ArticleGlobal health action2013
Dementia prevalence estimates in sub-Saharan Africa: comparison of two diagnostic criteria.
Article in Global health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Dominant and Modifiable Risk Factors for Dementia in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.Frontiers in neurology · 2021Pooled it
- Association between geriatric malnutrition and the risk of dementia: a retrospective cross-sectional cohort study in Uganda.BMC geriatrics · 2026Article
- Prevalence of dementia among older persons in Northern Uganda, a cross-sectional study.African health sciences · 2026Article
- Validity and reliability of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for dementia assessment in rural South Africa.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Knowledge and attitudes towards Alzheimer's disease and related dementias among Nigerian medical and nursing students: a comparative study.BMC medical education · 2025Article
- Estimating dementia prevalence using remote diagnoses and algorithmic modelling: a population-based study of a rural region in South Africa.The Lancet. Global health · 2024Article
- The 2022 symposium on dementia and brain aging in low- and middle-income countries: Highlights on research, diagnosis, care, and impact.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Review
- Estimating the number of people living with dementia at different stages of the condition in India: A Delphi process.Dementia (London, England) · 2024Article
- Discriminant Potential of the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) in Greek Older Adults with Subjective Cognitive Decline and Mild Cognitive Impairment.Journal of Alzheimer's disease reports · 2024Article
- Patient and caregiver experiences of living with dementia in Tanzania.Dementia (London, England) · 2023Article
- Prevalence of suspected dementia in a sample of adults living in Kinshasa-Democratic Republic of the Congo.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Article
- Association Between Hippocampal Volume and African Neuropsychology Memory Tests in Adult Individuals with Probable Alzheimer's Disease in Democratic Republic of Congo.Journal of Alzheimer's disease : JAD · 2023Article
- The need for a tailored national dementia plan in Ethiopia: A call for action.Frontiers in neurology · 2023Review
- Incidence of Cognitive Impairment during Aging in Rural South Africa: Evidence from HAALSI, 2014 to 2019.Neuroepidemiology · 2021Article
- Long-term consumption of virgin coconut (Chinese herbal medicines · 2020Article
- Prevalence and correlates of Alzheimer's disease and related dementias in rural Uganda: cross-sectional, population-based study.BMC geriatrics · 2020Article
- Stroke, cerebrovascular diseases and vascular cognitive impairment in Africa.Brain research bulletin · 2019Review
- A review of the 10/66 dementia research group.Social psychiatry and psychiatric epidemiology · 2019Review
- Cognitive Function and Impairment in Older, Rural South African Adults: Evidence from "Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in Rural South Africa".Neuroepidemiology · 2019Article
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Authors and funding
10 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe have previously reported the prevalence of dementia in older adults living in the rural Hai district of Tanzania according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria. The aim of this study was to compare prevalence rates using the DSM-IV criteria with those obtained using the 10/66 diagnostic criteria, which is specifically designed for use in low- and middle-income countries.
methodsIn phase I, 1,198 people aged 70 and older were screened for dementia. A stratified sample of 296 was then clinically assessed for dementia according to the DSM-IV criteria. In addition, data were collected according to the protocol of the 10/66 Dementia Research Group, which allowed a separate diagnosis of dementia according to these criteria to be established.
resultsThe age-standardised prevalence of clinical DSM-IV dementia was 6.4% (95% confidence interval [CI] 4.9-7.9%) and of '10/66 dementia' was 21.6% (95% CI 17.5-25.7%). Education was a significant predictor of '10/66 dementia', but not of DSM-IV dementia.
conclusionsThere are large discrepancies in dementia prevalence rates depending on which diagnostic system is used. In rural sub-Saharan Africa, it is not clear whether the association between education and dementia using the 10/66 criteria is a genuine effect or the result of an educational bias within the diagnostic instrument. Despite its possible flaws, the DSM-IV criteria represent an international standard for dementia diagnosis. The 10/66 diagnostic criteria may be more appropriate when identification of early and mild cognitive impairment is required.
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