Kobe Gakuin University, Kobe City 651-2180, Hyogo, Japan.
Int J Environ Res Public Health. 2020 Nov 4;17(21):8134. doi: 10.3390/ijerph17218134.
The increasing prevalence of delayed and missed diagnoses for dementia constitutes major public concern. In this regard, inadequate knowledge and poor understanding of the condition may create a barrier to timely dementia screening. This cross-sectional study assessed dementia literacy, then identified the association between dementia literacy and willingness to undergo routine dementia screening among community-dwelling older adults in two urban areas of Japan. More specifically, structured questionnaires were distributed to a total of 854 individuals aged ≥ 65 years. A multivariate logistic regression was then used to explore the factors associated with dementia literacy and willingness to undergo routine dementia screening. Results showed that younger respondents and respondents who received dementia information from television/radio and/or paper-based sources were more likely to have high dementia literacy. While less than half of participants were willing to undergo routine dementia screening, those with higher dementia literacy were more willing to do so (albeit, not a statistically significant difference). Although there are pros and cons to routine dementia screening, it is necessary to implement such a system to detect dementia and cognitive impairment. Further, assessments should also attempt to gain information about individual beliefs and understandings related to dementia information.
痴呆症的延迟和漏诊率不断上升，引起了公众的极大关注。在这方面，对这种疾病的了解不足和理解不深可能成为及时进行痴呆症筛查的障碍。本横断面研究评估了痴呆症知识水平，并确定了在日本两个城市的社区居住的老年人中，痴呆症知识水平与接受常规痴呆症筛查意愿之间的关系。更具体地说，向总共 854 名年龄≥65 岁的人发放了结构化问卷。然后，使用多变量逻辑回归探讨了与痴呆症知识水平和接受常规痴呆症筛查意愿相关的因素。结果表明，年轻的受访者和从电视/广播和/或纸质来源获得痴呆症信息的受访者更有可能具有较高的痴呆症知识水平。尽管只有不到一半的参与者愿意接受常规的痴呆症筛查，但那些痴呆症知识水平较高的人更愿意这样做（尽管没有统计学意义上的差异）。尽管常规痴呆症筛查有利有弊，但有必要实施这样的系统来检测痴呆症和认知障碍。此外，评估还应尝试获取与痴呆症信息相关的个人信仰和理解的信息。
