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Yetişkin Bireylerin Alzheimer Hastalığı ile İlgili Bilgi ve Damgalanma Düzeylerinin Belirlenmesi

Yıl 2024, Cilt: 7 Sayı: 2, 94 - 104, 31.08.2024
https://doi.org/10.47141/geriatrik.1469664

Öz

Amaç: Türkiye’de Alzheimer hastalığı (AH) ve buna bağlı demans (AHBD), halk sağlığı açısından öncelikli olarak ele alınması gereken hastalıklar arasındadır. Özellikle Türk yetişkinleri arasında AH farkındalık düzeyi ve AH’ya ilişkin damgalanma konusunda bilinenler yetersizdir. Bu iki önemli faktörün hastalık yüküne katkısı, vaka bulma ve tedavi etkinliğine etkisi bilinmemektedir. Bu bağlamda çalışmanın amacı yetişkinlerin ve yaşlı yetişkinlerin AH’ye ilişkin bilgi ve damgalanma düzeylerini belirlemektir.

Gereç ve Yöntem: Tanımlayıcı ve analitik bir tasarım kullanıldı. Araştırmaya toplam 888 yetişkin ve yaşlı yetişkin birey katıldı. Veriler anket, Alzheimer Hastalığı Bilgi Ölçeği (AHBÖ) ve Alzheimer’a Karşı Algılanan Damgalanma Anketi (STIGMA-AH) ile toplandı.

Bulgular: Katılımcıların yaş ortalaması 49,75 (8,89), %85,7’si 40-59 yaş aralığında, %64,1’i kadın, %60,8’i evli ve %51,5’i temel eğitim düzeyindedir. Araştırmaya katılan yetişkin ve yaşlı yetişkinlerin ortalama AHBÖ toplam puanı 16,97 (2,47)’dir. Araştırmaya katılan yetişkin ve yaşlı yetişkinlerin ortalama STIGMA-AH toplam puanı 21,05 (3,69)’dir.

Sonuç: Türk yetişkinleri ve yaşlı yetişkinler arasında hem genel AH hem de alt boyutları konusunda ciddi bilgi boşlukları dikkat çekmektedir. AH ile ilgili damgalanma düzeyi hem toplamda hem de tüm alt boyutlarda yüksektir. Bu çalışmada AD bilgisi ile damgalanma arasında anlamlı bir ilişki bulunamamıştır.

