Examining public stigma of Alzheimer’s disease and its correlates among Korean Americans

Dementia ◽  
2020 ◽  
pp. 147130122091832
Author(s):  
Sang E Lee ◽  
Michin Hong ◽  
Banghwa L Casado

This study examined public stigma associated with Alzheimer’s disease (AD) among Korean Americans and identified factors affecting their public stigma. Data used in the study were collected using a cross-sectional survey with 268 Korean Americans. Guided by attribution theory, different domains of public stigma were assessed: pity, antipathy, and social distance. Hierarchical regression analyses were conducted to examine the effects of sociodemographic characteristics, exposure to AD, social networking, and AD knowledge on each stigma domain. The influence of emotional attributions (pity and antipathy) on behavioral attributions (social distance) in the stigma process suggested in attribution theory was also examined. Results show that pity is most prevalent followed by social distance and antipathy. Being more proficient in English, knowing fewer relatives/friends with AD, and knowing less about AD risk factors are associated with having more pity stigma. Being less socially engaged and knowing less about AD risk factors are related to having more antipathy stigma. Being younger and more proficient in English and having stronger antipathy stigma are associated with having more social distance stigma. Findings reveal multifaceted nature of public stigma associated with AD in Korean Americans and suggest that we need to work on both positive and negative sides of public stigma for stigma change. Findings of different factors associated with each public stigma domain can be considered when trying to foster and/or reduce certain stigmatic beliefs and behaviors associated with AD.

Author(s):  
S. C. C. Oudejans ◽  
M. E. Spits ◽  
J. van Weeghel

Abstract Introduction Stigmatization impedes the social integration of persons recovering from mental illnesses. Little is known about characteristics of the stigmatized person that lessen or aggravate public stigma. Purpose This study investigates which characteristics of persons with mental illnesses (i.e. with a depression or a psychotic disorder) might increase or decrease the likelihood of public stigma. Methods Over 2,000 adults read one of sixteen vignettes describing a person with a depressive disorder or a psychotic disorder and answered a set of items measuring social distance. Results The person who was employed (vs. unemployed), or whose neighbors did not experience domestic noise disturbance (vs. disturbance) elicited significantly less social distance. Also persons with a depressive disorder elicited less social distance, vs. persons with a psychotic disorder. Conclusion Employment and good housing circumstances may destigmatize persons coping with mental illnesses. Mental health and social services should encourage paid employment, quality housing and other paths to community integration.


2005 ◽  
Vol 17 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Emanuele Scafato ◽  
◽  
Claudia Gandin ◽  
Gino Farchi ◽  
Pasquale Abete ◽  
...  

Author(s):  
Shana D. Stites ◽  
Emily A. Largent ◽  
Rebecca Johnson ◽  
Kristin Harkins ◽  
Jason Karlawish

Background: As a result of caring for a person with dementia, caregivers of persons with Alzheimer’s disease (AD) may be uniquely aware of public stigma for persons with AD. Objective: The purpose of this study was to compare self-identified caregivers and non-caregivers’ expectations of public stigma experienced by persons living with dementia. Methods: Analysis of data from a survey of 910 adults (median age = 49 years) who read a vignette about a man with mild stage dementia. Multivariable ordered logistic regression was used to examine how AD caregiver status associated with responses on a modified Family Stigma in Alzheimer’s Disease Scale (FS-ADS). Results: 9%(n = 82) of respondents self-identified as a current or former primary caregiver of a person with AD, about the same as the national estimate of informal caregivers (8.8%). Compared to non-caregivers, AD caregivers were more likely to report stronger reactions on all seven domains of the FS-ADS (all p <  0.05). As compared to AD caregivers with less factual knowledge about caregiving, AD caregivers with more knowledge expected the person with dementia to experience less social distance (p <  0.05). In addition, female AD caregivers reported fewer negative aesthetic attributions than male AD caregivers (p <  0.05 Conclusion: Compared to non-caregivers, respondents who self-identified as an AD caregiver gave responses that suggest they perceived more stigma of dementia among members of the public. Their reactions were attenuated by AD knowledge and being female. The findings have key implications for interventions to reduce AD stigma.


2020 ◽  
Vol 138 (3) ◽  
pp. 216-218
Author(s):  
Marcela Forgerini ◽  
Maria Teresa Herdeiro ◽  
José Carlos Fernandes Galduróz ◽  
Patrícia de Carvalho Mastroianni

2014 ◽  
Vol 30 (2) ◽  
pp. 77-83
Author(s):  
Md Masud Rana ◽  
Imran Sarker ◽  
Md Shahadat Hossain ◽  
Md Rezaul Karim Khan ◽  
Md Rafiqul Islam ◽  
...  

