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Knowledge, Attitudes and Beliefs about Dementia in an Urban Xhosa-Speaking Community in South Africa

Adv.nces in Alzheimer's Disease 2015年第2期4卷 21-36页

作者： v. khonje C. Milligan Y. Yako M. Mabelane K. E. Borochowitz C. A. de Jager Faculty of Health Sciences University of Cape Town Cape Town South Africa Dementia SA State House Cape Town South Africa Div.sion of Geriatric Medicine Department of Medicine University of Cape Town Cape Town South Africa

Background: Dementia, a debilitating condition, requires particular attention in Southern Africa where there is a dearth of prev.lence data. Population ageing and other risk factors are driv.ng an increasing incidence of dementia. Howev.r, limited knowledge and understanding may impact the attitudes and practices towards persons with dementia. Aim: To inv.stigate the relationship between the knowledge of dementia, its effect on the attitudes and practices toward people with dementia in an urban community setting. To determine the perceiv.d av.ilability of serv.ces for those with dementia, the awareness of elder abuse and care-giv.r burden. Methods: A descriptiv., cross-sectional study was performed in Khayelitsha. An interv.ewer administered questionnaire was used with assistance from isiXhosa speaking translators. A sample of 100 indiv.duals was surv.yed door-to-door from both the informal and formal housing settlements, using cluster random sampling methods. Results: There was deficient knowledge about dementia, with an av.rage accuracy of 53.44% on the knowledge test. Only 10% reported knowing what dementia was. Participants had generally tolerant v.ews about people with dementia. No significant relationship was found between knowledge and attitudes about dementia. There was a significant difference between people who would share their house with a family member with dementia or send them to nursing homes (p = 0.03). 64% of participants knew what elder abuse was. 19% knew of an elder who had been abused;amongst the most common forms reported were being locked alone in their house and being depriv.d of food. Conclusions: This study showed that knowledge about dementia was limited with no relationship to attitudes of high tolerance towards people with dementia. Elder abuse was well recognized, but poorly reported. Appropriate health promotion strategies and education should be conducted and further research should be done into dementia in South Africa.

关键词： Dementia Carer Burden Elder Abuse Prev.lence

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