Jang Yuri, Yoon Hyunwoo, Park Nan Sook, Rhee Min-Kyoung, Chiriboga David A
Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
School of Social Work, Texas State University, Austin, TX, USA.
Health Soc Care Community. 2018 Mar;26(2):199-206. doi: 10.1111/hsc.12509. Epub 2017 Oct 4.
Responding to the increase of the Asian American population and the growing imperative to address issues on Alzheimer's disease (AD) in diverse populations, this study examined Asian Americans' concerns about AD (both concerns about one's own development of AD and about becoming an AD caregiver) and plans for AD. Focus was given on exploring the role of AD exposure, AD literacy and cultural beliefs about AD in predicting AD-related concerns and plans. Using data from 2,609 participants in the 2015 Asian American Quality of Life survey (aged 18-98), logistic regression models of three outcome measures (concerns about one's own development of AD, concerns about becoming an AD caregiver and plans about AD) were estimated. AD exposure and literacy (perceived knowledge and awareness of services) were common predictors of all three outcomes. Beliefs that associate AD with a normal part of ageing and a matter of fate increased the odds of having AD concerns. The odds of having AD plans were found to be higher among those with such concerns. Findings not only identified the factors associated with the concerns and plans about AD but also informed ways to develop targeted AD interventions for Asian Americans.
鉴于亚裔美国人数量的增加以及在不同人群中应对阿尔茨海默病（AD）问题的紧迫性日益凸显，本研究调查了亚裔美国人对AD的担忧（包括对自身患AD的担忧以及成为AD护理者的担忧）和AD相关计划。研究重点在于探讨AD接触、AD知识素养以及对AD的文化信念在预测AD相关担忧和计划方面的作用。利用2015年亚裔美国人生活质量调查中2609名参与者（年龄在18 - 98岁）的数据，估计了三种结果指标（对自身患AD的担忧、对成为AD护理者的担忧以及AD相关计划）的逻辑回归模型。AD接触和知识素养（对服务的感知知识和认知）是所有三种结果的常见预测因素。将AD与衰老的正常部分以及命运问题联系起来的信念增加了产生AD相关担忧的几率。有此类担忧的人制定AD相关计划的几率更高。研究结果不仅确定了与AD相关担忧和计划有关的因素，还为针对亚裔美国人制定有针对性的AD干预措施提供了思路。
