Cultural diversity and views on Alzheimer disease in older African Americans.
Cultural diversity and views on Alzheimer disease in older African Americans.
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DOI：
10.1097/wad.0b013e3182654794
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发表时间：
2013-04
影响因子：
2.1
通讯作者：
Harris LF
中科院分区：
文献类型：
--
作者：
Rovner BW;Casten RJ;Harris LF
在老年非裔美国人中流行的文化结构可能会影响他们对阿尔茨海默病（AD）的风险认知和知识。为了研究这个问题，我们管理了3个社会文化量表，阿尔茨海默病知识量表和风险认知问卷，271名老年非裔美国人从一个大型社区老年中心和当地教堂招募。更高的现在时间定向与对健康风险几乎没有控制（p = 0.004），上帝的意志决定AD（p = 0.001）和较低的AD知识（p <0.0001）的看法显着相关，并与对发展AD几乎没有控制（p = 0.052）。肥胖与对健康风险几乎没有控制（p = 0.055）和患AD（p = 0.057）略有关系。事后组间比较发现，最高与最低评分的肥胖组之间存在显著差异。未来时间取向没有显著差异。大多数受试者（57.6%）不知道非裔美国人患AD的风险高于白人。这些数据表明，在老年非裔美国人的文化多样性可能会塑造健康的看法和知识的AD。这种多样性可能会导致在这个高风险人群中AD的检测和治疗的差异。
Cultural constructs prevalent in older African Americans may influence their risk perceptions and knowledge of Alzheimer’s disease (AD). To examine this issue, we administered 3 sociocultural scales, the Alzheimer’s Disease Knowledge Scale, and a Risk Perception questionnaire to 271 older African Americans who were recruited from a large community senior center and local churches. Higher Present Time Orientation was significantly related to perceptions of having little control over risks to health (p = .004), God’s Will in determining AD (p = .001), and lower AD knowledge (p < .0001), and marginally related to having little control over developing AD (p = .052). Religiosity was marginally related to having little control over risks to health (p = .055) and getting AD″ (p =.057). Post hoc inter-group comparisons found significant differences in the highest vs. lowest scoring Religiosity groups. There were no significant differences by Future Time Orientation. Most subjects (57.6%) were unaware that African Americans were at higher risk for AD than whites. These data indicate that cultural diversity within older African Americans may shape health perceptions and knowledge of AD. This diversity may contribute to disparities in the detection and treatment of AD in this high risk population.