Department of Communication, Norwegian Institute of Public Health, Oslo, Norway.
School of Communication, Leadership and Marketing, Kristiania University College, Oslo, Norway.
Front Public Health. 2022 Oct 20;10:998302. doi: 10.3389/fpubh.2022.998302. eCollection 2022.
Brain health entails mental wellbeing and cognitive health in the absence of brain disorders. The past decade has seen an explosion of tests, cognitive and biological, to predict various brain conditions, such as Alzheimer's Disease. In line with these current developments, we investigated people's willingness and reasons to-or not to-take a hypothetical brain health test to learn about risk of developing a brain disease, in a cross-sectional multilanguage online survey. The survey was part of the Global Brain Health Survey, open to the public from 4th June 2019 to 31st August 2020. Respondents were largely recruited via European brain councils and research organizations. 27,590 people responded aged 18 years or older and were predominantly women (71%), middle-aged or older (>40 years; 83%), and highly educated (69%). Responses were analyzed to explore the relationship between demographic variables and responses.
We found high public interest in brain health testing: over 91% would definitely or probably take a brain health test and 86% would do so even if it gave information about a disease that cannot be treated or prevented. The main reason for taking a test was the ability to respond if one was found to be at risk of brain disease, such as changing lifestyle, seeking counseling or starting treatment. Higher interest in brain health testing was found in men, respondents with lower education levels and those with poor self-reported cognitive health.
High public interest in brain health and brain health testing in certain segments of society, coupled with an increase of commercial tests entering the market, is likely to put pressure on public health systems to inform the public about brain health testing in years to come.
大脑健康包括精神健康和认知健康,且不存在大脑疾病。过去十年中,出现了大量的测试,包括认知和生物学测试,以预测各种大脑状况,如阿尔茨海默病。顺应这些当前的发展趋势,我们在一项跨语言在线横断面调查中研究了人们是否愿意并出于何种原因愿意或不愿意接受假设的大脑健康测试,以了解患上大脑疾病的风险。该调查是全球大脑健康调查的一部分,于 2019 年 6 月 4 日至 2020 年 8 月 31 日向公众开放。受访者主要通过欧洲大脑理事会和研究组织招募。27590 名年龄在 18 岁及以上的人做出了回应,他们主要是女性(71%)、中老年人(>40 岁;83%)和高学历(69%)。对回应进行了分析,以探讨人口统计学变量与回应之间的关系。
我们发现公众对大脑健康测试的兴趣很高:超过 91%的人肯定或可能会接受大脑健康测试,即使测试结果显示存在无法治疗或预防的疾病,86%的人也会这样做。接受测试的主要原因是,如果发现自己有患上大脑疾病的风险,如改变生活方式、寻求咨询或开始治疗,能够做出回应。男性、受教育程度较低的受访者以及自我报告认知健康状况较差的受访者对大脑健康测试的兴趣更高。
在某些社会群体中,公众对大脑健康和大脑健康测试的高度关注,加上越来越多的商业测试进入市场,可能会在未来几年给公共卫生系统带来压力,需要向公众提供关于大脑健康测试的信息。