Kaynakça

  • The United Nations Department of Economic and Social Affairs (UNDESA). World population prospects 2019. volume II: demographic profiles. Available from: https://population.un.org/wpp/Publications/Files/WPP2019_Volume-II-Demographic-Profiles.pdf. Accessed 23 Jan. 2022
  • Prince M, Ali GC, Guerchet M, Prina AM, Albanese E, Wu YT. Recent global trends in the prevalence and inci-dence of dementia, and survival with dementia. Alzheimer’s Res Ther 2016;8:1–13. http://doi.org/10.1186/s13195-016-0188-8
  • Lobo A, Launer LJ, Fratiglioni L, et al. Prevalence of dementia and major subtypes in Europe: a collaborative study of population-based cohorts: neurologic diseases in the elderly research group. Neurology 2000;54:4–9.
  • Jolley DJ, Benbow SM. Stigma and Alzheimer’s disease: causes, consequences and a constructive approach. Int J Clin Pract 2000;54:117–119. https://doi.org/10.1080/13607860701616325
  • Weiss MG, Ramakrishna J, Somma D. Health-related stigma: rethinking concepts and interventions. Psychol Health Med 2006;11:–287. https://doi.org/10.1080/13548500600595053
  • Becker HS. Outsiders: Studies in the sociology of deviance. The free press, New York, Simon and Schuster, 2008, 177-206.
  • Stites SD, Milne R, Karlawish J. Advances in Alzheimer’s imaging are changing the experience of Alzheimer’s disease. Alzheimer’s Dement: Diagnosis, Assessment & Disease Monitoring 2018;10:285–300. https://doi.org/10.1016/j.dadm.2018.02.006
  • Batsch NL, Mittelman MS. World alzheimer report 2012. Overcoming the stigma of dementia. Alzheimer’s Disease International (ADI), London, 2012. Available from: https://www.cdc.gov/aging/pdf/stigma-and-ad-brief-july-2015.pdf
  • Blay SL, Peluso ÉTP. Public stigma: the community’s tolerance of Alzheimer disease. Am J Geriatr Psychiatry 2010;18:163–171. https://doi.org/10.1097/JGP.0b013e3181bea900
  • Piver LC, Nubukpo P, Faure A, Dumoitier N, Couratier P, Clément JP. Describing perceived stigma against Alz-heimer’s disease in a general population in France: the STIG‐MA survey. Int J Geriatr Psychiatry 2013;28:933–938. https://doi.org/10.1002/gps.3903
  • Lahjibi-Paulet H, Dauffy A, Minard A, Gaxatte C, Saint-Jean O, Somme, D. Attitudes toward Alzheimer’s dis-ease: a qualitative study of the role played by social representation on a convenient sample of French gen-eral practitioners. Aging Clin Exp Res 2012;24:384–390. https://doi.org/10.1007/BF03325270
  • Phillipson L, Magee C, Jones S, Reis S, Skaldzien E. Dementia attitudes and help-seeking intentions: an inves-tigation of responses to two scenarios of an experience of the early signs of dementia. Aging Ment Health 2015;19:968–977. https://doi.org/10.1080/13607863.2014.995588
  • Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention, intervention, and care. Lancet 2017;390:2673–2734. https://doi.org/10.1016/S0140-6736(17)31363-6
  • Werner P, AboJabel H, Maxfield M. Conceptualization, measurement and correlates of dementia worry: a scoping review. Arch Gerontol Geriatr 2021;92:104246. https://doi.org/10.1016/j.archger.2020.104246
  • Farina N, Suemoto CK, Burton JK, et al. Perceptions of dementia amongst the general public across Latin America: a systematic review. Aging Ment Health 2021;25(5):787–796. https://doi.org/10.1080/13607863.2020.1725738
  • Smith BJ, Ali S, Quach H. Public knowledge and beliefs about dementia risk reduction: a national survey of Australians. BMC Public Health 2014;14:1–10. https://doi.org/10.1186/1471-2458-14-661
  • Shinan-Altman S, Werner P. Illness representations of dementia: a scoping review. Clin Interv Aging 2019;14:179–193. https://doi.org/10.2147/CIA.S193316
  • Cahill S, Pierce M, Werner P, et al. A systematic review of the public’s knowledge and understanding of Alz-heimer’s disease and dementia. Alzheimer Dis Assoc Disord 2015;29:255–275. https://doi.org/10.1097/WAD.0000000000000102
  • Ardıç ÇA, Öğüt YP. Alzheimer ve Alzheimer’lı hastaların haberlerde temsili. Kurgu 2017;25:1–22.
  • Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M.The Alzheimer’s disease knowledge scale: devel-opment and psychometric properties. Gerontologist 2009;49:236–247. https://doi.org/10.1093/geront/gnp023
  • Nordhus IH, Sivertsen B, Pallesen S. Knowledge about Alzheimer’s disease among Norwegian psychologists: the Alzheimer’s disease knowledge scale. Aging Ment Health 2012;16:521–528. https://doi.org/10.1080/13607863.2011.628973
  • Yılmaz F, Çolak MY. The validity and reliability of a Turkish version of the Alzheimer’s disease knowledge scale (ADKS). Turkiye Klinikleri J Health Sci 2020;5:594–602. https://doi.org/10.5336/healthsci.2020-74195
  • Arıca Polat BS, Temel M, Kayalı N, et al. Perceived stigma against Alzheimer’s disease in Turkish population. Eur J Geriatric Gerontol 2021;4:32–37. https://doi.org/10.4274/ejgg.galenos.2021.2021-9-2
  • Kafadar AH, Barrett C, Cheung KL. Knowledge and perceptions of Alzheimer’s disease in three ethnic groups of younger adults in the United Kingdom. BMC Public Health 2021;21: 1–12. https://doi.org/10.1186/s12889-021-11231-8
  • Garcia-Ribas G, García-Arcelay E, Montoya A, Maurino J, Ballesteros, J. Quantifying knowledge of Alz-heimer’s disease: an analysis of the psychometric properties of the Alzheimer’s disease knowledge scale. Neurol Ther 2021;10:213–224. https://doi.org/10.1007/s40120-021-00230-x
  • Jorge C, Cetó M, Arias A, et al. Level of understanding of Alzheimer disease among caregivers and the gen-eral population. Neurología 2021;36:426432. https://doi.org/10.1016/j.nrl.2018.03.004
  • Amado DK, Brucki SMD. Knowledge about Alzheimer’s disease in the Brazilian population. Arq Neuro-Psiquiatr 2018;76:775–782. https://doi.org/10.1590/0004-282X20180106
  • Kim S, Richardson A, Werner P, Anstey KJ. Dementia stigma reduction (DESeRvE) through education and vir-tual contact in the general public: a multi-arm factorial randomised controlled trial. Dementia 2021;20:2152–2169. https://doi.org/10.1177/1471301220987374
  • Rewerska-Juśko M, Rejdak K. Social stigma of people with dementia. J Alzheimer’s Dis 2020;78:1339–1343. https://doi.org/10.3233/JAD-201004
  • Kim S, Anstey KJ, Mortby ME. Who displays dementia-related stigma and what does the general public know about dementia? Findings from a nationally representative survey. Aging Ment Health 2023;27:1111–1119. https://doi.org/10.1080/13607863.2022.2040428

Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals

Yıl 2024, Cilt: 7 Sayı: 2, 94 - 104, 31.08.2024
https://doi.org/10.47141/geriatrik.1469664

Öz

Aim: In Türkiye, Alzheimer’s disease (AD) and related dementia (ADRD) are among the diseases that should be addressed as a priority in terms of public health. What is known about the level of AD awareness and stigma related AD, especially among Turkish adults, is insufficient. The contribution of these two important factors to the disease burden and their impact on case finding and treatment effectiveness are unknown. In this regard, the aim of the study is to determine the knowledge and stigma levels of adults and older adults regarding AD.

Materials and Methods: A descriptive and analytical design was used. A total of 888 adult and older adult individuals participated in the study. Data were collected with a questionnaire, Alzheimer’s Disease Knowledge Scale (ADKS) and Perceived Stigma Against AD Survey (STIGMA-AD).

Results: The average age of the participants is 49.75 (8.89), 85.7% are between the ages of 40-59, 64.1% are women, 60.8% are married, and 51.5% are at basic education level. The average ADKS total score of adults and older adults participating in the study is 16.97 (2.47). The average STIGMA-AD total score of adults and older adults participating in the study is 21.05 (3.69).

Conclusion: Serious knowledge gaps have been noted among Turkish adults and older adults in both general AD and its sub-dimensions. The level of AD-related stigma is high both in total and in all sub-dimensions. In this study, no significant relationship was found between AD knowledge and stigma.

