Attitudes Toward Alzheimer's Care-Seeking Among Korean Americans: Effects of Knowledge, Stigma, and Subjective Norm
Attitudes Toward Alzheimer's Care-Seeking Among Korean Americans: Effects of Knowledge, Stigma, and Subjective Norm
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DOI：
10.1093/geront/gnw253
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发表时间：
2018-04-01
期刊：
影响因子：
5.7
通讯作者：
Lee, Sang E.
中科院分区：
文献类型：
--
作者：
Casado, Banghwa Lee;Hong, Michin;Lee, Sang E.
目的：阿尔茨海默病（AD）的早期发现可确保受影响的个人及其护理人员能够为医疗保健需求制定适当的计划，但许多少数民族推迟寻求AD的护理，直到疾病进展。本研究探讨了对寻求护理的态度，AD在韩裔美国人（KA），并确定影响他们的attitude.Methods的因素：横断面调查收集数据，从234 KA成年人。我们进行了分层回归分析，以检查社会文化背景（年龄，性别，教育，文化取向），AD知识和暴露于AD，以及对AD的信念（怜悯，羞耻和公众回避的耻辱）和AD护理（主观规范）对KA的态度寻求初级保健医生（PCP）和AD专家的AD护理的影响。我们还测试了AD的知识是否调节了对AD和AD护理的信念对KAs的态度的影响，以寻求AD care.Results：对于PCPs和AD专家，主观规范对KAs的态度寻求护理的影响最大（β = 0.557 PCPs，β = 0.360专家）。污名信念的影响消失的主观规范的存在。AD知识调节的影响，主观规范的态度对PCP（β = -1.653）和专家（β = -1.742）。影响：的意义，在KA的态度对AD寻求护理的主观规范强调了公众教育的重要性，我们的研究表明，增加AD知识可能有助于改变公众对寻求AD护理的态度。
Purpose: Early detection of Alzheimer's disease (AD) ensures that affected individuals and their caregivers can make appropriate plans for health care needs, yet many ethnic minorities delay seeking care for AD until the disease has progressed. This study examined attitudes toward care-seeking for AD among Korean Americans (KAs) and identified factors affecting their attitudes.Methods: A cross-sectional survey was used to collect data from 234 KA adults. We conducted hierarchical regression analyses to examine the effects of sociocultural background (age, gender, education, cultural orientation), AD knowledge and exposure to AD, and beliefs about AD (stigma of pity, shame, and public avoidance) and AD care (subjective norm) on KAs' attitudes toward seeking AD care from primary care physicians (PCPs) and AD specialists. We also tested whether knowledge of AD moderated the impact of beliefs about AD and AD care on KAs' attitudes toward seeking AD care.Results: For both PCPs and AD specialists, the subjective norm had the strongest effect on KAs' attitudes toward care seeking (beta = 0.557 for PCPs, beta = 0.360 for specialists). Effects of stigma beliefs disappeared in the presence of the subjective norm. AD knowledge moderated the impact of the subjective norm on the attitudes toward both PCPs (beta = -1.653) and specialists (beta = -1.742).Implications: The significance of the subjective norm in KAs' attitudes toward AD care-seeking underscores the importance of public education, and our study suggests that increasing AD knowledge could facilitate a change in public attitudes toward seeking AD care.