Open Access
CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(11): 775-782
DOI: 10.1590/0004-282X20180106
Article

Knowledge about Alzheimer's disease in the Brazilian population

Conhecimento sobre a doença de Alzheimer na população brasileira)

Authors

  • Daniel Krempel Amado

    1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brasil;
    2   Hospital Santa Marcelina, Departamento de Neurologia, São Paulo SP, Brasil.
  • Sonia Maria Dozzi Brucki

    1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brasil;
    2   Hospital Santa Marcelina, Departamento de Neurologia, São Paulo SP, Brasil.
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ABSTRACT

Dementia is a very common disease, but the general population's knowledge about its main etiology, Alzheimer's disease (AD), is still poor, leading to delayed seeking of healthcare services, less prevention of disease by lifestyle changes and more difficulty in managing the care of the demented.

Objective: To measure knowledge about AD in a Brazilian sample, taking into account some demographic variables.

Methods: A link to a self-administered online questionnaire was sent by email and via other social media to anyone older than 18 years old. Our questionnaire contained sociodemographic questions and the Alzheimer's Disease Knowledge Scale (ADKS), a well-established scale comprising 30 “true or false” questions about AD.

Results: 1,414 people (1,076 females), with a mean age of 42.3 years (SD ± 14.1), and 87.4% having more than 11 years of schooling, answered the online questionnaire. The mean total score for the ADKS was 21.6 out of 30 points (SD ± 3.73); however when we excluded health professionals (36.4% of the sample), it dropped to 20.5/30 (SD ± 3.51). The scores were positively influenced by educational level, professional skills (better for health professionals, mainly physicians) and by age (younger than 65 years). Being a caregiver or family member did not influence the knowledge about disease.

Discussion: Despite the high prevalence of AD, few studies have been conducted in Brazil regarding the population's knowledge about the disease. Our study revealed a lack of information about AD in our country, even in relatives and caregivers of demented patients.

RESUMO

Apesar da alta e crescente prevalência de demência em nosso meio, o conhecimento da população sobre sua principal causa - a Doença de Alzheimer (DA) - é insuficiente, levando à menor procura por serviços de saúde, menor prevenção da doença por meio de mudanças no estilo de vida e maior dificuldade no cuidado aos pacientes com demência.

Objetivo: Mensurar o conhecimento sobre DA em uma amostra da população brasileira, levando em conta algumas variáveis demográficas.

Métodos: Um link para um questionário online auto-aplicável foi enviado por email e por meio de outras mídias sociais para pessoas com mais de 18 anos de idade. O questionário era composto por ítens sociodemográficos e pela “Alzheimer's Disease Knowledge Scale” (ADKS), uma escala bem estabelecida composta por 30 questões relacionadas à DA, no formato “verdadeiro ou falso”.

Resultados: 1414 pessoas (1076 mulheres), com idade média de 42,3 anos (DP ± 14,1) e mais de onze anos de escolaridade em 87.4%, responderam o questionário online. A pontuação média na escala ADKS foi de 21,6 em 30 pontos possíveis (DP ± 3,73). Contudo, excluindo profissionais de saúde (36,4% da amostra), a pontuação média caiu para 20,5 (DP ± 3,51). Os resultados foram influenciados positivamente pela escolaridade, profissão (profissionais de saúde, principalmente médicos, tiveram melhor desempenho) e idade inferior a 65 anos. Cuidadores e familiares de pessoas com demência não tiveram melhor desempenho que os demais.

Discussão: Apesar da alta prevalência da DA, poucos estudos brasileiros avaliaram o conhecimento da população sobre esta doença. O nosso estudo revelou falta de informação da população brasileira em relação a este tema, mesmo entre familiares e cuidadores de pessoas com demência.