Kaynakça

  • The United Nations Department of Economic and Social Affairs (UNDESA). World population prospects 2019. volume II: demographic profiles. Available from: https://population.un.org/wpp/Publications/Files/WPP2019_Volume-II-Demographic-Profiles.pdf. Accessed 23 Jan. 2022
  • Prince M, Ali GC, Guerchet M, Prina AM, Albanese E, Wu YT. Recent global trends in the prevalence and inci-dence of dementia, and survival with dementia. Alzheimer’s Res Ther 2016;8:1–13. http://doi.org/10.1186/s13195-016-0188-8
  • Lobo A, Launer LJ, Fratiglioni L, et al. Prevalence of dementia and major subtypes in Europe: a collaborative study of population-based cohorts: neurologic diseases in the elderly research group. Neurology 2000;54:4–9.
  • Jolley DJ, Benbow SM. Stigma and Alzheimer’s disease: causes, consequences and a constructive approach. Int J Clin Pract 2000;54:117–119. https://doi.org/10.1080/13607860701616325
  • Weiss MG, Ramakrishna J, Somma D. Health-related stigma: rethinking concepts and interventions. Psychol Health Med 2006;11:–287. https://doi.org/10.1080/13548500600595053
  • Becker HS. Outsiders: Studies in the sociology of deviance. The free press, New York, Simon and Schuster, 2008, 177-206.
  • Stites SD, Milne R, Karlawish J. Advances in Alzheimer’s imaging are changing the experience of Alzheimer’s disease. Alzheimer’s Dement: Diagnosis, Assessment & Disease Monitoring 2018;10:285–300. https://doi.org/10.1016/j.dadm.2018.02.006
  • Batsch NL, Mittelman MS. World alzheimer report 2012. Overcoming the stigma of dementia. Alzheimer’s Disease International (ADI), London, 2012. Available from: https://www.cdc.gov/aging/pdf/stigma-and-ad-brief-july-2015.pdf
  • Blay SL, Peluso ÉTP. Public stigma: the community’s tolerance of Alzheimer disease. Am J Geriatr Psychiatry 2010;18:163–171. https://doi.org/10.1097/JGP.0b013e3181bea900
  • Piver LC, Nubukpo P, Faure A, Dumoitier N, Couratier P, Clément JP. Describing perceived stigma against Alz-heimer’s disease in a general population in France: the STIG‐MA survey. Int J Geriatr Psychiatry 2013;28:933–938. https://doi.org/10.1002/gps.3903
  • Lahjibi-Paulet H, Dauffy A, Minard A, Gaxatte C, Saint-Jean O, Somme, D. Attitudes toward Alzheimer’s dis-ease: a qualitative study of the role played by social representation on a convenient sample of French gen-eral practitioners. Aging Clin Exp Res 2012;24:384–390. https://doi.org/10.1007/BF03325270
  • Phillipson L, Magee C, Jones S, Reis S, Skaldzien E. Dementia attitudes and help-seeking intentions: an inves-tigation of responses to two scenarios of an experience of the early signs of dementia. Aging Ment Health 2015;19:968–977. https://doi.org/10.1080/13607863.2014.995588
  • Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention, intervention, and care. Lancet 2017;390:2673–2734. https://doi.org/10.1016/S0140-6736(17)31363-6
  • Werner P, AboJabel H, Maxfield M. Conceptualization, measurement and correlates of dementia worry: a scoping review. Arch Gerontol Geriatr 2021;92:104246. https://doi.org/10.1016/j.archger.2020.104246
  • Farina N, Suemoto CK, Burton JK, et al. Perceptions of dementia amongst the general public across Latin America: a systematic review. Aging Ment Health 2021;25(5):787–796. https://doi.org/10.1080/13607863.2020.1725738
  • Smith BJ, Ali S, Quach H. Public knowledge and beliefs about dementia risk reduction: a national survey of Australians. BMC Public Health 2014;14:1–10. https://doi.org/10.1186/1471-2458-14-661
  • Shinan-Altman S, Werner P. Illness representations of dementia: a scoping review. Clin Interv Aging 2019;14:179–193. https://doi.org/10.2147/CIA.S193316
  • Cahill S, Pierce M, Werner P, et al. A systematic review of the public’s knowledge and understanding of Alz-heimer’s disease and dementia. Alzheimer Dis Assoc Disord 2015;29:255–275. https://doi.org/10.1097/WAD.0000000000000102
  • Ardıç ÇA, Öğüt YP. Alzheimer ve Alzheimer’lı hastaların haberlerde temsili. Kurgu 2017;25:1–22.
  • Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M.The Alzheimer’s disease knowledge scale: devel-opment and psychometric properties. Gerontologist 2009;49:236–247. https://doi.org/10.1093/geront/gnp023
  • Nordhus IH, Sivertsen B, Pallesen S. Knowledge about Alzheimer’s disease among Norwegian psychologists: the Alzheimer’s disease knowledge scale. Aging Ment Health 2012;16:521–528. https://doi.org/10.1080/13607863.2011.628973
  • Yılmaz F, Çolak MY. The validity and reliability of a Turkish version of the Alzheimer’s disease knowledge scale (ADKS). Turkiye Klinikleri J Health Sci 2020;5:594–602. https://doi.org/10.5336/healthsci.2020-74195
  • Arıca Polat BS, Temel M, Kayalı N, et al. Perceived stigma against Alzheimer’s disease in Turkish population. Eur J Geriatric Gerontol 2021;4:32–37. https://doi.org/10.4274/ejgg.galenos.2021.2021-9-2
  • Kafadar AH, Barrett C, Cheung KL. Knowledge and perceptions of Alzheimer’s disease in three ethnic groups of younger adults in the United Kingdom. BMC Public Health 2021;21: 1–12. https://doi.org/10.1186/s12889-021-11231-8
  • Garcia-Ribas G, García-Arcelay E, Montoya A, Maurino J, Ballesteros, J. Quantifying knowledge of Alz-heimer’s disease: an analysis of the psychometric properties of the Alzheimer’s disease knowledge scale. Neurol Ther 2021;10:213–224. https://doi.org/10.1007/s40120-021-00230-x
  • Jorge C, Cetó M, Arias A, et al. Level of understanding of Alzheimer disease among caregivers and the gen-eral population. Neurología 2021;36:426432. https://doi.org/10.1016/j.nrl.2018.03.004
  • Amado DK, Brucki SMD. Knowledge about Alzheimer’s disease in the Brazilian population. Arq Neuro-Psiquiatr 2018;76:775–782. https://doi.org/10.1590/0004-282X20180106
  • Kim S, Richardson A, Werner P, Anstey KJ. Dementia stigma reduction (DESeRvE) through education and vir-tual contact in the general public: a multi-arm factorial randomised controlled trial. Dementia 2021;20:2152–2169. https://doi.org/10.1177/1471301220987374
  • Rewerska-Juśko M, Rejdak K. Social stigma of people with dementia. J Alzheimer’s Dis 2020;78:1339–1343. https://doi.org/10.3233/JAD-201004
  • Kim S, Anstey KJ, Mortby ME. Who displays dementia-related stigma and what does the general public know about dementia? Findings from a nationally representative survey. Aging Ment Health 2023;27:1111–1119. https://doi.org/10.1080/13607863.2022.2040428
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Serap Bayram 0000-0001-9969-4759

