Use of the Dementia Assessment Sheet for Community‐based Integrated Care System 21 items among Chinese community‐dwelling older adults

Chen, Yuan; Cui, PingYu; Pan, YiYang; Liu, Ying

doi:10.1111/ggi.14215

Cited by 10 publications

(6 citation statements)

References 21 publications

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“…Cognitive function was measured using the Chinese version of the Dementia Assessment Sheet for Community-Based Integrated Care System 21 items (DASC-21) through which we had identified the reliability and validity for elderly people in the Chinese community ( 25 ). The DASC-21 comprised two introductory items and 21 assessment items.…”

Section: Methodsmentioning

confidence: 99%

Socioeconomic Status Association With Dependency From Objective and Subjective Assessments: A Cross-Sectional Study

et al. 2022

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BackgroundThe effect of socioeconomic status (SES) on dependency is still complex and not fully clear. The purposes of this study are to assess the association between SES and dependency personality disorder (DPD) using both objective and subjective assessments.MethodsA cross-sectional study was conducted in 27 locations in China among 1,276 general residents aged 60 years and above through a complex multistage sampling design. Data were collected using a questionnaire by well-trained investigators through face-to-face interviews. The DPD was assessed using a standardized Chinese version of the Minnesota Multiphasic Personality Inventory-II scale. Objective SES was assessed by the combination of education levels, individual income, preretirement occupation, and medical insurance. Subjective SES was measured using the MacArthur Scale. The logistic regression analysis was used to evaluate the association between objective SES and DPD. Analysis of covariance was conducted to compare the mean of DPD scores in different levels of SES.ResultsThe results of the chi-squared test showed that the levels of objective SES were associated with DPD, depression, social resources, and region. The logistic regression analysis showed a significant negative association between the levels of objective SES and DPD. The odds ratio was 1.84 (95% confidence interval, 1.07–3.18) after adjusting for important confounding factors. The analysis of covariance showed differences in the mean of DPD scores among different groups defined by different levels of SES.ConclusionThe levels of SES were negatively associated with DPD, and subjective SES had a stronger association with DPD than objective SES. The effect of subjective SES on DPD is possibly associated with the perception of position in the social hierarchy.

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Section: Methodsmentioning

confidence: 99%

Socioeconomic Status Association With Dependency From Objective and Subjective Assessments: A Cross-Sectional Study

et al. 2022

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“…High OARS scores indicate high levels of social support. The Chinese version of the 21-item Dementia Assessment Sheet for Community-Based Integrated Care System (DASC-21) was used to assess individual cognitive functions [ 33 ]. A score of ≥27 points suggests possible dementia, and a high score is recognized as indicative of a low level of cognitive function.…”

Section: Methodsmentioning

confidence: 99%

The Role of Community Cohesion in Older Adults During the COVID-19 Epidemic: Cross-sectional Study

