanguageEN
Citations received4
References cited16

Dementia prevalence is increasing worldwide and developing countries are expected to carry the highest burden of this. Dementia has high care needs and no current effective long-term treatment. However, factors associated with active ageing (e.g., longer employment; participation in society; independent, healthy and secure living; and enabling environments to allow people to remain psychosocially and physically active) could help maintain independence in older people for longer. We investigated proxy indicators of the Active Ageing Index (AAI), which were offset against dementia and dependency (assessed by Instrumental Activities of Daily Living or IADL) in multi-ethnic urban (Jakarta) and rural (Sumedang and Borobudur) health care districts on Java, Indonesia. Dementia was assessed using validated cognitive dementia screening tests, the IADL and carer reports. Dementia and dependency prevalence showed large interregional differences and were highest in rural Borobudur. Dementia and dependency were associated with an older age, lower education (for dementia), worse physical health (for dependency) and not engaging in psychosocial activities, such as attending community events, reading (for dementia) and sport activities (for dependency). By supporting active ageing activities in Puskesmas (primary health care centers) and improving access to medical care, rural areas could possibly reduce dementia and dependency risk. Our follow-up study planned in 2021 should illustrate whether recent relevant policies have rendered success in these areas. Using active ageing indicators could focus policies to support regions with targeted interventions to compress care needs in older people

Active ageing · Activities of daily living · Dementia · Disease · Older people · Proxy (statistics · Psychiatry · Psychological intervention · Psychosocial · Rural area · Aging, Elder Care, and Social Issues · Dementia and Cognitive Impairment Research · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology · Gerontology

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Citations per year1.33
Citation span2023 - 2026 (4)
Highly citedNo

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