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Dementia prevalence,care arrangement,and access to care in Lebanon: A pilot study
Authors:Kieu T.T. Phung  Monique Chaaya  Martin Prince  Samir Atweh  Khalil El Asmar  Georges Karam  Rose Mary Khoury  Lilian Ghandour  Husam Ghusn  T. Rune Nielsen  Gunhild Waldemar
Affiliation:1. Danish Dementia Research Center, Department of Neurology, The Neuroscience Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark;2. Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon;3. Department of Health Service and Population Research, Institute of Psychiatry, King''s College London, London, UK;4. Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, UK;5. Department of Neurology, American University of Beirut Medical Center, Beirut, Lebanon;6. Department of Psychiatry and Clinical Psychology, Saint George Hospital University Medical Center; Institute for Development, Advocacy, and Applied Care (IDRAAC), Beirut, Lebanon;7. Department of Geriatrics, American University of Beirut Medical Center, Beirut, Lebanon;8. Geriatric Department, Ain Wazen Hospital, Chouf, Mount Lebanon, Lebanon
Abstract:

Introduction

In North Africa and the Middle East, studies about dementia prevalence are scarce. A pilot study was conducted in Lebanon to assess dementia prevalence, using the Arabic-validated 10/66 Dementia Research Group (DRG) diagnostic assessment for case ascertainment. The study also examined care arrangement and access to care.

Methods

A random sample of 502 persons older than 65 years and their informant were recruited from Beirut and Mount Lebanon governorates through multistage cluster sampling.

Results

The crude and age-standardized dementia prevalences were 7.4% and 9.0%, respectively. People with dementia were mainly cared for by relatives at home. Access to formal care was very limited.

Discussion

Dementia prevalence in Lebanon ranks high within the global range of estimates. These first evidence-based data about disease burden and barriers to care serve to raise awareness and call for social and health care reform to tackle the dementia epidemic in Lebanon and in North Africa and the Middle East.
Keywords:Dementia  Prevalence  Lebanon  Dementia care
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