上海社区调查：公众对痴呆症的认知和态度。

Survey in Shanghai communities: the public awareness of and attitude towards dementia.

机构信息

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine Shanghai Changning Mental Health Center, Shanghai, China.

出版信息

Psychogeriatrics. 2011 Jun;11(2):83-9. doi: 10.1111/j.1479-8301.2010.00349.x.

DOI:10.1111/j.1479-8301.2010.00349.x

PMID:21707855

Abstract

OBJECTIVE

To assess the knowledge of and attitudes towards dementia among Shanghai residents.

METHODS

A 10-item optional questionnaire relating to dementia was developed for the project. Questionnaires were randomly distributed to 1806 families, each family had one respondent.

RESULTS

A total of 1531 questionnaires were available. Among them, 45% considered 'dementia is a normal part of ageing' and 29-41% correctly identified the symptoms of mild dementia. Of the respondents, 43% indicated that they would not be ashamed of having a demented relative, and 45% did not think that medical care benefited those with dementia. Subgroups analyses showed there was a wider agreement on the concept 'dementia is a normal part of ageing' in the elderly or the females with primary school education background than the counterpart. According to the educational level, the sequence (from the highest to the lowest) of the proportion of respondents who considered a demented relative to be shameful was as follows: middle school group (60.5%) > primary school group (41.3%) > university group (25.2%); according to age group: adult group (59.8%) > elderly group (37.3%) > youth group (30.2%). There was a higher identification rate of the symptoms of mild dementia in women than in men (P < 0.01). According to the educational level, the sequence (from the highest to the lowest) of identification rate was: university group > primary school group > middle school group; according to age group: elderly group > youth group > adult group. There was a significant difference among groups (P < 0.01). Multivariate regression results suggested that the sex, educational level and age had an influence on the concept of 'dementia is part of normal ageing'; the feeling of shame of having demented relatives was influenced by the educational level and age.

CONCLUSION

Lack of correct knowledge about dementia and discrimination of dementia are highly prevalent among urban residents in Shanghai.

摘要

目的

评估上海居民对痴呆症的认知和态度。

方法

为该项目开发了一个包含 10 个与痴呆症相关问题的可选问卷。将问卷随机分发给 1806 个家庭，每个家庭有一个受访者。

结果

共收到 1531 份有效问卷。其中，45%的人认为“痴呆症是衰老的正常组成部分”，29-41%的人正确识别了轻度痴呆症的症状。在受访者中，43%的人表示不会为有痴呆症的亲属感到羞耻，45%的人认为医疗对痴呆症患者没有好处。亚组分析显示，在老年人或具有小学教育背景的女性中，对“痴呆症是衰老的正常组成部分”这一概念的认同度更高。按教育程度划分，认为有痴呆症亲属羞耻的受访者比例从高到低依次为：中学组（60.5%）>小学组（41.3%）>大学组（25.2%）；按年龄组划分：成年组（59.8%）>老年组（37.3%）>青年组（30.2%）。女性对轻度痴呆症症状的识别率高于男性（P<0.01）。按教育程度划分，识别率从高到低依次为：大学组>小学组>中学组；按年龄组划分：老年组>青年组>成年组。组间差异有统计学意义（P<0.01）。多因素回归结果表明，性别、教育程度和年龄对“痴呆症是正常衰老的一部分”这一概念有影响；对有痴呆症亲属感到羞耻的感觉受到教育程度和年龄的影响。