Scholarlink

<p>In Singapore, despite significant public health and clinical initiatives, challenges persist in dementia diagnosis. Building on prior evidence of a reduction in the dementia treatment gap, this study examined the sociodemographic and clinical determinants of the treatment gap and how their associations evolved over a decade. This study utilised data from two nationally representative, cross-sectional surveys (Well-being of the Singapore Elderly) conducted in 2013 and 2023. The treatment gap was defined as the proportion of 10/66 dementia cases without a self-reported prior clinical diagnosis. The dementia treatment gap narrowed significantly, decreasing by 19.1% over the decade. However, improvements were largely driven by better diagnosis of moderate to severe dementia&#xa0;(25.3% of treatment gap attributable to Coefficients); in contrast, Coefficients were negative for no/questionable (−10.7%) and mild (−15.1%)&#xa0;dementia, indicating gaps in the diagnosis of early-stage dementia leading to the treatment gap. Over the past decade, Singapore has successfully narrowed its dementia treatment gap, primarily by mitigating socioeconomic barriers and enhancing the detection of moderate-to-severe cases.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Sociodemographic and clinical determinants of the dementia treatment gap in Singapore and their evolution over a decade

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月1日

查看全文
  • Mythily Subramaniam,
  • Ke Ning,
  • P. V. Asharani,
  • Edimansyah Abdin,
  • Anitha Jeyagurunathan,
  • Boon Yiang Chua,
  • Bernard Chin Wee Tan,
  • Harish Magadi,
  • Fengyuan Yao,
  • Li Ling Ng,
  • Janhavi Ajit Vaingankar,
  • Siow Ann Chong

摘要

In Singapore, despite significant public health and clinical initiatives, challenges persist in dementia diagnosis. Building on prior evidence of a reduction in the dementia treatment gap, this study examined the sociodemographic and clinical determinants of the treatment gap and how their associations evolved over a decade. This study utilised data from two nationally representative, cross-sectional surveys (Well-being of the Singapore Elderly) conducted in 2013 and 2023. The treatment gap was defined as the proportion of 10/66 dementia cases without a self-reported prior clinical diagnosis. The dementia treatment gap narrowed significantly, decreasing by 19.1% over the decade. However, improvements were largely driven by better diagnosis of moderate to severe dementia (25.3% of treatment gap attributable to Coefficients); in contrast, Coefficients were negative for no/questionable (−10.7%) and mild (−15.1%) dementia, indicating gaps in the diagnosis of early-stage dementia leading to the treatment gap. Over the past decade, Singapore has successfully narrowed its dementia treatment gap, primarily by mitigating socioeconomic barriers and enhancing the detection of moderate-to-severe cases.