Care arrangements for people with dementia in developing countries

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dc.contributor.authorPrince, Martin
dc.contributor.authorQuraishi, Seema
dc.contributor.authorCopeland, John
dc.contributor.authorVarghese, Mathew
dc.contributor.authorMurali, T.
dc.contributor.authorSrinivasan, Latha
dc.contributor.authorThara, R.
dc.contributor.authorSamuel, Ravi
dc.contributor.authorKrishnamoorthy, E. S.
dc.contributor.authorPatel, Vikram
dc.contributor.authorSangath,
dc.contributor.authorDias, Adriano [UNESP]
dc.contributor.authorVerma, M. Ajay
dc.contributor.authorAnand, B.
dc.contributor.authorShaji, K. S.
dc.contributor.authorLal, K. Praveen
dc.contributor.authorShuran, Li
dc.contributor.authorLiu, Jin
dc.contributor.authorChiu, Helen
dc.contributor.authorChan, Teresa
dc.contributor.authorLiu, Shen-Ing
dc.contributor.authorTang, Li-Yu
dc.contributor.authorArizaga, Raúl Luciano
dc.contributor.authorAllegri, Ricardo F.
dc.contributor.authorScazufca, Marcia
dc.contributor.authorMenezes, Paulo Rossi
dc.contributor.authorDe A.R. Cerqueira, Ana Teresa [UNESP]
dc.contributor.authorMiyazaki, M. Cristina O.S.
dc.contributor.authorMicelli Domingos, Neide A.
dc.contributor.authorPatricio Fuentes, G.
dc.contributor.authorGustav Rohde, C.
dc.contributor.authorDe J. Llibre Rodríguez, Juan
dc.contributor.authorPardo, Tania Laucerique
dc.contributor.authorAcosta, Daisy
dc.contributor.authorRodriguez, Guillermina
dc.contributor.authorAvendaño, Josué
dc.contributor.authorSantana, Diana Garcia
dc.contributor.authorSosa, Ana Luisa
dc.contributor.authorAgudelo, Yaneth Rodriguez
dc.contributor.authorVelazquez-Brizuela, Irma E.
dc.contributor.authorMacias-Islas, Miguel A.
dc.contributor.authorDe Alba, Gloriela R.
dc.contributor.authorGrimaldo, Gloria
dc.contributor.authorGuerra, Mariella
dc.contributor.authorGonzález, M. Víctor
dc.contributor.authorSan Martin, Ana Carina
dc.contributor.authorPalabé, Maria Ximena
dc.contributor.authorSalas, Aquiles
dc.contributor.authorYánez, Ciro Gaona
dc.contributor.authorUwakwe, Richard
dc.contributor.authorOlebuezie, F.
dc.contributor.institutionInstitute of Psychiatry
dc.contributor.institutionUniversity of Liverpool
dc.contributor.institutionNIMHANS
dc.contributor.institutionSchizophrenia Research Foundation
dc.contributor.institutionVoluntary Health Services
dc.contributor.institutionGoa Medical College
dc.contributor.institutionHeritage Hospitals
dc.contributor.institutionMedical College
dc.contributor.institutionBeijing University
dc.contributor.institutionChinese University of Hong Kong
dc.contributor.institutionMackay Memorial Hospital
dc.contributor.institutionCatholic Sanipax Med.-Soc. Educ.
dc.contributor.institutionGCBA
dc.contributor.institutionCONICET
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionMedical School
dc.contributor.institutionHospital Del Salvador
dc.contributor.institutionUniversidad Valparaíso
dc.contributor.institutionUniversidad Medica de la Habana
dc.contributor.institutionUniv. Nacional Pedro Henriquez Urena
dc.contributor.institutionAsociacion Dominicana de Alzheimer
dc.contributor.institutionNatl. Inst. of Neurol./Neurosurg.
