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The Lay Public’s Understanding and Perception of Dementia in a Developed Asian Nation

机译:在发达的亚洲国家,普通民众对痴呆症的理解和认识

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Background: Early detection of dementia aims to improve treatment outcomes. However, poor perception and understanding of dementia are significant barriers. We aim to investigate the public’s perception of dementia and identify variables associated with the different profiles of public perception. Methods: A custom-designed questionnaire was used to assess laypersons’ knowledge and perception of dementia during a health fair at a public hospital in Singapore, a developed Asian nation. Out of a sample of 370 subjects, 32 declined to participate (response rate = 91.4%). Latent class analysis (LCA) was used to identify meaningful subgroups of subjects from significant associations with multiple indicators of dementia awareness. Multinomial logistic regression was performed exploring variables associated with each of the subgroups derived from LCA. Results: The majority of the study participants were female (66.9%), 65 years or older (71.1%), and ethnic Chinese (88.1%). LCA classified the study participants into 3 subgroups: Class 1 (good knowledge, good attitude), Class 2 (good knowledge, poor attitude), and Class 3 (poor knowledge, poor attitude), in proportions of 14.28, 63.83, and 21.88%, respectively. Compared to other classes, participants with good knowledge and good attitude towards dementia (Class 1) were more likely to know someone with dementia and understand the effects of the disease, be married, live in private housing, receive higher monthly income, and not profess belief in Buddhism, Taoism, or Hinduism. Conclusion: Our results show that the public in Singapore may not be ready for screening initiatives and early dementia diagnosis. Education efforts should be targeted at lower socioeconomic groups, singles, and those of certain oriental religions.
机译:背景:早期发现痴呆症旨在改善治疗效果。但是,对痴呆症的不良认识和理解是重大障碍。我们旨在调查公众对痴呆症的认知,并确定与公众认知的不同状况相关的变量。方法:在亚洲发达国家新加坡的一家公立医院举行的一次健康展览会上,使用定制设计的调查表评估了外行人对痴呆症的知识和知觉。在370名受试者的样本中,有32名拒绝参加(响应率= 91.4%)。潜在类别分析(LCA)用于从有意义的关联中识别具有多种痴呆意识指标的有意义的受试者亚组。进行多项逻辑回归分析,探索与源自LCA的每个亚组相关的变量。结果:大多数研究参与者为女性(66.9%),65岁或以上(71.1%)和华裔(88.1%)。 LCA将研究参与者分为3个亚组:1类(好知识,态度好),2类(好知识,态度差)和3类(知识差,态度差),比例分别为14.28%,63.83和21.88% , 分别。与其他班级相比,对痴呆症有良好知识和良好态度(第1类)的参与者更有可能认识患有痴呆症的人并了解疾病的影响,结婚,生活在私人住宅中,获得较高的月收入且不自称信仰佛教,道教或印度教。结论:我们的结果表明,新加坡公众可能还没有做好筛查计划和早期痴呆诊断的准备。教育工作应针对较低的社会经济群体,单身者和某些东方宗教的群体。

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