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痴呆症知识普及与风险降低意识:对南亚和东南亚地区的系统评价

Dementia literacy and awareness of risk reduction: A systematic review of South Asian and Southeast Asian regions.

作者信息

Perera Amrita, Samtani Suraj, Karamacoska Diana, Siette Joyce

机构信息

Macquarie University, Sydney, New South Wales, Australia.

Centre for Healthy Brain Ageing (CHeBA), Discipline of Psychiatry and Mental Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.

出版信息

Australas J Ageing. 2025 Sep;44(3):e70071. doi: 10.1111/ajag.70071.

Abstract

OBJECTIVES

Dementia is a growing public health concern in South and Southeast Asia, yet the region's dementia literacy remains poorly understood. This review aimed to synthesise existing research on dementia literacy among South and Southeast Asian populations and diasporas, identifying barriers to literacy and risk reduction.

METHODS

Six databases (MEDLINE, PubMED, PsycINFO, EMBASE, CINAHL, Cochrane, ProQuest and Google Scholar) were searched from inception to 2024, with 73 articles from 11 countries identified for inclusion, data extraction and quality appraisal using the Mixed Methods Appraisal Tool.

RESULTS

Most studies demonstrated low levels of general dementia literacy (78%) and awareness of dementia risk factors (32%). There was a prevalent belief that dementia is a normal process of ageing. Lower dementia literacy was reported for individuals from Vietnam compared to individuals from India and Pakistan. Stigma, language barriers, lack of culturally appropriate resources and religious beliefs were common factors hindering dementia awareness and risk reduction.

CONCLUSIONS

Targeted interventions are necessary to increase dementia literacy in South and Southeast Asian populations, where awareness is poor and misconceptions continue.

摘要

目标

痴呆症在南亚和东南亚地区日益成为一个公共卫生问题,但该地区对痴呆症的认知水平仍知之甚少。本综述旨在综合现有的关于南亚和东南亚人群及其侨民痴呆症认知的研究,确定认知障碍和风险降低因素。

方法

检索了六个数据库(MEDLINE、PubMED、PsycINFO、EMBASE、CINAHL、Cochrane、ProQuest和谷歌学术)自建库至2024年的文献,共识别出11个国家的73篇文章纳入研究,使用混合方法评估工具进行数据提取和质量评估。

结果

大多数研究表明,总体痴呆症认知水平较低(78%),对痴呆症风险因素的知晓率为32%。人们普遍认为痴呆症是衰老的正常过程。与印度和巴基斯坦的个体相比,越南个体的痴呆症认知水平较低。耻辱感、语言障碍、缺乏文化适宜的资源和宗教信仰是阻碍痴呆症认知和风险降低的常见因素。

结论

在南亚和东南亚人群中,痴呆症认知水平较低且误解仍然存在,因此需要有针对性的干预措施来提高痴呆症认知水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd5/12309348/eff004a36fd3/AJAG-44-0-g001.jpg

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