ArticleThe Medical journal of Australia2025
The intersection of rurality and dementia prevalence in Australia for Aboriginal and Torres Strait Islander and non-Indigenous peoples.
Article in The Medical journal of Australia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Development of a Rural and Remote Dementia Training Framework.The Australian journal of rural health · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo determine the nationwide prevalence of dementia as it intersects with rurality for Aboriginal and Torres Strait Islander and non-Indigenous peoples in Australia. STUDY
designCross-sectional population-based prevalence study using nationwide respondent-reported data. SETTING,
participantsAll people aged 45 years and older, including people living in residential aged care facilities, hospitals and prisons, who responded to the 2021 Australian census.
main outcome measuresCrude, age-specific and age-standardised dementia prevalence, and odds of dementia, for Aboriginal and Torres Strait Islander and non-Indigenous peoples across remoteness levels.
resultsFor non-Indigenous peoples, the crude and age-standardised (World Health Organization standard) prevalence of dementia was 10.6 and 7.4 per 1000 persons, respectively. For Aboriginal and Torres Strait Islander peoples, the crude and age-standardised prevalence was 13.4 and 16.2 per 1000 persons, respectively. The age-specific prevalence ratio for Aboriginal and Torres Strait Islander and non-Indigenous peoples was most pronounced at younger age bands (3.5 for 45-49 years, 3.8 for 50-54 years and 3.4 for 60-64 years), narrowing to 1.6 among those aged 80-84 years. Odds of dementia decreased significantly with increasing remoteness for non-Indigenous peoples, but not for the Aboriginal and Torres Strait Islander population. Increasing age and no educational attainment were strongly associated with increased odds of dementia across both populations.
conclusionsConsideration of geography is of crucial significance in dementia epidemiology, particularly for Aboriginal and Torres Strait Islander peoples. Our findings confirm those of previous community cohort and linked data studies that highlight the disproportionate burden of dementia borne by Aboriginal and Torres Strait Islander peoples using a national dataset. Place should inform targeted health care policy to address risk and protective factors for dementia prevention and care.
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