Alzheimer Centre Limburg, School for Mental Health and Neuroscience, Maastricht University, Dr. Tanslaan 12, 6229, ET, Maastricht, the Netherlands.
Department of Sociology, University of Antwerp, Antwerp, Belgium; The Flanders Centre of Expertise on Dementia, Lokkaardstraat 8, 2018 Antwerp, Belgium.
Prev Med. 2021 Jun;147:106522. doi: 10.1016/j.ypmed.2021.106522. Epub 2021 Mar 17.
Strategies to reduce dementia risk are needed to minimize the burden of this growing public health concern. Most individuals are not aware that dementia risk reduction is possible, let alone how this could be achieved. Health education, such as public awareness campaigns on the topic of dementia risk reduction, can meet this need. A public health campaign (including social media and offering an online individual risk assessment tool) was carried out over a 7-month period in Flanders, Belgium. Impact was assessed in two independent online surveys, before (n = 1003) and after the campaign (n = 1008), in representative samples of adults aged 40-75 years. Questions regarding personal needs, wishes and barriers were also included. After the campaign, more individuals (10.3%) were aware that dementia risk reduction is possible than before the campaign, and more individuals correctly identified 10 out of 12 surveyed modifiable dementia risk and protective factors. However, no differences were observed in low-educated individuals. Further, specific differences in potential needs, wishes and barriers for future campaigns or interventions were observed between demographic strata. The majority of the respondents (89%) indicated that they would welcome more information on improving their brain-health. More than half (54%) also believed that they lacked the necessary knowledge to make brain-healthy behavior changes. In conclusion, effective public awareness campaigns on the topic of dementia risk reduction are feasible and timely, given the state of the evidence. Special efforts need to be made to develop effective campaigns, tailored towards low-educated individuals.
需要采取策略来降低痴呆风险,以尽量减轻这一日益严重的公共卫生问题的负担。大多数人不知道痴呆风险可以降低,更不用说如何实现这一目标了。健康教育,如关于痴呆风险降低的公众意识运动,可以满足这一需求。在比利时佛兰德斯地区,进行了一项为期 7 个月的公共卫生运动(包括社交媒体和提供在线个人风险评估工具)。在 campaign 之前(n=1003)和之后(n=1008),在 40-75 岁的成年人的代表性样本中,通过两次独立的在线调查评估了 impact。还包括关于个人需求、愿望和障碍的问题。 campaign 后,更多的人(10.3%)意识到降低痴呆风险是可能的,更多的人正确识别了 12 个可修改的痴呆风险和保护因素中的 10 个。然而,在受教育程度较低的人群中没有观察到差异。此外,在未来的 campaign 或干预措施中,还观察到不同人口统计学群体之间存在潜在需求、愿望和障碍的具体差异。大多数受访者(89%)表示,他们欢迎更多关于改善大脑健康的信息。超过一半(54%)的人还认为他们缺乏必要的知识来进行有益于大脑健康的行为改变。总之,考虑到证据的现状,关于降低痴呆风险的有效公众意识 campaign 是可行和及时的。需要特别努力制定针对受教育程度较低的人的有效 campaign。