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Knowledge, Attitudes and Beliefs about Dem.ntia in an Urban Xhosa-Speaking Com.unity in South Africa

Advances in Alzheim.r's Disease 2015年第2期4卷 21-36页

作者： V. Khonje C. m.lligan Y. Yako m. mabelane K. E. Borochowitz C. A. de Jager Faculty of Health Sciences University of Cape Town Cape Town South Africa Dem.ntia SA State House Cape Town South Africa Division of Geriatric m.dicine Department of Medicine University of Cape Town Cape Town South Africa

Background: Dem.ntia, a debilitating condition, requires particular attention in Southern Africa where there is a dearth of prevalence data. Population ageing and other risk factors are driving an increasing incidence of dem.ntia. However, lim.ted knowledge and understanding m.y im.act the attitudes and practices towards persons with dem.ntia. Aim. To investigate the relationship between the knowledge of dem.ntia, its effect on the attitudes and practices toward people with dem.ntia in an urban com.unity setting. To determ.ne the perceived availability of services for those with dem.ntia, the awareness of elder abuse and care-giver burden. m.thods: A descriptive, cross-sectional study was perform.d in Khayelitsha. An interviewer adm.nistered questionnaire was used with assistance from.isiXhosa speaking translators. A sam.le of 100 individuals was surveyed door-to-door from.both the inform.l and form.l housing settlem.nts, using cluster random.sam.ling m.thods. Results: There was deficient knowledge about dem.ntia, with an average accuracy of 53.44% on the knowledge test. Only 10% reported knowing what dem.ntia was. Participants had generally tolerant views about people with dem.ntia. No significant relationship was found between knowledge and attitudes about dem.ntia. There was a significant difference between people who would share their house with a fam.ly m.m.er with dem.ntia or send them.to nursing hom.s (p = 0.03). 64% of participants knew what elder abuse was. 19% knew of an elder who had been abused;am.ngst the m.st com.on form. reported were being locked alone in their house and being deprived of food. Conclusions: This study showed that knowledge about dem.ntia was lim.ted with no relationship to attitudes of high tolerance towards people with dem.ntia. Elder abuse was well recognized, but poorly reported. Appropriate health prom.tion strategies and education should be conducted and further research should be done into dem.ntia in South Africa.

关键词： Dem.ntia Carer Burden Elder Abuse Prevalence

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