Background and objectives: Dementia is characterized by loss of or decline in memory and other cognitive abilities and reduces the lifespan of affected people. The number of people with Alzheimer’s Disease and other dementias is increasing every year because of the steady growth in the older population and stable increment in life expectancy and it is expected to increase two-fold by 2030 and three-fold by 2050.In addition to Alzheimer’s disease there are so many reversible and irreversible causes of dementia. This study was aimed to explore the different etiological factors related to dementia patients. Risk factors for dementia, co-morbid conditions were also included. Methods: This cross sectional study was carried out from 2009 to 2014 at dementia clinic (OPD), department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU). A total number of 166 dementia patients, as diagnosed by Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and confirmed by Mini Mental State Examination(MMSE) score were recruited in this study. Diagnosis of specific type of dementia was made on the basis of established criteria. Results: Alzheimer’s disease(32.5%) and Vascular dementia(31.9%) were the most common etiological factor followed by Mixed dementia(19.9%), PD with dementia(8.4%) and others(7.2%) like hypothyroidism, head injury, epilepsy etc. Increasing age, hypertension, diabetes mellitus, dyslipidemia, IHD, smoking are potential risk factors for dementia. Conclusion: This study concludes Alzheimer’s disease and Vascular dementia are almost equally occurring dementia. There are also some potential risk factors for development of dementia whose modification can bring a great change in dementia treatment and functional outcome of this group of elderly people of Bangladesh. Bangladesh Journal of Neuroscience 2014; Vol. 30 (2): 77-83


2020 ◽  
Vol 78 (1) ◽  
pp. 321-334
Author(s):  
Ying Xia ◽  
Nawaf Yassi ◽  
Parnesh Raniga ◽  
Pierrick Bourgeat ◽  
Patricia Desmond ◽  
...  

Background: Cerebrovascular disease often coexists with Alzheimer’s disease (AD). While both diseases share common risk factors, their interrelationship remains unclear. Increasing the understanding of how cerebrovascular changes interact with AD is essential to develop therapeutic strategies and refine biomarkers for early diagnosis. Objective: We investigate the prevalence and risk factors for the comorbidity of amyloid-β (Aβ) and cerebrovascular disease in the Australian Imaging, Biomarkers and Lifestyle Study of Ageing, and further examine their cross-sectional association. Methods: A total of 598 participants (422 cognitively normal, 89 with mild cognitive impairment, 87 with AD) underwent positron emission tomography and structural magnetic resonance imaging for assessment of Aβ deposition and cerebrovascular disease. Individuals were categorized based on the comorbidity status of Aβ and cerebrovascular disease (V) as Aβ–V–, Aβ–V+, Aβ+V–, or Aβ+V+. Results: Advancing age was associated with greater likelihood of cerebrovascular disease, high Aβ load and their comorbidity. Apolipoprotein E ɛ4 carriage was only associated with Aβ positivity. Greater total and regional WMH burden were observed in participants with AD. However, no association were observed between Aβ and WMH measures after stratification by clinical classification, suggesting that the observed association between AD and cerebrovascular disease was driven by the common risk factor of age. Conclusion: Our observations demonstrate common comorbid condition of Aβ and cerebrovascular disease in later life. While our study did not demonstrate a convincing cross-sectional association between Aβ and WMH burden, future longitudinal studies are required to further confirm this.


2015 ◽  
Vol 44 (3) ◽  
pp. 907-916 ◽  
Author(s):  
Virginie Dauphinot ◽  
Floriane Delphin-Combe ◽  
Christelle Mouchoux ◽  
Aline Dorey ◽  
Anthony Bathsavanis ◽  
...  

2021 ◽  
Author(s):  
Ismat Babiker ◽  
Awab Elnaeim ◽  
Mohamed Elnaeim ◽  
Awab Saad

Abstract Objective: The purpose of this study was to assess knowledge of Alzheimer's disease among medical students and healthcare providers in Sudan. Methods: In this cross-sectional study conducted in Sudan from July to De­cember 2020, we used Google forms to collect data from 212 medical students and healthcare provid­ers using Alzheimer's Disease Knowledge Scale (ADKS). ADKS is a widely used validated instrument that measures what people know about Alzheimer's disease using a 30-item true/false questionnaire across seven critical knowledge domains: risk factors, symptoms, assessment and diagnosis, disease trajectory, life impact, treatment, and management, and caregiving. Results: Our studied population consisted of doctors (n=106), medical students (n=23), Nursing staff (n=09), and other hospital staff (n=74). 76.9% were females. When rating their knowledge from 0-10, our participants' mean value was 5.3 ± 2.1. Regarding ADKS, the mean knowledge score (out of 30) is 20.6 ± 2.8. Regarding ADKS domains, the best average scores were treatment and management 86.8%, followed by life impact 78.3%, assessment, and diagnosis 72.4%, course 71.5%, symptoms 62.7%, caregiving 59.2%, and risk factors 59%. We did not detect any significant association between the average overall score, occupation, source of infor­mation, or having a relative with Alzheimer's disease. Conclusion: Specific knowledge deficits were observed in domains focusing on risk factors, symptoms, and caregiving for Alzheimer's disease.


2021 ◽  
Vol 24 (1) ◽  
pp. 181-192
Author(s):  
Shinya Ohno ◽  
Yirong Chen ◽  
Hiroyuki Sakamaki ◽  
Naoki Matsumaru ◽  
Motoaki Yoshino ◽  
...  

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