Publikationsverlauf

Eingereicht: 09. März 2018

Angenommen: 21. August 2018

Artikel online veröffentlicht:
22. August 2023

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  • References

  • 1 César KG, Brucki SM, Takada LT, Nascimento LF, Gomes CM, Almeida MC et al. Prevalence of cognitive impairment without dementia and dementia in Tremembé, Brazil. Alzheimer Dis Assoc Disord. 2016 Jul-Sep;30(3):264-71. https://doi.org/10.1097/WAD.20180106201801060122
  • 2 Herrera E Jr, Caramelli P, Silveira AS, Nitrini R. Epidemiologic survey of dementia in a community-dwelling Brazilian population. Alzheimer Dis Assoc Disord. 2002 Apr-Jun;16(2):103-8. https://doi.org/10.1097/00002093-200204000-00007
  • 3 Lebrão ML, Laurenti R. Saúde, bem-estar e envelhecimento: o estudo SABE no Município de São Paulo. Rev Bras Epidemiol. 2005;8(2):127-41. https://doi.org/10.1590/S1415-790X2005000200005
  • 4 Lopes MA, Hototian SR, Bustamante SE, Azevedo D, Tatsch M, Bazzarella MC et al. Prevalence of cognitive and functional impairment in a community sample in Ribeirão Preto, Brazil. Int J Geriatr Psychiatry. 2007 Aug;22(8):770-6. https://doi.org/10.1002/gps.1737
  • 5 Scazufca M, Menezes PR, Vallada HP, Crepaldi AL, Pastor-Valero M, Coutinho LM et al. High prevalence of dementia among older adults from poor socioeconomic backgrounds in São Paulo, Brazil. Int Psychogeriatr. 2008 Apr;20(2):394-405. https://doi.org/10.1017/S1041610207005625
  • 6 Bottino CM, Azevedo D Jr, Tatsch M, Hototian SR, Moscoso MA, Folquitto J et al. Estimate of dementia prevalence in a community sample from São Paulo, Brazil. Dement Geriatr Cogn Disord. 2008;26(4):291-9. https://doi.org/10.1159/000161053
  • 7 Brucki SM, Nitrini R. Cognitive impairment in individuals with low educational level and homogeneous sociocultural background. Dement Neuropsychol. 2014 Oct-Dec;8(4):345-50. https://doi.org/10.1590/S1980-57642014DN84000007
  • 8 Nitrini R, Bottino CM, Albala C, Custodio Capuñay NS, Ketzoian C, Llibre Rodriguez JJ et al. Prevalence of dementia in Latin America: a collaborative study of population-based cohorts. Int Psychogeriatr. 2009 Aug;21(4):622-30. https://doi.org/10.1017/S1041610209009430
  • 9 Ferretti CE, Nitrini R, Brucki SM. Indirect cost with dementia: A Brazilian study. Dement Neuropsychol. 2015 Jan-Mar;9(1):42-50. https://doi.org/10.1590/S1980-57642015DN91000007
  • 10 Reitz C, Mayeux R. Alzheimer disease: epidemiology, diagnostic criteria, risk factors and biomarkers. Biochem Pharmacol. 2014 Apr;88(4):640-51. https://doi.org/10.1016/j.bcp.2013.12.024
  • 11 Forette F, Seux ML, Staessen JA, Thijs L, Babarskiene MR, Babeanu S et al. The prevention of dementia with antihypertensive treatment: new evidence from the Systolic Hypertension in Europe (Syst-Eur) study. Arch Intern Med. 2002 Oct;162(18):2046-52. https://doi.org/10.1001/archinte.162.18.2046
  • 12 Bernick C, Katz R, Smith NL, Rapp S, Bhadelia R, Carlson M, et al.. Statins and cognitive function in the elderly: the Cardiovascular Health Study. Neurology. 2005 Nov;65(9):1388-94. https://doi.org/10.1212/01.wnl.0000182897.18229.ec
  • 13 Solomon A, Kåreholt I, Ngandu T, Wolozin B, Macdonald SW, Winblad B, et al. Serum total cholesterol, statins and cognition in non-demented elderly. Neurobiol Aging. 2009 Jun;30(6):1006-9. https://doi.org/10.1016/j.neurobiolaging.2007.09.012
  • 14 Smith BJ, Ali S, Quach H. Public knowledge and beliefs about dementia risk reduction: a national survey of Australians. BMC Public Health. 2014 Jun;14(1):661. https://doi.org/10.1186/1471-2458-14-661
  • 15 Black CM, Fillit H, Xie L, Hu X, Kariburyo MF, Ambegaonkar BM et al. Economic Burden, Mortality, and Institutionalization in Patients Newly Diagnosed with Alzheimer's Disease. J Alzheimers Dis. 2018;61(1):185-93. https://doi.org/10.3233/JAD-170518
