Michigan Survey of Cognitive Impairment & Dementia

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• published: 19 May 2016
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Don't hesitate to comment below if you have any questions or additional phrases Michigan Survey of Cognitive Impairment & Dementia Hector M. González,1 Micki Horst, Ann Rafferty, Peter Lichtenberg1 ,Acknowledgements Denise Cyzman, Michigan Department of Community Health Kim Curyto, Pine Rest Christian Mental Health Services Sara Duris, Michigan Council Kevin Foley, Advantage Health Judith Heidebrink, Michigan Alzheimer's Disease Research Center Micki Horst, Michigan Public Health Institute Rochelle Hurst, Michigan Department of Community Health Larry Lawhorne, Geriatric Education Center of Michigan Peter Lichtenberg, Institute of Gerontology Katie Maslow, Alzheimer's Association Daniel Murman, Michigan State University Suzanne Ogland-Hand, Pine Rest Christian Mental Health Services Karen Petersmarck, Michigan Department of Community Health Ann Rafferty, Michigan Department of Community Health Rhonna Shatz, Henry Ford Hospital ,Objectives Background Aims Brief methods Results Discussion Conclusions Q & A ,Background CDC, Behavioral Risk Factor Surveillance System (BRFSS) Michigan has used the BRFSS system to develop recommendations to the State Department of Public Health in developing, implementing, and evaluating statewide programs In 2003, planning for a special survey began with the addition of diabetes and dementia questions Data collection began in November 2004 and continued through September 2005. This is Hot off the Press ,Prevalence Estimates of Dementia and Alzheimer’s Disease in North American by Age (Evans 1989) ,Survey Methods Telephone survey Random digit dialing in Michigan English-speaking, Non-institutionalized adults (age 18 & over) Disproportionate stratified Over-sampled African-Americans, Latinos and persons age 45 & older 2,656 completed interviews ,What Respondents were Asked “Is there any person in your household whose memory or thinking is worse than it was a year ago?” How many persons are there whose memory or thinking is worse that it was a year ago? Has a physician or other health care professional ever evaluated this person's memory change? Person with most recent birthday if more than 1 person in household “Does this person's memory change interfere with their everyday activities or work?” (For example, does it affect their ability to shop, drive, pay bills, take medications, or perform housework?) 5. “If someone were to ask you where to go for information about a problem with memory or thinking what would you suggest?” ,Objectives P_______ (the P-word) of cognitive impairment/dementia in Michigan At least get a sense Estimate functional impairment of identified Michiganians Inform interest groups of the state-of-the-State’s cognitively impaired/demented in Michigan ,2004-2005 Michigan Diabetes, Arthritis, and Osteoporosis Survey (DAOS; w/ MDC Questions) Sex U.S. Census* DAOS** Males49.1%48.4% Females50.9%51.6% Race/Ethnicity U.S. CensusDAOS ** Whites80.0% 78.6% Blacks14.0%12.8% Latinos 3.6% 5.2% *2004 U.S. Census **Estimate Confidence Intervals Not Shown ,Census vs2004-05 Michigan Special Survey Indications the 2004-05 Michigan Special Survey is a reasonable estimate of the population of Michigan Note over-sampled groups would not be expected to be similar to the state population. ,Results Q1. “Is there any person in your household whose memory or thinking is worse than it was a year ago?” Q1a. How many persons are there whose memory or thinking is worse than it was a year ago? 14.8% One person in Michigan households More than one-quarter(26.5%) reported more than one person in the household with cognition problems ,Michigan Adults Who Live in Households with One or More Persons with Cognitive Problems by Annual Household Income* ,Michigan Adults Who Live in Households with One or More Persons with Cognitive Problems by Race/Ethnicity Non-Latino Whites 13.6% Latinos (English-speaking) 15.2% Blacks21.9% ,Other possibilities? ,Respondent/Caregiver Ge