ArticleRisk management and healthcare policy2021
Knowledge, Attitudes, and Stigma Related to Dementia Among Illiterate and Literate Older Adults in Shanghai.
Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Variations in Dementia Awareness, Contact and Stigma Attitudes Across Generations: A Community-Based Cross-Sectional Study in Shanghai, China.International journal of general medicine · 2026Article
- Knowledge, awareness, and practice of undergraduate medical students on Alzheimer's disease and dementia in Oman.Journal of education and health promotion · 2026Article
- Dilemmas of early dementia screening among community-dwelling older adults: a qualitative study from the perspective of social determinants of health.Frontiers in public health · 2026Article
- Mental health literacy and the stigmatisation and discrimination of individuals affected by mental illnesses in China: a scoping review.The Lancet regional health. Western Pacific · 2025Review
- Factors Associated with Acceptance of Screening and Knowledge About Dementia in Older Adults in China: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Gaps in dementia knowledge: a nationwide study of public awareness and misconceptions in Bulgaria.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025Article
- Knowledge and Attitudes Regarding Geriatric Depression: A Descriptive Study Among Adult Saudi Citizens.Cureus · 2024Article
- New Community and Sociohealth Challenges Arising from the Early Diagnosis of Mild Cognitive Impairment (MCI).Journal of personalized medicine · 2023Review
- Living with dementia: Why I am thinking of 'death'.Dementia (London, England) · 2023Article
- From cognitive screening to digital phenotyping: rethinking early detection of cognitive impairment in primary care.Frontiers in neurologyReview
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChina has the largest population of patients with dementia worldwide, no assessment of illiterate old population's dementia knowledge, attitudes, stigma have been conducted so far in China.
aimThis study focused on the impact of education on knowledge, attitudes, and stigma related to dementia.
methodsThe community-based sample used in this study was recruited using multi-stage random sampling from residents aged ≥60 years registered in Shanghai. We used the Geriatric Depression Scale (GDS-30) to identify depression, and the Ascertain Dementia 8 questionnaire (AD8) for evaluating participants' cognitive impairment. Knowledge, Attitude, Belief, and Practice scale, Perceptions Regarding Investigational Screening for Memory in Primary Care (PRISM-PC) were used for measuring dementia knowledge, attitudes, stigma. We separated the population into illiterate and literate group, propensity score matching based on age, sex, depression, and cognitive impairment. We calculated the difference of knowledge, attitudes, and stigma related to dementia between illiterate and literate groups.
resultsTwo thousand five hundred and eighteen participants completed the survey. After propensity score matching, 186 pairs of matched participants left. The overall correct rate of dementia knowledge was 70.34%. The illiterate group had a lower percentage of correct answers for each knowledge item. The item "Dementia is not a disease, it is forgetfulness due to aging" had the lowest accuracy rate in both groups (38.71% vs. 50.54%, p=0.022). Illiterate older adults were less accepting of dementia than literate older adults. The majority of participants did not agree that: "There is no need to visit a doctor when older people have memory loss, difficulty communicating, or finding words" (56.99% vs. 68.28%). Illiterate older adults had higher scores for the items assessing stigma toward dementia than literate older adults.
conclusionDementia-related knowledge and attitudes among community-dwelling older adults in Shanghai may be related to literacy.
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