Early detection and determinants of dementia in the working area of Mojolangu Public Health Center, Malang (Indonesia)


  • Nonel Prihandini Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang, Malang, East Java
  • Hartati Eko Wardani Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang, Malang, East Java
  • Tika Dwi Tama Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang, Malang, East Java, Indonesia; Centre of Gender and Health, Universitas Negeri Malang, Malang, East Java




dementia, determinants, early detection, elderly


Lack of public awareness about the symptoms of dementia and the absence of dementia screening can lead to delays in diagnosis. This study was aimed to determine the prevalence and determinants of dementia in the working area of Mojolangu Public Health Center Malang. This crosssectional study was conducted in January- March 2020. A total of 84 respondents aged ≥45 years old who registered at the Integrated Health Service Post for the Elderly were selected using the proportionate stratified random sampling method. Dementia was assessed by using The Mini- Mental State Examination (MMSE). Multiple logistic regression analysis was used to determine the determinants of dementia. The prevalence of dementia from mild to severe was found to be 69%. Sex, smoking behavior, and education level had a significant relationship with dementia. Therefore, it is necessary to carry out early detection of dementia to the public. People can be encouraged to stop smoking and optimize various activities that can hone cognitive functions, such as reading, discussing, doing hobbies to prevent early dementia.

Download data is not yet available.


World Health Organization. Ageing and health. 2018.

Ministry of Health Republic of Indonesia. Situasi lansia di Indonesia tahun 2017: Gambar struktur umur penduduk indonesia tahun 2017. Pus Data dan Inf. 2017;1--9.

Statistics Indonesia. Statistik Usia Lanjut Tahun 2018. Jakarta: Badan Pusat Statistik; 2019.

World Health Organization. Dementia [Internet]. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/dementia

Christina Patterson. World Alzheimer Report 2018 The state of the art of dementia research: New frontiers. Alzheimer’s Disease International (ADI). London; 2018.

Yayasan Alzheimer Indonesia. Statistik tentang Demensia [Internet]. 2019. Available from: https://alzi.or.id/statistik-tentang-demensia/

Tama TD, Ulfa NH, Hapsari A. Who Spends More on Health Expenditures among Elderly? Men or Women? KnE Soc Sci. 2020;2020:154–60.

Al Rasyid I, Syafrita Y, Sastri S. Hubungan Faktor Risiko dengan Fungsi Kognitif pada Lanjut Usia Kecamatan Padang Panjang Timur Kota Padang Panjang. J Kesehat Andalas. 2017;6(1):49. DOI: https://doi.org/10.25077/jka.v6i1.643

Izzah A. Hubungan Aktivitas Fisik Dengan Fungsi Kognitif Lansia Pada Lansia Usia 60-69 Tahun Di Kelurahan Purwantoro Kecamatan Blimbing Kota Malang. Saintika Med. 2017;10(2):88. DOI: https://doi.org/10.22219/sm.v10i2.4155

Gurukartick J, Dongre AR, Shah D. Social Determinants of Dementia and Caregivers’ Perspectives in the Field Practice Villages of Rural Health Training Centre, Thiruvennainallur. Indian J Palliat Care [Internet]. 2016;22(1):25–32. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768445/ DOI: https://doi.org/10.4103/0973-1075.173952

Suriastini NW, Turana Y, Supraptilah B, Wicaksono TY, Mulyanto ED. Prevalence and risk factors of dementia and caregiver’s knowledge of the early symptoms of alzheimer’s disease. Aging Med Healthc. 2020;11(2):60–6. DOI: https://doi.org/10.33879/AMH.2020.065-1811.032

Bich NN, Dung NTT, Vu T, Quy LT, Tuan NA, Binh NTT, et al. Dementia and associated factors among the elderly in Vietnam: A cross-sectional study. Int J Ment Health Syst [Internet]. 2019;13(1):1–7. Available from: https://doi.org/10.1186/s13033-019-0314-7 DOI: https://doi.org/10.1186/s13033-019-0314-7

Wahyuni A, Nisa K. Pengaruh Aktivitas dan Latihan Fisik terhadap Fungsi Kognitif pada Penderita Demensia. Majority. 2016;5(4):12–6.

