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J Clin Epidemiol. 1988;41(10):971-8.

A Chinese version of the Mini-Mental State Examination; impact of illiteracy in a Shanghai dementia survey.

Author information

1
Shanghai Mental Health Centre, China.

Abstract

A dementia screening survey was carried out in Shanghai using a culturally adapted Chinese version of the Mini-Mental State Examination. A probability sample of 5055 community-dwelling elderly in Shanghai was surveyed, 1497 aged 55-64, 2187 aged 65-74, and 1371 aged 75 and over. In the 73.3% of the subjects who had gone to school, using the age and education adjustments suggested by Kittner et al. (1986), [Kittner et al. J Chron Dis 39: 163-170; 1986] suitable cutoff scores could readily be selected to identify the subjects who should be examined intensively for the presence of dementia. However, in the 26.7% who had not gone to school, there was a significant increase in low scores on the mental status test as well as a different error pattern, reflecting the lack of formal education. Methods for following cognitive changes in illiterate individuals need further development.

PMID:
3193141
DOI:
10.1016/0895-4356(88)90034-0
[Indexed for MEDLINE]

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