Urban-rural differences in a memory disorders clinical population.


OBJECTIVES:To compare patient characteristics and family perceptions of patient function at one urban and one rural memory disorders clinic. DESIGN:Secondary, cross-sectional data analyses of an extant clinical database. SETTING/PARTICIPANTS:First time visits (n = 956) at two memory disorders clinics. MEASUREMENTS:Patient and family-member demographics and assessment results for the Mini-Mental State Examination (MMSE), instrumental activities of daily living (IADLs), activities of daily living (ADLs), the Memory Change and Personality Change components of the Blessed Dementia Rating Scale, and the Revised Memory and Behavior Problems Checklist. RESULTS:In both clinics, patients and family members were more likely female. The typical urban clinic patient was significantly more likely to be living in a facility and more educated than the typical rural patient. Urban and rural patients did not show significant differences in age- and education-adjusted MMSE scores or raw ADL/IADL ratings, but the urban family members reported more memory problems, twice as many personality changes, more-frequent behavior problems, and more adverse reactions to problems. CONCLUSION:Physicians who practice in both urban and rural areas can anticipate differences between patients, and their families, who seek a diagnosis of memory disorders. Our most important finding is that despite similarities in reported functional abilities, urban families appear to be more sensitive to and more distressed by patients' cognitive and behavioral symptoms than rural families. These differences may reflect different underlying needs, and should be explored in further research.


J Am Geriatr Soc


Wackerbarth SB,Johnson MM,Markesbery WR,Smith CD




Has Abstract


2001-05-01 00:00:00














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    abstract:BACKGROUND/OBJECTIVES:Little is known about elder abuse and neglect in the lesbian, gay, bisexual, and transgender (LGBT) community; however, this population faces a greater risk of abuse and likely experiences abuse differently and needs different resources. We conducted focus groups to investigate LGBT older adults' ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究


    authors: Bloemen EM,Rosen T,LoFaso VM,Lasky A,Church S,Hall P,Weber T,Clark S

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    abstract:OBJECTIVES:To identify factors associated with incomplete bladder emptying in older women with overactive bladder (OAB) symptoms. DESIGN:Retrospective medical records review. SETTING:Urodynamic laboratory at a large academic health care system in the southeast United States. PARTICIPANTS:Medical records from women a...

    journal_title:Journal of the American Geriatrics Society

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    authors: Park J,Palmer MH

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    abstract:OBJECTIVES:To investigate the effects of the changes in serum bioavailable and total testosterone (TT) levels with aging on visceral body fat distribution and muscle strength in Chinese men. DESIGN:Cross-sectional study. SETTING:Ambulatory care. PARTICIPANTS:Four hundred seventy-five healthy ambulatory Chinese men (...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Chu LW,Tam S,Kung AW,Lo S,Fan S,Wong RL,Morley JE,Lam KS

    更新日期:2008-07-01 00:00:00

  • Integrating Frailty Research into the Medical Specialties-Report from a U13 Conference.

    abstract::Although the field of frailty research has expanded rapidly, it is still a nascent concept within the clinical specialties. Frailty, conceptualized as greater vulnerability to stressors because of significant depletion of physiological reserves, predicts poorer outcomes in several medical specialties, including cardio...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Walston J,Robinson TN,Zieman S,McFarland F,Carpenter CR,Althoff KN,Andrew MK,Blaum CS,Brown PJ,Buta B,Ely EW,Ferrucci L,High KP,Kritchevsky SB,Rockwood K,Schmader KE,Sierra F,Sink KM,Varadhan R,Hurria A

    更新日期:2017-10-01 00:00:00

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    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究


    authors: Pandraud-Riguet I,Bonnet-Zamponi D,Bourcier E,Buyse M,Laribe-Caget S,Frémont P,Pautas E,Verny C,Hindlet P,Fernandez C

    更新日期:2017-12-01 00:00:00

  • Value of admission profile tests for prognosis in elderly patients.

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    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Hodkinson HM

    更新日期:1981-05-01 00:00:00

  • Sexual function of men ages 40 to 79 years: the Olmsted County Study of Urinary Symptoms and Health Status Among Men.

    abstract:OBJECTIVES:Knowledge of male sexual function is somewhat limited because of a lack of current population-based data. This study provides information on sexual function and satisfaction in a population-based sample of men. METHODS:Men aged 40 to 79 years (n = 2115) were selected randomly from the Olmsted County populat...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Panser LA,Rhodes T,Girman CJ,Guess HA,Chute CG,Oesterling JE,Lieber MM,Jacobsen SJ

    更新日期:1995-10-01 00:00:00

  • Beliefs and policies of Maryland nursing home medical directors regarding tetanus immunization.

    abstract::Tetanus is more common in the elderly, who have a higher case-fatality rate than younger age groups. Immunization against tetanus is recommended for all elderly, including nursing home residents, but the tetanus immunization policies of nursing homes are unknown. Nursing home medical directors in Maryland were surveye...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Richardson JP,Knight AL,Stafford DT

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  • Clinical characteristics and longitudinal changes of informal cost of Alzheimer's disease in the community.

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    journal_title:Journal of the American Geriatrics Society

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    authors: Zhu CW,Scarmeas N,Torgan R,Albert M,Brandt J,Blacker D,Sano M,Stern Y

    更新日期:2006-10-01 00:00:00

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    abstract:OBJECTIVES:To determine whether the association between impaired cognition and greater risk of incident stroke is also observed when cognitive impairment is defined using different criteria for mild cognitive impairment (MCI). DESIGN:Prospective cohort study with 10 years of follow-up. SETTING:Large multicentre study...

    journal_title:Journal of the American Geriatrics Society

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    authors: Stephan BCM,Richardson K,Savva GM,Matthews FE,Brayne C,Hachinski V

    更新日期:2017-08-01 00:00:00

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    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Battaglia A,Bruni G,Ardia A,Sacchetti G

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    authors: Honkanen LA,Schackman BR,Mushlin AI,Lachs MS

    更新日期:2005-02-01 00:00:00

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    pub_type: 杂志文章,随机对照试验


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    更新日期:2006-01-01 00:00:00

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    journal_title:Journal of the American Geriatrics Society

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    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验


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    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


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    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


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    journal_title:Journal of the American Geriatrics Society

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