Li¹,

Ding²,

Aierken³

et al. 2023

JMIR Public Health Surveill

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Background The community environment plays a vital role in the health of older adults. During the COVID-19 epidemic, older adults, who were considered the most impacted and most vulnerable social group, were confined to their homes during the implementation of management and control measures for the epidemic. In such situations, older adults may have to contend with a lack of resources and experience anxiety. Therefore, identifying the environmental factors that are beneficial for their physical and mental health is critical. Objective This study aimed to assess the association between community cohesion and the physical and mental health of older adults and to identify the related community services and environmental factors that may promote community cohesion. Methods This community-based cross-sectional study was designed during the COVID-19 epidemic. A multistage sampling method was applied to this study. A total of 2036 participants aged ≥60 years were sampled from 27 locations in China. Data were collected through face-to-face interviews. The neighborhood cohesion instrument consisting of scales on 3 dimensions was used to assess community cohesion. Self-efficacy and life satisfaction, cognitive function and depression, and community services and environmental factors were also measured using standard instruments. Statistical analyses were restricted to 99.07% (2017/2036) of the participants. Separate logistic regression analysis was conducted to assess the association among community cohesion and physical and mental health factors, related community services, and environmental factors among older adults. Results The results showed that high levels of community cohesion were associated with good self-perceived health status and life satisfaction (odds ratio [OR] 1.27, 95% CI 1.01-1.59 and OR 1.20, 95% CI 1.15-1.27, respectively) and high levels of self-efficacy and psychological resilience (OR 1.09, 95% CI 1.05-1.13 and OR 1.05, 95% CI 1.03-1.06, respectively). The length of stay in the community and the level of physical activity were positively associated with community cohesion scores, whereas the education level was negatively associated with community cohesion scores (P=.009). Community cohesion was also associated with low levels of depression and high levels of cognitive function. Community cohesion was significantly associated with community services and environmental factors on 4 dimensions. High levels of community cohesion were associated with transportation services and rehabilitation equipment rental services as well as high levels of satisfaction with community physicians’ technical expertise and community waste disposal (OR 3.14, 95% CI 1.87-5.28; OR 3.62, 95% CI 2.38-5.52; OR 1.37, 95% CI 1.08-1.73; and OR 1.23, 95% CI 1.01-1.50, respectively). Conclusions Community cohesion was found to be associated with the physical and mental health of older adults. Our research suggests that enhancing community services and environmental resources may be an effective strategy to increase community cohesion during major infectious disease epidemics.

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“…The Chinese version of Dementia Assessment Sheet for Community‐based Integrated Care System 21 items (DASC‐21) was used to assess cognitive function. The higher the score was, the more serious the cognitive impairment, and a total of score of ≥31 on the DASC‐21 scale indicated possible dementia 30,31 …”

Section: Methodsmentioning

confidence: 99%

“…The higher the score was, the more serious the cognitive impairment, and a total of score of ≥31 on the DASC-21 scale indicated possible dementia. 30,31…”

Section: Cognitive Functionmentioning

confidence: 99%

Association between dependency and long sleep duration among elderly people: a community‐based study

et al. 2023

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BackgroundLong sleep duration is a common sleep disorder among elderly people. Dependency increases with increasing age. This study aimed to assess the association between dependency and long sleep duration among elderly people.MethodsThis study is a population‐based cross‐sectional study. A total of 1152 participants aged ≥ 60 years were selected from 26 locations in China by a complex multistage sampling design. Data were collected through face‐to‐face interviews. Sleep duration was measured using the Pittsburgh Sleep Quality Index. Dependency was assessed using Minnesota Multiphasic Personality Inventory‐II. Hierarchical multiple linear regression analysis was used to evaluate the efficacy of sleep‐related factors and psychological factors for sleep duration. Analysis of covariance and logistic regression analysis were performed to evaluate the association between the dependency score and sleep duration, and the strength of dependency effect on sleep duration.ResultsA total of 1120 participants were valid for the analysis. Among them, 15.8% of participants had a dependency score ≥60 points. The results of hierarchical multiple linear regression analysis showed that sleep duration was positively associated with dependency scores. Analysis of covariance indicated a J‐shaped association between dependency scores and sleep duration. The results of logistic regression analysis showed dependency was significantly associated with long sleep duration, and the odds ratio was 3.52 (95% CI, 1.87–6.63; P < 0.001).ConclusionDependency was significantly associated with long sleep duration among elderly people. The results suggested that dependent intervention may be a strategy that needs urgent implementation to reduce long sleep duration among elderly people.

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Use of the Dementia Assessment Sheet for Community‐based Integrated Care System 21 items among Chinese community‐dwelling older adults

Cited by 10 publications

References 21 publications

Socioeconomic Status Association With Dependency From Objective and Subjective Assessments: A Cross-Sectional Study

Socioeconomic Status Association With Dependency From Objective and Subjective Assessments: A Cross-Sectional Study

The Role of Community Cohesion in Older Adults During the COVID-19 Epidemic: Cross-sectional Study

Association between dependency and long sleep duration among elderly people: a community‐based study

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