PMID- 25495084
OWN - NLM
STAT- MEDLINE
DCOM- 20150401
LR  - 20141216
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 14
IP  - 4
DP  - 2014 Dec
TI  - From rural to urban areas: differences in behavioural and psychological symptoms 
      of dementia in nursing home residents according to geographical location.
PG  - 229-34
LID - 10.1111/psyg.12063 [doi]
AB  - BACKGROUND: We determined whether the prevalence of behavioural and psychological 
      symptoms of dementia (BPSD) in institutionalized older adults differed according 
      to the geographical location of different facilities. METHODS: This 
      cross-sectional study covered 175 nursing homes (NH) in France (n = 6275; age, 
      86.0 +/- 8.2 years; women, 73.7%). Information on NH residents' health status and 
      NH structure and internal organization were recorded by the NH staff. Each 
      participant was coded for the presence or absence of the following BPSD: 
      aggressive, screaming, and wandering behaviours. NH were geographically defined 
      as rural (<2000 inhabitants), low urban (2000 </= inhabitants < 10 000), 
      intermediate urban (10 000 </= inhabitants < 100 000), or high urban (inhabitants >/= 
      100 000). RESULTS: Adjusted binary logistic regressions showed that, compared 
      with residents living in rural NH, those living in NH located in high-urban areas 
      had a significantly higher risk of aggressiveness (odds ratio = 1.33; 95% 
      confidence interval = 1.06-1.67) and screaming (odds ratio = 1.43; 95% confidence 
      interval = 1.05-1.95). The likelihood of aggressiveness was also higher in 
      residents living in NH located in intermediate-urban areas (odds ratio = 1.36; 
      95% confidence interval = 1.13-1.65). CONCLUSIONS: Rurality seems to play a 
      positive role in the expression of BPSD. If this hypothesis were confirmed, it 
      would encourage NH staff to develop activities that explore rural potentials for 
      the management of BPSD.
CI  - (c) 2014 The Authors. Psychogeriatrics (c) 2014 Japanese Psychogeriatric Society.
FAU - de Souto Barreto, Philipe
AU  - de Souto Barreto P
AD  - Gerontopole of Toulouse, Institute of Ageing, University Hospital of Toulouse 
      (CHU Toulouse), Toulouse, France; UMR7268 Aix-Marseille University Biocultural 
      Anthropology Laboratory, Marseille, France.
FAU - Lapeyre-Mestre, Maryse
AU  - Lapeyre-Mestre M
FAU - Vellas, Bruno
AU  - Vellas B
FAU - Rolland, Yves
AU  - Rolland Y
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Aggression/*psychology
MH  - Behavioral Symptoms/*epidemiology
MH  - Cross-Sectional Studies
MH  - Dementia/*diagnosis/*epidemiology/psychology
MH  - Female
MH  - France/epidemiology
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - *Nursing Homes
MH  - Prevalence
MH  - Residence Characteristics
MH  - Rural Population
MH  - Urban Population
MH  - Wandering Behavior/*psychology
OTO - NOTNLM
OT  - dementia
OT  - geographic distribution
OT  - neuropsychiatric symptoms
OT  - older adults
OT  - rural
OT  - rurality
EDAT- 2014/12/17 06:00
MHDA- 2015/04/02 06:00
CRDT- 2014/12/16 06:00
PHST- 2013/12/06 00:00 [received]
PHST- 2014/07/18 00:00 [revised]
PHST- 2014/08/05 00:00 [accepted]
PHST- 2014/12/16 06:00 [entrez]
PHST- 2014/12/17 06:00 [pubmed]
PHST- 2015/04/02 06:00 [medline]
AID - 10.1111/psyg.12063 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2014 Dec;14(4):229-34. doi: 10.1111/psyg.12063.