Chronic disease prevalence and care among the elderly in urban and rural Beijing, China--a 10/66 Dementia Research Group cross-sectional survey

Zhaorui Liu; Albanese, Emiliano; Shuran Li; Yueqin Huang; Ferri, Cleusa P.; Fang Yan; Sousa, Renata; Weimin Dang; Prince, Martin
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p394
Academic Journal
Background: Demographic ageing is occurring at an unprecedented rate in China. Chronic diseases and their disabling consequences will become much more common. Public policy has a strong urban bias, and older people living in rural areas may be especially vulnerable due to limited access to good quality healthcare, and low pension coverage. We aim to compare the sociodemographic and health characteristics, health service utilization, needs for care and informal care arrangements of representative samples of older people in two Beijing communities, urban Xicheng and rural Daxing. Methods: A one-phase cross-sectional survey of all those aged 65 years and over was conducted in urban and rural catchment areas in Beijing, China. Assessments included questionnaires, a clinical interview, physical examination, and an informant interview. Prevalence of chronic diseases, self-reported impairments and risk behaviours was calculated adjusting for household clustering. Poisson working models were used to estimate the independent effect of rural versus urban residence, and to explore the predictors of health services utilization. Results: We interviewed 1002 participants in rural Daxing, and 1160 in urban Xicheng. Those in Daxing were more likely to be younger, widowed, less educated, not receiving a pension, and reliant on family transfers. Chronic diseases were more common in Xicheng, when based on self-report rather than clinical assessment. Risk exposures were more common in Daxing. Rural older people were much less likely to access health services, controlling for age and health. Community health services were ineffective, particularly in Daxing, where fewer than 3% of those with hypertension were adequately controlled. In Daxing, care was provided by family, who had often given up work to do so. In Xicheng, 45% of those needing care were supported by paid caregivers. Caregiver strain was higher in Xicheng. Dementia was strongly associated with care needs and caregiver strain, but not with medical helpseeking. Conclusion: Apparent better health in Daxing might be explained by under-diagnosis, under-reporting or selective mortality. Far-reaching structural reforms may be needed to improve access and strengthen rural healthcare. The impact of social and economic change is already apparent in Xicheng, with important implications for future long-term care.


Related Articles

  • COGNITIVE TESTING BATTERY: DIFFERENCES AMONG GROUPS WITH DEMENTIA, HUNTINGTON'S DISEASE, AND CONTROLS. Hyer, Lee; Sohnle, Steven; Miller, Michael H.; Hamer, Robert // Psychological Reports;Oct2003, Vol. 93 Issue 2, p497 

    This study evaluated a new test for dementia, the Cognitive Testing Battery, used for over six years in outpatient clinics for aging-related disorders. This battery was developed to be brief, easy to administer, and to provide useful feedback as a cognitive profile for clinicians, patients, and...

  • Huntington's disease. Part 3: family aspects of HD. Aubeeluck, Aimee; Moskowitz, Carol Brown // British Journal of Nursing;3/13/2008, Vol. 17 Issue 5, p328 

    Research into the experience of the Huntington's disease (HD) family caregiver has established that HD carers experience a number of unique obstacles within their caregiving role. This appears to be due to the chronic nature of the disease, both in terms of genetic inheritance and the prolonged...

  • Canadian Institutes of Health Research proposes major initiative on Alzheimer disease in step toward national dementia strategy. Collier, Roger // CMAJ: Canadian Medical Association Journal;8/4/2009, Vol. 181 Issue 3/4, pE36 

    The article reports on the new international effort which will further Alzheimer disease research by the Canadian Institutes of Health Research (CIHR), giving emphasis on early detection and prevention. According to Rémi Quirion, executive director of the International Collaborative Research...

  • Reviewing the definition of crisis in dementia care. Vroomen, Janet MacNeil; Bosmans, Judith E.; van Hout, Hein P. J.; de Rooij, Sophia E. // BMC Geriatrics;2013, Vol. 13 Issue 1, p1 

    Background: Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice....

  • Effect of Age and Gender on Cognitive Function as Assessed by p300 Potentials. Arifuddin, Mehnaaz Sameera; Kota, Keerthana; Hazari, Mohammed Abdul Hannan; Reddy, Barra Ram // International Journal of Biological & Medical Research;2013, Vol. 4 Issue 1, p2910 

    Background: Higher mental functions decline as age advances, sometimes leading to overt dementia which compromises an individual's day-to-day activities. Contrary to this, some elderly individuals show remarkable intellectual capabilities, which drive our attention to the factors apart from age...

  • Kynurenines in chronic neurodegenerative disorders: future therapeutic strategies. Zádori, D.; Klivényi, P.; Vámos, E.; Fülöp, F.; Toldi, J.; Vécsei, L. // Journal of Neural Transmission;Nov2009, Vol. 116 Issue 11, p1403 

    Parkinson’s, Alzheimer’s and Huntington’s diseases are chronic neurodegenerative disorders of a progressive nature which lead to a considerable deterioration of the quality of life. Their pathomechanisms display some common features, including an imbalance of the tryptophan...

  • Caregivers' understanding of dementia predicts patients' comfort at death: a prospective observational study. Van der Steen, Jenny T.; Onwuteaka-Philipsen, Bregje D.; Knol, Dirk L.; Ribbe, Miel W.; Deliens, Luc // BMC Medicine;2013, Vol. 11 Issue 1, p1 

    Background: Patients with dementia frequently do not receive adequate palliative care which may relate to poor understanding of the natural course of dementia. We hypothesized that understanding that dementia is a progressive and terminal disease is fundamental to a focus on comfort in dementia,...

  • Can IQCODE differentiate Alzheimer's disease and frontotemporal dementia? Larner, A. J. // Age & Ageing;May2010, Vol. 39 Issue 3, p392 

    The article discusses the effectivity of using the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) in differentiating Alzheimer's disease (AD) and behavioural variant frontotemporal dementia (bvFTD). It highlights the study which examines how the IQCODE procedure will...

  • Estimating the size of a potential palliative care population. Rosenwax, L. K.; McNamara, B.; Blackmore, A. M.; Holman, C. D. J. // Palliative Medicine;Nov2005, Vol. 19 Issue 7, p556 

    Objectives: To develop a method for estimating the population who could potentially benefit from receiving palliative care in the last year of their lives, and then apply the estimates to the Western Australian population to ascertain characteristics of these people. Methods: Three estimates of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics