Memory Clinic and Research Center, University Hospital, Limoges, France.
Int J Geriatr Psychiatry. 2013 Sep;28(9):933-8. doi: 10.1002/gps.3903. Epub 2012 Nov 20.
Alzheimer's disease (AD) causes progressive loss of memory and disability, especially in older people. As worldwide population grows older, AD is responsible for an important social and economical burden in many nations. People suffering from AD may experience health-related stigma that influences their attitudes towards seeking assistance. The STIG-MA survey describes perceived stigma against AD in a French population.
The STIG-MA questionnaire was completed anonymously by people attending an awareness campaign about AD in Creuse, France, in September 2010. Participants answered 10 questions about how they would feel or react if they had AD. Stigma scores were compared by age, activity, and interest in AD.
Thirty-three percent of people attending the campaign filled out the survey. Most were women (85%) younger than 50 years (59%); 10% were older people (older than 75 years). Twenty-one percent worked in health or social fields. Interest in AD was professional (48%), related to family (41%), or personal (11%). Professionals in health fields expressed the highest levels of stigma (p = 0.02). Low stigma was most frequent in older people (p = 0.05). Type of interest did not influence stigma. Shame, loss of self-esteem, and fear of exclusion were expressed the most.
The STIG-MA survey confirms that AD is a stigmatizing condition in France. The difference between perceived stigma of older people, those most exposed to AD, and that of health professionals may influence attitudes towards screening and care. Further studies of perceived stigma in these populations are necessary to adapt intervention strategies.
阿尔茨海默病(AD)会导致记忆和能力逐渐丧失,尤其在老年人中。随着全球人口老龄化,AD 在许多国家造成了重要的社会和经济负担。患有 AD 的人可能会经历与健康相关的耻辱感,这会影响他们寻求帮助的态度。STIG-MA 调查描述了法国人群中对 AD 的感知耻辱。
2010 年 9 月,在法国克吕兹举行的 AD 宣传活动中,匿名填写 STIG-MA 问卷。参与者回答了如果他们患有 AD,他们会有何感受或反应的 10 个问题。根据年龄、活动和对 AD 的兴趣比较耻辱得分。
参加宣传活动的 33%的人填写了调查。大多数是女性(85%),年龄小于 50 岁(59%);10%的人年龄较大(75 岁以上)。21%的人在卫生或社会领域工作。对 AD 的兴趣来自专业(48%)、家庭(41%)或个人(11%)。卫生领域的专业人员表示的耻辱感最高(p=0.02)。老年人中耻辱感最低(p=0.05)。兴趣类型并不影响耻辱感。最常表达的是羞耻、自尊心丧失和害怕被排斥。
STIG-MA 调查证实 AD 在法国是一种耻辱的疾病。最容易接触到 AD 的老年人与卫生专业人员之间对感知耻辱的差异,可能会影响筛查和护理的态度。需要对这些人群的感知耻辱进行进一步研究,以制定干预策略。