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Dementia in the Czech Republic: development, projection and risk factors
Cséfalvaiová, Kornélia ; Langhamrová, Jitka (advisor) ; Malá, Ivana (referee) ; Růžková, Jiřina (referee)
Doctoral thesis deals with dementia, which social, health and economic impacts are alarming worldwide. Expected dramatic increase in the number of people with cognitive impairment will put high demands on health and social care. Population aging and the increase of elderly persons aged 65+ evoked a need to address this issue, since age is the major risk factor for dementia. Conflicting conclusions of the European and international studies confirm the difficulty of quantifying the disease. Different definitions and measurement methods lead to different results. In the Czech Republic, in comparison with other developed European countries, there is no relevant research on the expected increase in the number of people with dementia or trends and determinants of severe cognitive impairment. Available estimates of the prevalence of dementia in the Czech Republic are based exclusively on the international prevalence studies EURODEM and Eurocode. Dissertation provides an estimate of the number of people with dementia in the Czech Republic to 2050 based on the construction of life tables for demented people. The thesis also includes analysis of risk factors of severe cognitive impairment based on socio-demographic and health variables. This knowledge is very important for the development and maintenance of effective policies and programs responsive to the needs of individuals living with cognitive impairment in the Czech Republic.

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