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对痴呆症患者的污名化观念:以色列和希腊大学生的比较。

Stigmatic beliefs towards persons with dementia: comparing Israeli and Greek college students.

机构信息

Department of Community Mental Health, University of Haifa, Haifa, Israel.

Department of Social Work, Technological Educational Institute of Crete, Heraklion, Greece.

出版信息

Int Psychogeriatr. 2019 Oct;31(10):1393-1401. doi: 10.1017/S104161021900070X.

Abstract

OBJECTIVES

Increasing Alzheimer's Disease (AD) awareness and decreasing stigmatic beliefs among the general public are core goals of National Dementia Strategy programs. College students are one of the most important targeted populations for achieving this goal. The aim of the current study was to examine AD public stigma among Israeli and Greek college students.

DESIGN

A cross-sectional survey was conducted among college students in Israel and Greece using vignette methodology.

PARTICIPANTS

Seven hundred and fifty three college students - 213 Israeli and 540 Greek - participated in the study.

MEASUREMENTS

Three dimensions of stigma were assessed (cognitive, emotional, and behavioral) together with health beliefs regarding AD and socio-demographic characteristics.

RESULTS

Low levels of stigma were found in both samples, with Israeli students reporting statistically significant higher levels of stigmatic beliefs than Greek students in all the dimensions, except with willingness to help. Similar to stigma in the area of mental illness, the findings in both countries supported an attributional model for AD public stigma, i.e. positive correlations were found among cognitive attributions, negative emotions, and discriminatory behaviors in both countries. Differences between the countries emerged as a significant determinant of cognitive, as well as of negative emotions and willingness to help.

CONCLUSION

Our findings might help researchers and clinicians to apply the knowledge gained in the area of mental illness to the development of effective ways of reducing AD public stigma. Moreover, they allowed us to frame the understanding of AD public stigma within a socio-cultural context.

摘要

目的

提高公众对阿尔茨海默病(AD)的认识,减少公众对 AD 的污名化观念,这是国家痴呆症战略计划的核心目标。大学生是实现这一目标的重要目标群体之一。本研究旨在检验以色列和希腊大学生对 AD 的公众污名。

设计

采用情景描述法对以色列和希腊的大学生进行了横断面调查。

参与者

共有 753 名大学生——213 名以色列学生和 540 名希腊学生——参与了研究。

测量

评估了污名的三个维度(认知、情感和行为),以及对 AD 的健康信念和社会人口学特征。

结果

在两个样本中,污名程度均较低,与希腊学生相比,以色列学生在所有维度上的污名化观念水平都更高,但在帮助意愿方面除外。与精神疾病领域的污名相似,两国的研究结果均支持 AD 公众污名的归因模型,即认知归因、负面情绪和歧视行为在两国之间存在正相关。两国之间的差异是认知以及负面情绪和帮助意愿的重要决定因素。

结论

我们的研究结果可能有助于研究人员和临床医生将在精神疾病领域获得的知识应用于开发有效减少 AD 公众污名的方法。此外,我们可以根据社会文化背景来理解 AD 公众污名。

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