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The Economic Burden of Dementia: Evidence from a Survey of Households of People with Dementia and Their Caregivers

1
Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan
2
Graduate School of Human Sciences, Osaka University, Osaka 565-0871, Japan
3
School of Economics, Hiroshima University, Hiroshima 739-8525, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(5), 2717; https://doi.org/10.3390/ijerph18052717
Received: 16 February 2021 / Revised: 26 February 2021 / Accepted: 2 March 2021 / Published: 8 March 2021
(This article belongs to the Section Aging)
Although a cognitive impairment such as dementia causes serious economic problems among older people, its impact on economic activities is unclear. This study investigated the actual conditions of economic activities and the current status of the financial support systems among people with dementia and caregivers. One hundred and five dyads participated in the survey. Each dyad consisted of an older person with Alzheimer’s disease and their caregiver. The Mini-Mental State Examination (MMSE) and Functional Assessment Staging (FAST) were used to evaluate the cognitive functions of people with dementia. The caregivers were asked questions concerning the financial status of the household and their utilization of the financial support systems available to people with dementia. Average monthly care costs significantly increased according to the severity of dementia, while household income and spending incurred no significant changes. People with dementia experienced financial problems (including a large amount of erroneously purchased, unnecessary shopping), even though their assets were informally managed by their caregivers. Financial support systems such as adult guardianship and civil trust systems were rarely known and used. We proposed the propagation of the adult guardianship and civil trust systems and the development of contract guidelines for elderly customers including people with dementia. View Full-Text
Keywords: adult guardianship; civil trust system; financial management; financial capacity; family caregiver adult guardianship; civil trust system; financial management; financial capacity; family caregiver
MDPI and ACS Style

Oba, H.; Kadoya, Y.; Okamoto, H.; Matsuoka, T.; Abe, Y.; Shibata, K.; Narumoto, J. The Economic Burden of Dementia: Evidence from a Survey of Households of People with Dementia and Their Caregivers. Int. J. Environ. Res. Public Health 2021, 18, 2717. https://doi.org/10.3390/ijerph18052717

AMA Style

Oba H, Kadoya Y, Okamoto H, Matsuoka T, Abe Y, Shibata K, Narumoto J. The Economic Burden of Dementia: Evidence from a Survey of Households of People with Dementia and Their Caregivers. International Journal of Environmental Research and Public Health. 2021; 18(5):2717. https://doi.org/10.3390/ijerph18052717

Chicago/Turabian Style

Oba, Hikaru, Yoshihiko Kadoya, Haruka Okamoto, Teruyuki Matsuoka, Yoshinari Abe, Keisuke Shibata, and Jin Narumoto. 2021. "The Economic Burden of Dementia: Evidence from a Survey of Households of People with Dementia and Their Caregivers" International Journal of Environmental Research and Public Health 18, no. 5: 2717. https://doi.org/10.3390/ijerph18052717

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