Evidence map›Paper›PMID 30507573›Full record

ArticleJournal of Alzheimer's disease : JAD2019

Factors Associated with the High Prevalence of Dementia in Older Aboriginal Australians.

Kylie Radford, Louise M Lavrencic, Kim Delbaere, Brian Draper, Robert Cumming, Gail Daylight, Holly A Mack, Simon Chalkley, Hayley Bennett, Gail Garvey and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Risk, protective, and biomarkers of dementia in Indigenous peoples: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
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  17. Evolutionary Approaches in Aging Research.Cold Spring Harbor perspectives in medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Kylie RadfordNeuroscience Research Australia, Randwick, NSW, Australia.
Louise M LavrencicNeuroscience Research Australia, Randwick, NSW, Australia.
Kim DelbaereNeuroscience Research Australia, Randwick, NSW, Australia.
Brian DraperUniversity of New South Wales, Sydney, NSW, Australia.
Robert CummingThe University of Sydney, Camperdown, NSW, Australia.
Gail DaylightNeuroscience Research Australia, Randwick, NSW, Australia.
Holly A MackUniversity of Technology Sydney, Ultimo, NSW, Australia.
Simon ChalkleyNeuroscience Research Australia, Randwick, NSW, Australia.
Hayley BennettNeuroscience Research Australia, Randwick, NSW, Australia.
Gail GarveyMenzies School of Health Research, Brisbane, QLD, Australia.
Thi Yen HillNeuroscience Research Australia, Randwick, NSW, Australia.
Danielle LasschuitNeuroscience Research Australia, Randwick, NSW, Australia.
Gerald A BroeNeuroscience Research Australia, Randwick, NSW, Australia.
Neuroscience Research Australia · AUUNSW Sydney · AUPrince of Wales Hospital · AUMenzies School of Health Research · AUThe University of Sydney · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dementia prevalence in Aboriginal and Torres Strait Islander Australians is three to five times higher than the general Australian population. A better understanding of the underlying biomedical and social risk factors is needed to guide dementia prevention in Aboriginal Australians. The current study is the first to examine potential risk factors for dementia in the majority urban and regional population, with a representative sample of 336 Aboriginal Australians aged 60 years and older. Participants included 45 people with a dementia diagnosis (n = 27 probable/possible Alzheimer's disease); and 286 people without dementia. Univariate logistic regression analyses (controlling for age) identified childhood trauma, mid-life factors (history of unskilled work, past high-risk alcohol use), and medical factors (history of stroke, head injury with loss of consciousness, epilepsy) as risk factors for dementia. Multivariable analysis revealed age, childhood trauma, unskilled work, stroke, and head injury as independent predictors of all-cause dementia. A range of comorbid factors related to dementia was also identified (i.e., functional impairment, incontinence, recent hospital admission, low body mass index, living in residential care, depression, current high-risk alcohol use, social isolation, low physical activity levels). These findings extend previous outcomes in a remote Aboriginal population by highlighting that life-course social determinants of health, in addition to neurological disorders, likely play an important role in elevating dementia risk. Certain psychosocial and medical exposures are highly prevalent in Aboriginal Australians, similar to other indigenous populations, and should be considered when designing targeted and culturally appropriate prevention initiatives to reduce the burden of dementia.

Indexed as

AgedAged, 80 and overAustraliaDementiaFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsAgedAlzheimer’s diseaseindigenous populationneurocognitive disorderssocial determinants of health

Identifiers

PMID30507573
PMCPMC6700619
OpenAlexW2903063187

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.