Prevalence And Factors Associated With Mild Cognitive Impairment On Screening In Older Malaysians

2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Khairiah Kamarolzaman, Ching SiewMooi, Tengku Aizan Tengku Abdul Hamid.
Objective: This study aimed to determine the prevalence and predictors of mild cognitive impairment in Malaysia. Method: This is a cross-sectional community-based study among elderly aged 60 and above in the four states of Malaysia - Perak, Kelantan, Selangor and Johor. A Multi-stage stratified random sampling method was used for the data collection. Mini Mental State Examination ≥22 was used to diagnosed MCI and analysed by using multivariate logistic regression. Result: A total of 2112 participants were recruited into this study. Mean age of the participants was 69.2±18.8 years and 51.4% were female. The ethnics distribution were 63.4% Malay, 31.4% Chinese, 5% Indians and 0.2% other ethnics. The overall prevalence of mild cognitive impairment was 68% (N=1436/2112). In multivariate logistic regression analysis, those being older (OR 1.02, 95% CI 1.00-1.04), not receiving formal education (OR 6.85, 95% CI 4.58-10.25), having primary education level (OR 2.35 95%CI 1.84-3.00), loneliness (OR 1.18 95%CI 1.05-1.32) and low level of life satisfaction (OR 1.68 95%CI 1.02-2.67) had significant positive association with mild cognitive impairment. Conclusion: Mild cognitive impairment was present in seven out of ten elderly Malaysians. Aging population, presence of low education level, loneliness and dissatisfaction towards life were more likely to develop mild cognitive impairment.


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