Division of Neurology and the Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, University of Malaya, Kuala Lumpur, Malaysia.
Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital and the Edmond J. Safra Program in Parkinson's Disease Research, University of Toronto, Toronto, ON, Canada.
J Parkinsons Dis. 2015;5(4):865-79. doi: 10.3233/JPD-150594.
Public knowledge regarding Parkinson's disease (PD) is important to facilitate good health-seeking behavior, but the literature on this topic is scarce.
We aimed to explore the level of public knowledge regarding PD in a large multiethnic urban Asian cohort, and (as a secondary aim) in a smaller cohort of PD patients and caregivers.
A Knowledge of PD Questionnaire (KPDQ) was developed and administered to members of the Malaysian general public, and to PD patients and caregivers. The KPDQ tests recognition of PD symptoms and general knowledge regarding PD.
1,258 members of the general public completed the KPDQ. Tremor was the most widely recognized symptom (recognized by 79.0% of respondents); however, 83.7% incorrectly believed that all PD patients experience tremor. Memory problem was the most widely recognized NMS. Overall, motor symptoms were better recognized than NMS. Common misperceptions were that there is a cure for PD (49.8%) and that PD is usually familial (41.4%). Female gender, Chinese ethnicity, tertiary education, healthcare-related work, and knowing someone with PD were independently associated with higher KPDQ scores. PD patients (n = 116) and caregivers (n = 135) demonstrated superior knowledge compared with the general public group, but one-third of them believed that PD is currently curable.
This is the only study on public knowledge regarding PD in Asia. Important gaps in knowledge were evident, which could present a barrier to early diagnosis and appropriate treatment of PD. This highlights the need for targeted education campaigns and further research in this area.
公众对帕金森病(PD)的了解对于促进良好的寻医行为很重要,但这方面的文献却很少。
我们旨在探索在一个大型多民族亚洲城市人群中,公众对 PD 的了解程度,并(作为次要目标)在较小的 PD 患者和照护者队列中进行探索。
我们开发了一份帕金森病知识问卷(KPDQ),并将其分发给马来西亚的普通公众以及 PD 患者和照护者。KPDQ 测试了对 PD 症状的识别和对 PD 的一般认识。
共有 1258 名普通公众完成了 KPDQ。震颤是最广为人知的症状(79.0%的受访者认识到);然而,83.7%的人错误地认为所有 PD 患者都有震颤。记忆问题是最广为人知的非运动症状。总体而言,运动症状比非运动症状更易被识别。常见的误解是 PD 有治愈方法(49.8%)和 PD 通常是家族性的(41.4%)。女性、华族、高等教育、医疗保健相关工作以及认识 PD 患者与更高的 KPDQ 评分相关。PD 患者(n=116)和照护者(n=135)与普通公众组相比表现出更优异的知识水平,但仍有三分之一的人认为 PD 目前可以治愈。
这是亚洲唯一一项关于公众对 PD 了解程度的研究。知识方面存在重要差距,这可能会对 PD 的早期诊断和适当治疗造成障碍。这凸显了在这一领域开展有针对性的教育活动和进一步研究的必要性。