Petek Güzel Bu kişi benim 0009-0001-6311-2638

Kudret Kocabey 0009-0004-7852-678X

Ayşenur Obut Bu kişi benim 0009-0000-8615-5406

Özge Öz Bu kişi benim 0009-0002-8906-3042

Şeyma Durmuşoğlu 0009-0002-7573-1310

Çiğdem Ekin Bu kişi benim

Yayımlanma Tarihi 31 Ağustos 2024
Gönderilme Tarihi 21 Nisan 2024
Kabul Tarihi 23 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 2

Kaynak Göster

APA Bayram, S., Güzel, P., Kocabey, K., Obut, A., vd. (2024). Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals. Geriatrik Bilimler Dergisi, 7(2), 94-104. https://doi.org/10.47141/geriatrik.1469664
AMA Bayram S, Güzel P, Kocabey K, Obut A, Öz Ö, Durmuşoğlu Ş, Ekin Ç. Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals. GBD. Ağustos 2024;7(2):94-104. doi:10.47141/geriatrik.1469664
Chicago Bayram, Serap, Petek Güzel, Kudret Kocabey, Ayşenur Obut, Özge Öz, Şeyma Durmuşoğlu, ve Çiğdem Ekin. “Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals”. Geriatrik Bilimler Dergisi 7, sy. 2 (Ağustos 2024): 94-104. https://doi.org/10.47141/geriatrik.1469664.
EndNote Bayram S, Güzel P, Kocabey K, Obut A, Öz Ö, Durmuşoğlu Ş, Ekin Ç (01 Ağustos 2024) Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals. Geriatrik Bilimler Dergisi 7 2 94–104.
IEEE S. Bayram, P. Güzel, K. Kocabey, A. Obut, Ö. Öz, Ş. Durmuşoğlu, ve Ç. Ekin, “Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals”, GBD, c. 7, sy. 2, ss. 94–104, 2024, doi: 10.47141/geriatrik.1469664.
ISNAD Bayram, Serap vd. “Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals”. Geriatrik Bilimler Dergisi 7/2 (Ağustos 2024), 94-104. https://doi.org/10.47141/geriatrik.1469664.
JAMA Bayram S, Güzel P, Kocabey K, Obut A, Öz Ö, Durmuşoğlu Ş, Ekin Ç. Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals. GBD. 2024;7:94–104.
MLA Bayram, Serap vd. “Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals”. Geriatrik Bilimler Dergisi, c. 7, sy. 2, 2024, ss. 94-104, doi:10.47141/geriatrik.1469664.
Vancouver Bayram S, Güzel P, Kocabey K, Obut A, Öz Ö, Durmuşoğlu Ş, Ekin Ç. Determination of Alzheimer’s Disease-Related Knowledge and Stigma Levels of Adult Individuals. GBD. 2024;7(2):94-104.

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