Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
University of Otago, Otago, New Zealand.
Int J Geriatr Psychiatry. 2019 Dec;34(12):1758-1764. doi: 10.1002/gps.5189. Epub 2019 Aug 14.
The number of Asian New Zealanders with dementia is growing. The objective of this study was to explore with a group of Asian health care professionals about public attitudes towards dementia in Asian communities in New Zealand, the stigma of dementia, and how best to develop culturally appropriate services for Asian people and families living with dementia.
A focus group was conducted with a group of bilingual Asian health care professionals. A topic guide was developed based on the discussion at a prior meeting with the Cross Cultural Interest Group. The data were independently analysed by three researchers using the thematic qualitative methodology.
Eleven overseas-born Asian health care professionals (Chinese: n = 9, 82%) participated in the focus group. Four main themes emerged from the data: (a) cultural interpretations of dementia; (b) stigma; (c) filial piety; and (d) inequity in the availability of resources.
Our findings suggest that much work is needed to destigmatise dementia in New Zealand Asian communities, through psychoeducation, public awareness, and the availability of readily accessible services that can meet their cultural and language needs.
新西兰亚裔的痴呆症患者人数正在增加。本研究的目的是与一组亚裔医疗保健专业人员探讨新西兰亚裔社区对痴呆症的公众态度、痴呆症污名以及如何为患有痴呆症的亚裔人群和家庭提供最适合的文化服务。
对一组双语的亚裔医疗保健专业人员进行了焦点小组讨论。根据与跨文化利益小组的一次预先会议上的讨论,制定了一个主题指南。三名研究人员使用主题定性方法对数据进行了独立分析。
11 名海外出生的亚裔医疗保健专业人员(中国人:n = 9,82%)参加了焦点小组。数据中出现了四个主要主题:(a)痴呆症的文化解释;(b)污名;(c)孝道;以及(d)资源可用性方面的不平等。
我们的研究结果表明,需要通过心理教育、公众意识以及提供能够满足他们文化和语言需求的易于获得的服务,来消除新西兰亚裔社区对痴呆症的污名化。