McKenzie J, Bhatti L, D’Espaignet ET. WHO Tobacco Knowledge Summaries: Tobacco and dementia [Internet]. World Health Organization. Geneva; 2014. Available from: http://apps.who.int/iris/bitstream/10665/128041/1/WHO_NMH_PND_CIC_TKS_14.1_eng.pdf

Tantomi AI, Baabdullah A, Omar, Sagita A. Tren Fenomena "PISIDI‟ (Pikun Usia Dini) Sebagai Dugaan Awal Gejala Demensia Di Kota Malang. In: Program Kreativitas Mahasiswa-Penelitian. Direktorat Penelitian dan Pengabdian Kepada Masyarakat Ditjen Dikti Kemdikbud RI; 2013.

Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of sample size in health studies. Geneva: World Health Organization; 1990.

Shigemori K, Ohgi S, Okuyama E, Shimura T, Schneider E. The factorial structure of the mini mental state examination ( MMSE ) in Japanese dementia patients. BMC Geriatr. 2010;10(36). DOI: https://doi.org/10.1186/1471-2318-10-36

Kalish VB, Lerner B. Mini-Mental State Examination for the Detection of Dementia in Older Patients. Vol. 94, American family physician. 2016. 880–881 p.

UNESCO Institute for Statistics. International Standard Classification of Education. Montreal, Canada: UNESCO Institute for Statistics; 2012.

Forde C. Scoring the International Physical Activity Questionnaire ( IPAQ ). Trinity College Durbin, The University of Dublin; 2018.

Tama TD, Astutik E. Sleep Disturbance and General Health Status in Patients with Chronic Conditions. KnE Life Sci. 2021;159–70.

Tama TD, Astutik E. Does Loneliness Increase the Risk of Getting Health Problems Among Does Loneliness Increase the Risk of Getting Health Problems Among Disabled Person ? In: The 1st International Scientific Meeting on Public Health and Sports (ISMOPHS 2019). Atlantis Press; 2020. p. 58–63. DOI: https://doi.org/10.2991/ahsr.k.201203.011

Joint National Committee on Prevention Detection Evaluation and Treatment of High Blood Pressure. JNC 7 express: the seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. US Department of Health and Human Services.; 2003.

Kaleta D, Makowiec-dąbrowska T, Dziankowska-zaborszczyk E, Fronczak A. Determinants of Heavy Smoking: Results from The Global Adult Tobacco Survey in Poland (2009-2010). Int J Occup Med Environtmental Heal. 2012;25(1):66–79. DOI: https://doi.org/10.2478/s13382-012-0009-7

Shaji S, Bose S, Verghese A. Prevalence of dementia in an urban population in Kerala, India. Br J Psychiatry. 2005;186(FEB.):136–40. DOI: https://doi.org/10.1192/bjp.186.2.136

Gold EB. The Timing of the Age at Which Natural Menopause Occurs. Obstet Gynecol Clin North Am. 2011;38(3):425–40. DOI: https://doi.org/10.1016/j.ogc.2011.05.002

Beydoun MA, Beydoun HA, Gamaldo AA, Teel A, Zonderman AB, Wang Y. Epidemiologic studies of modifiable factors associated with cognition and dementia: Systematic review and meta-analysis. BMC Public Health. 2014;14(1):1–33. DOI: https://doi.org/10.1186/1471-2458-14-643

Setiawan D, Bidjuni H, Karundeng M. Hubungan Tingkat Pendidikan Dengan Kejadian Demensia Pada Lansia Di Balai Penyantunan Lanjut Usia Senja Cerah Paniki Kecamatan Mapanget Manado. J Keperawatan UNSRAT. 2014;2(2):105228.

Zhong G, Wang Y, Zhang Y, Guo JJ, Zhao Y. Smoking is associated with an increased risk of dementia: A meta-analysis of prospective cohort studies with investigation of potential effect modifiers. PLoS One. 2015;10(3):1–23. DOI: https://doi.org/10.1371/journal.pone.0118333

Suwarni S, Setiawan S, Syatibi MM. Hubungan Usia Demensia Dan Kemampuan Fungsional Pada Lansia. J Keterapian Fis. 2017;2(1):34–41. DOI: https://doi.org/10.37341/jkf.v2i1.77




How to Cite

Prihandini, N., Wardani, H. E., & Tama, T. D. (2022). Early detection and determinants of dementia in the working area of Mojolangu Public Health Center, Malang (Indonesia). Journal of Public Health in Africa, 13(s2). https://doi.org/10.4081/jphia.2022.2410