ArticleAlzheimer's & dementia (Amsterdam, Netherlands)
The vicious cycle of stigma: A multi-level analysis of dementia help seeking and care in Malaysia.
Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDementia stigma impedes timely diagnosis in low- and middle-income countries. This study examines how cultural, social, and structural factors influence stigma in Malaysia's multiethnic context.
methodsIn-depth interviews with 18 caregivers in urban and rural Malaysia were analyzed thematically using the Integrated Dementia Stigma Framework.
resultsStigma forms a self-reinforcing cycle. Families attribute symptoms to "madness" or normal aging, prompting concealment (micro). Cultural norms like filial piety prescribe family caregiving as a moral duty, reinforcing isolation (meso). Structural stigma, including clinical dismissal and service scarcity, validates family inaction and worsens urban-rural inequities (macro). Two interlocking pathways emerge: a DISCUSSION: Dementia stigma in Malaysia drives low diagnosis rates. Multilevel interventions integrating public education, culturally appropriate community support, and healthcare reform are essential to break the cycle.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.