Purandare Nitin, Luthra Vikram, Swarbrick Caroline, Burns Alistair
School of Psychiatry and Behavioural Sciences, University of Manchester, Manchester, UK.
Int J Geriatr Psychiatry. 2007 Aug;22(8):777-81. doi: 10.1002/gps.1740.
The aim of this study was to examine knowledge of dementia in South Asian older people, as compared with Caucasian older people.
Attendees, not known to suffer from dementia, of one South Asian and two predominantly Caucasian day centres for older people in Manchester (UK) were asked to complete the Dementia Knowledge Questionnaire (DKQ). The DKQ was translated into Gujarathi and Urdu by the professional translators.
One hundred and ninety-one DKQs from Indian and 55 DKQs from Caucasian (white UK/Irish/European) older people were included in the analyses. Knowledge of dementia was poor in both Indian and Caucasian older people, especially so in the former. The median (25th-75th percentile) total DKQ scores were 3 (2-5) in Indians and 6 (3.5-9) in Caucasians (p < 0.001). Indian older people showed significantly less knowledge about basic aspects (p < 0.001) and epidemiology (p < 0.001) of dementia when compared to Caucasian older people. Both groups faired equally badly on questions about aetiology (p = 0.91) and symptomatology (p = 0.66). Indian older people were less aware of personality, reasoning, and speech being the affected in dementia (p < 0.001, p < 0.001 and p = 0.04, respectively).
Indian older people in Manchester (UK) do not seem to have sufficient knowledge about dementia, which may be one of the reasons for their relative absence in the local dementia treatment clinics.
本研究旨在比较南亚老年人与白种老年人对痴呆症的认知情况。
在英国曼彻斯特的一个南亚老年人日间护理中心和两个主要为白种老年人服务的日间护理中心,邀请了未患痴呆症的参与者填写痴呆症知识问卷(DKQ)。该问卷由专业翻译人员翻译成古吉拉特语和乌尔都语。
分析纳入了191份来自印度老年人的DKQ问卷和55份来自白种(英国/爱尔兰/欧洲裔)老年人的DKQ问卷。印度老年人和白种老年人对痴呆症的认知都较差,前者尤其如此。印度老年人DKQ问卷总分的中位数(第25-75百分位数)为3(2-5),白种老年人为6(3.5-9)(p<0.001)。与白种老年人相比,印度老年人对痴呆症的基本方面(p<0.001)和流行病学(p<0.001)的了解明显较少。两组在病因学(p=0.91)和症状学(p=0.66)问题上的表现同样糟糕。印度老年人对痴呆症中人格、推理和言语受影响的认知较少(分别为p<0.001、p<0.001和p=0.04)。
英国曼彻斯特的印度老年人似乎对痴呆症缺乏足够的了解,这可能是他们在当地痴呆症治疗诊所中相对较少的原因之一。