Evidence map›Paper›PMID 39429626›Full record

ArticleWellcome open research2024

Prevalence, aetiology, and service mapping of dementia in rural Uganda.

Josephine Prynn, Racheal Alinaitwe, Beatrice Kimono, Tunde Peto, Nicholas J Ashton, Claire J Steves, Joseph Mugisha, Martin Prince

Abstract read
In one paragraph

Article in Wellcome open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Josephine PrynnSchool of Life Course and Population Sciences, King's College London Faculty of Life Sciences & Medicine, London, England, UK.ORCID https://orcid.org/0000-0002-5275-8644
Racheal AlinaitweMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Central Region, Uganda.
Beatrice KimonoMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Central Region, Uganda.
Tunde PetoSchool of Medicine, Dentistry, and Biomedical Sciences, Queen's University Belfast, Belfast, Northern Ireland, UK.
Nicholas J AshtonDepartment of Psychiatry and Neurochemistry, University of Gothenburg, Gothenburg, Sweden.
Claire J StevesSchool of Life Course and Population Sciences, King's College London Faculty of Life Sciences & Medicine, London, England, UK.ORCID https://orcid.org/0000-0002-4910-0489
Joseph MugishaMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Central Region, Uganda.
Martin PrinceSchool of Life Course and Population Sciences, King's College London Faculty of Life Sciences & Medicine, London, England, UK.ORCID https://orcid.org/0000-0003-1379-7146

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Dementia prevalence in low- and middle-income countries is increasing, yet epidemiological data from African populations remain scarce. Crucial risk factors differ in Africa from more intensively studied global areas, including a higher burden of cerebrovascular disease and HIV, but lower rates of other risk factors like physical inactivity.Understanding dementia aetiology in African settings has been limited by the expensive and invasive nature of biomarker testing. This study leverages developments in blood-based and retinal imaging biomarker technology to examine the drivers of dementia in older Ugandans.People with dementia have complex needs benefiting from multi-dimensional support. Understanding current services will allow identification of barriers and opportunities to strengthen support available to people with dementia and their families. Methods: The study is nested within the General Population Cohort run by the Medical Research Council/Uganda Virus Research Institute & London School of Hygiene and Tropical Medicine Research Unit. All adults aged 60+ (around 1400) are undergoing brief cognitive screening.In Part 1, cohort participants are selected based on screening scores to undergo detailed cognitive assessment, using methods developed by the 10/66 Dementia Research Group. Part 2 is a case control study of people with and without dementia using antecedent data, questionnaires, physical assessment, retinal imaging, and Alzheimer's blood-based biomarkers. We will also compare disability, frailty, quality of life, and social engagement in people with and without dementia.Part 3 assesses current formal support structures for people with dementia through review of publicly available literature and expert interviews. Conclusions: This is the first study in Africa using blood-based and retinal imaging biomarkers to examine pathological processes underlying dementia, and systematically map services available for people with dementia. This paves the way for effective policy strategies and further focused research regarding both dementia prevention and support for affected people and their families.

Indexed as

aetiologyAfricaAlzheimer’sbiomarkersDementiaepidemiologyprevalenceUganda

Identifiers

PMID39429626
PMCPMC11490832

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.