dc.contributor.institutionCIBO-IMSS
dc.contributor.institutionHECMNO-IMSS
dc.contributor.institutionPaitilla Medical Center Hospital
dc.contributor.institutionSanta Fe Hospital
dc.contributor.institutionUniversidad Peruana Cauetano Heredia
dc.contributor.institutionESSALUD
dc.contributor.institutionUniversity of Uruguay
dc.contributor.institutionFaculty of Medicine
dc.contributor.institutionFundacion Alzheimer's Venezuela
dc.contributor.institutionTeaching Hospital
dc.date.accessioned2014-05-27T11:21:01Z
dc.date.available2014-05-27T11:21:01Z
dc.date.issued2004-02-01
dc.description.abstractBackground: Rapid demographic ageing will soon lead to large increases in the numbers of persons with dementia in developing countries. This study is the first comprehensive assessment of care arrangements for people with dementia in those regions. Methods: A descriptive and comparative study of dementia care; caregiver characteristics, the nature of care provided, and the practical, psychological (Zarit Burden Interview, General Health Questionnaire) and economic impact upon the caregiver in 24 centres in India, China and South East Asia, Latin America and the Caribbean and Africa. Results: We interviewed 706 persons with dementia, and their caregivers. Most caregivers were women, living with the person with dementia in extended family households. One-quarter to one-half of households included a child. Larger households were associated with lower caregiver strain, where the caregiver was co-resident. However, despite the traditional apparatus of family care, levels of caregiver strain were at least as high as in the developed world. Many had cutback on work to care and faced the additional expense of paid carers and health services. Families from the poorest countries were particularly likely to have used expensive private medical services, and to be spending more than 10% of the per capita GNP on health care. Conclusions: Older people in developing countries are indivisible from their younger family members. The high levels of family strain identified in this study feed into the cycle of disadvantage and should thus be a concern for policymakers in the developing world. Copyright © 2004 John Wiley & Sons, Ltd.en
dc.description.affiliationInstitute of Psychiatry, de Crespigny Park, Denmark Hill, London SE5 8AF
dc.description.affiliationUniversity of Liverpool, Liverpool
dc.description.affiliationNIMHANS, Bangalore
dc.description.affiliationSchizophrenia Research Foundation, Chennai
dc.description.affiliationVoluntary Health Services, Chennai
dc.description.affiliationGoa Medical College, Goa
dc.description.affiliationHeritage Hospitals, Hyderabad
dc.description.affiliationMedical College, Thrissur
dc.description.affiliationBeijing University, Beijing
dc.description.affiliationChinese University of Hong Kong, Hong Kong
dc.description.affiliationMackay Memorial Hospital, Taipei
dc.description.affiliationCatholic Sanipax Med.-Soc. Educ., Taipei
dc.description.affiliationHospital Santojanni GCBA, Buenos Aires
dc.description.affiliationHospital Zubizarreta GBCA CONICET, Buenos Aires
dc.description.affiliationUniversidade de São Paulo, São Paulo
dc.description.affiliationBotucatu Medical School UNESP, Botucatu
dc.description.affiliationFAMERP Medical School, Sao Jose do Rio Preto
dc.description.affiliationHospital Del Salvador, Santiago
dc.description.affiliationUniversidad Valparaíso, Valparaíso
dc.description.affiliationFac. de Medicina 'Finlay-Albarran' Universidad Medica de la Habana, Havana
dc.description.affiliationUniv. Nacional Pedro Henriquez Urena, Santo Domingo
dc.description.affiliationAsociacion Dominicana de Alzheimer, Santo Domingo
dc.description.affiliationNatl. Inst. of Neurol./Neurosurg., Mexico City
dc.description.affiliationCIBO-IMSS, Guadalajara
dc.description.affiliationHECMNO-IMSS, Guadalajara
dc.description.affiliationPaitilla Medical Center Hospital, Panama City
dc.description.affiliationSanta Fe Hospital, Panama City
dc.description.affiliationInst. Nac. Salud Mental Hon. Delgado Universidad Peruana Cauetano Heredia, Lima
dc.description.affiliationInst. Peruano de Seguridad Social ESSALUD, Lima
dc.description.affiliationUniversity of Uruguay, Montevideo
dc.description.affiliationUniversidad Central de Venezuela Faculty of Medicine, Caracas
dc.description.affiliationFundacion Alzheimer's Venezuela, Caracas
dc.description.affiliationNnamdi Azikiwe University Teaching Hospital, Anambra
dc.description.affiliationUnespBotucatu Medical School UNESP, Botucatu
dc.format.extent170-177
dc.identifierhttp://dx.doi.org/10.1002/gps.1046
dc.identifier.citationInternational Journal of Geriatric Psychiatry, v. 19, n. 2, p. 170-177, 2004.
dc.identifier.doi10.1002/gps.1046
dc.identifier.issn0885-6230
dc.identifier.lattes2966846406062836
dc.identifier.orcid0000-0001-6895-372X
dc.identifier.scopus2-s2.0-10744221093
dc.identifier.urihttp://hdl.handle.net/11449/67629
dc.language.isoeng
dc.relation.ispartofInternational Journal of Geriatric Psychiatry
dc.relation.ispartofjcr2.940
dc.relation.ispartofsjr1,432
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectAlzheimer's disease
dc.subjectCaregivers
dc.subjectCost of illness
dc.subjectDementia
dc.subjectDeveloping countries
dc.subjectPsychological
dc.subjectStress
dc.subjectadult
dc.subjectAfrica
dc.subjectaged
dc.subjectcaregiver
dc.subjectCaribbean Islands
dc.subjectChina
dc.subjectcomparative study
dc.subjectcontrolled study
dc.subjectdementia
dc.subjectdeveloped country
dc.subjectdeveloping country
dc.subjecteconomic aspect
dc.subjectelderly care
dc.subjectfamily
dc.subjectfemale
dc.subjecthealth care cost
dc.subjecthealth care policy
dc.subjecthousehold
dc.subjecthuman
dc.subjectIndia
dc.subjectinterview
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmental health service
dc.subjectpatient care
dc.subjectpsychological aspect
dc.subjectqualitative analysis
dc.subjectquestionnaire
dc.subjectSouth and Central America
dc.subjectSoutheast Asia
dc.subjectstress
dc.subjectAged
dc.subjectAlzheimer Disease
dc.subjectCost of Illness
dc.subjectDeveloping Countries
dc.subjectEmployment
dc.subjectFamily
dc.subjectFemale
dc.subjectFinancing, Personal
dc.subjectHome Nursing
dc.subjectHumans
dc.subjectMale
dc.subjectPatient Acceptance of Health Care
dc.subjectPrivate Practice
dc.subjectStress, Psychological
dc.subjectTime Factors
dc.titleCare arrangements for people with dementia in developing countriesen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
unesp.author.lattes2966846406062836[12]
unesp.author.orcid0000-0001-6895-372X[12]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Neurologia, Psicologia e Psiquiatria - FMB