Awareness, knowledge and attitudes towards epilepsy among rural populations in East Coast Peninsular Malaysia: A preliminary exploration
Awareness, knowledge and attitudes towards epilepsy among rural populations in East Coast Peninsular Malaysia: A preliminary exploration
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DOI：
10.1016/j.seizure.2010.04.006
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发表时间：
2010-06-01
影响因子：
3
通讯作者：
Lua, Pei Lin
中科院分区：
文献类型：
--
作者：
Neni, Selamat Widiasmoro;Abdul Latif, Ahmad Zubaidi;Lua, Pei Lin
本研究旨在初步了解农村社会对癫痫的认识。本研究的目的是：(1)确定农村社区对癫痫的总体认知、知识和态度（AKA）水平；(2)比较基于社会人口统计学特征的AKA水平；(3)调查农村队列对最佳癫痫治疗方法的认知、对癫痫信息传递的偏好和对就医交通方式的偏好。本前瞻性横断面研究通过整群抽样的方式纳入马来西亚半岛东海岸地区615名农村居民（平均年龄= 41.6±18.02岁，女性= 56.6%，已婚= 65.5%，马来语= 94.0%，月收入0.05）。而受教育程度越高的被调查者态度越好，Total AKA水平越低（p < 0.001）。有工作的受访者比没有工作的受访者表现出更积极的态度（p = 0.011）。此外，收入越高的农村人群态度越好，AKA水平也越高。这些农村社区认为现代医学是最好的癫痫治疗方法（56.60%），更倾向于从卫生人员那里直接获得与癫痫有关的信息（60.4%），选择自己开车去医院就医（76.30%）。这项初步研究的结果表明，有必要设计一个专门的癫痫教育计划，在农村居民中实施。提高社会上的AKA水平可以提高人们对癫痫的接受度，减少对癫痫的污名化，提高癫痫患者及其家属的健康相关生活质量。(C) 2010英国癫痫协会。Elsevier Ltd.出版。版权所有。
This study was carried out to gauge the preliminary insight regarding epilepsy among the rural society. The purposes of this study were: (1) to determine general level of awareness, knowledge and attitudes (AKA) towards epilepsy among rural communities, (2) to compare the AKA level based on socio-demographic characteristics and (3) to investigate rural cohort's perception of the best epilepsy treatment, preference for epilepsy information delivery and preference for mode of transportation to seek medical treatment. This prospective, cross sectional study included a sample of 615 rural residents enrolled via cluster sampling in East Coast region of Peninsular Malaysia (mean age = 41.6 +/- 18.02, female = 56.6%, married = 65.5%, Malay = 94.0%, monthly income 0.05). However, respondents with higher education significantly possessed better attitudes and higher Total AKA level compared to those with lower education level (p < 0.001). Employed respondents reported significantly more favourable attitudes than unemployed respondents (p = 0.011). Additionally, higher income rural cohorts possessed both significantly better attitudes and better AKA. These rural communities perceived modern medicine as the best epilepsy treatment (56.60%), preferred to obtain direct epilepsy-related information from health personnel (60.4%) and chose to use their own car to seek medical treatment in hospital (76.30%). The outcomes of this preliminary study signified the need to devise a dedicated epilepsy education program for implementation among rural residents. Increased AKA level in the society could enhance the people's acceptance, reduce stigmatisation and improve health-related quality of life (HRQoL) for epilepsy patients and their family. (C) 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.