Cancer and Population Studies Group, Queensland Institute of Medical Research, Post Office Royal Brisbane Hospital, Queensland, Australia.
Int J Geriatr Psychiatry. 2011 Jun;26(6):649-56. doi: 10.1002/gps.2578. Epub 2010 Oct 22.
Dementia is a growing health and social concern for all Australians. Whilst the prevalence of dementia amongst Australia's indigenous people is unclear, there is some evidence that dementia rates are five times that of the general Australian population. To date no studies have examined dementia knowledge levels in indigenous communities.
This paper aims to explore indigenous Australians' understanding, knowledge and misconceptions of dementia.
Hundered and seventy-four indigenous adults participated in a cross-sectional survey using a modified version of the Alzheimer's Disease Knowledge Test (ADK). The survey included demographic information, two open-ended questions and 20 multiple choice questions. Each ADK item was examined to identify responses that revealed commonly held correct beliefs, knowledge gaps and misconceptions.
The overall level of understanding of dementia was poor. Younger participants were significantly more likely to have no knowledge of Alzheimer's Disease, whereas the other age groups were most likely to have at least some knowledge. It was also revealed that there are common misconceptions about Alzheimer's Disease held by both indigenous and non-indigenous communities.
Culturally appropriate awareness campaigns and targeted educational interventions need to be implemented to improve the general level of understanding of dementia in indigenous communities.
痴呆症是所有澳大利亚人日益关注的健康和社会问题。尽管澳大利亚土著居民中痴呆症的患病率尚不清楚,但有证据表明,痴呆症的发病率是澳大利亚普通人群的五倍。迄今为止,尚无研究调查过土著社区的痴呆症知识水平。
本文旨在探讨澳大利亚土著居民对痴呆症的理解、知识和误解。
174 名土著成年人参与了一项横断面调查,使用了阿尔茨海默病知识测试(ADK)的修改版本。该调查包括人口统计学信息、两个开放式问题和 20 个多项选择题。每个 ADK 项目都经过检查,以确定揭示普遍正确信念、知识差距和误解的答案。
总体而言,对痴呆症的理解程度较差。年轻参与者极有可能对阿尔茨海默病一无所知,而其他年龄组则极有可能至少有一些了解。此外,还发现土著和非土著社区普遍存在对阿尔茨海默病的误解。
需要实施文化上适当的宣传活动和有针对性的教育干预措施,以提高土著社区对痴呆症的普遍认识水平。