  • 16 Moraes EN, Tú M, Belé D. Avaliação do Programa Público Brasileiro de Tratamento da Doença de Alzheimer no ano de 2008. Geriatr Gerontol Int. 2013;7(1):14-9.
  • 17 Pariente A, Helmer C, Merliere Y, Moore N, Fourrier-Réglat A, Dartigues JF. Prevalence of cholinesterase inhibitors in subjects with dementia in Europe. Pharmacoepidemiol Drug Saf. 2008 Jul;17(7):655-60. https://doi.org/10.1002/pds.1613
  • 18 Cahill S, Pierce M, Werner P, Darley A, Bobersky A. A systematic review of the public's knowledge and understanding of Alzheimer's disease and dementia. Alzheimer Dis Assoc Disord. 2015 Jul-Sep;29(3):255-75. https://doi.org/10.1097/WAD.20180106201801060102
  • 19 Spector A, Orrell M, Schepers A, Shanahan N. A systematic review of ‘knowledge of dementia’ outcome measures. Ageing Res Rev. 2012;11(1):67-77. https://doi.org/10.1016/j.arr.2011.09.002.
  • 20 Dieckmann L, Zarit SH, Zarit JM, Gatz M. The Alzheimer's Disease Knowledge Test. Gerontologist. 1988 Jun;28(3):402-7. https://doi.org/10.1093/geront/28.3.402
  • 21 Annear MJ, Eccleston CE, McInerney FJ, Elliott KE, Toye CM, Tranter BK et al. A New standard in dementia knowledge measurement: comparative validation of the dementia knowledge assessment scale and the Alzheimer's disease knowledge scale. J Am Geriatr Soc. 2016 Jun;64(6):1329-34. https://doi.org/10.1111/jgs.14142
  • 22 Annear MJ, Toye C, Elliott KJ, McInerney F, Eccleston C, Robinson A. Dementia knowledge assessment scale (DKAS): confirmatory factor analysis and comparative subscale scores among an international cohort. BMC Geri
  • 23 Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M. The Alzheimer's Disease Knowledge Scale: development and psychometric properties. Gerontologist. 2009 Apr;49(2):236-47. https://doi.org/10.1093/geront/gnp023 PMID:19363018
  • 24 Mat Nuri TH, Hong YH, Ming LC, Mohd Joffry S, Othman MF, Neoh CF. Knowledge on Alzheimer's disease among public hospitals and health clinics pharmacists in the state of Selangor, Malaysia. Front Pharmacol. 2017 Oct;8:739. https://doi.org/10.3389/fphar.2017.00739
  • 25 Smyth W, Fielding E, Beattie E, Gardner A, Moyle W, Franklin S et al. A survey-based study of knowledge of Alzheimer's disease among health care staff. BMC Geriatr. 2013 Jan;13(1):2. https://doi.org/10.1186/1471-2318-13-2
  • 26 Nordhus IH, Sivertsen B, Pallesen S. Knowledge about Alzheimer's disease among Norwegian psychologists: the Alzheimer's disease knowledge scale. Aging Ment Health. 2012;16(4):521-8. https://doi.org/10.1080/13607863.2011.628973
  • 27 Hudson JM, Pollux PM, Mistry B, Hobson S. Beliefs about Alzheimer's disease in Britain. Aging Ment Health. 2012;16(7):828-35. https://doi.org/10.1080/13607863.2012.660620
  • 28 Seo HJ, Lee DY, Sung MR. Public knowledge about dementia in South Korea: a community-based cross-sectional survey. Int Psychogeriatr. 2015 Mar;27(3):463-9. https://doi.org/10.1017/S1041610214001896
  • 29 Yang HF, Cong JY, Zang XY, Jiang N, Zhao Y. A study on knowledge, attitudes and health behaviours regarding Alzheimer's disease among community residents in Tianjin, China. J Psychiatr Ment Health Nurs. 2015 Nov;22(9):706-14. https://doi.org/10.1111/jpm.12259
  • 30 Schelp AO, Nieri AB, Hamamoto Filho PT, Bales AM, Mendes-Chiloff CL. Public awareness of dementia: a study in Botucatu, a medium-sized city in the State of São Paulo, Brazil. Dement Neuropsychol. 2008 Jul-Sep;2(3):192-6. https://doi.org/10.1590/S1980-57642009DN20300005
  • 31 Matioli MN, Etzel A, Prats JA, Medeiros WF, Monteiro TR, Soares AM. Worries about memory loss and knowledge on Alzheimer's disease in community-dwelling elderly from Brazil. Dement Neuropsychol. 2011 Apr-Jun;5(2):108-13. https://doi.org/10.1590/S1980-57642011DN05020009
  • 32 Vilela LP, Caramelli P. A doença de Alzheimer na visão de familiares de pacientes. Rev Assoc Med Bras (1992). 2006 May-Jun;52(3):148-52. https://doi.org/10.1590/S0104-42302006000300014