Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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How Much Do Older Adults Living Alone in Rural South Korea Know About Dementia?

  • Received : 2017.05.30
  • Accepted : 2018.06.08
  • Published : 2018.07.31
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Abstract

Objectives: This study aimed to examine the level of dementia knowledge of older Korean adults living alone in rural areas and to identify related factors. Methods: A cross-sectional descriptive design was applied. The participants were 231 older adults living alone who were recruited from 12 of the 13 primary health care posts in the rural area of Chuncheon. Participants' level of dementia knowledge was assessed using the Dementia Knowledge Scale. Data were analyzed using descriptive statistics, and the t-test, analysis of variance, chi-square test, and Mann-Whitney test were applied. Results: Participants' mean age was $77.3{\pm}5.4$ years, and women comprised 79.7% of the sample. Over half of the participants (61.9%) had no formal education, and all the participants were enrolled in Medical Aid. The participants' average percentage of correct answers was 61.6%. The highest rate (94.4%) was for the item "Dementia can change one's personal character." The item with the lowest proportion of correct answers was "Dementia is not treatable" (23.4%). Dementia knowledge was significantly associated with age, education, health coverage, source of living expenses, and dementia risk. Conclusions: Dementia knowledge among Korean rural older adults living alone was relatively low. Participants' misconceptions about symptoms and treatment could hinder them from seeking early treatment. The results of this study suggest the need for active outreach and health care delivery for rural older adults living alone in South Korea.

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References

  1. Prince M, Wimo A, Guerchet M, Ali MG, Wu YT, Prina M. World Alzheimer report 2015: the global impact of dementia-an analysis of prevalence, incidence, cost and trends [cited 2018 Jun 19]. Available from: https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf.
  2. Kim K, Gwak K, Kim B, Kim S, Kim S, Kim J, et al. Nationwide survey on the dementia epidemiology of Korea. Seongnam: Seoul National University Bundang Hospital; 2012, p. 83-151 (Korean).
  3. Gauthier S, Reisberg B, Zaudig M, Petersen RC, Ritchie K, Broich K, et al. Mild cognitive impairment. Lancet 2006;367(9518): 1262-1270. https://doi.org/10.1016/S0140-6736(06)68542-5
  4. Suh GH, Knapp M, Kang CJ. The economic costs of dementia in Korea, 2002. Int J Geriatr Psychiatry 2006;21(8):722-728. https://doi.org/10.1002/gps.1552
  5. Kim S, Lee C. Status and improvement of the dementia management: program evaluation report 14-02. Seoul: National Assembly Budget Office; 2014, p. 34-35 (Korean).
  6. Korean Statistical Information Service. Population and household [cited 2016 Apr 1]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parmTabId =M_01_01 (Korean).
  7. Cho M, Park DS, Choi YW. Health status of the rural elderly and policy issue; report no. R699. Naju: Korea Rural Economic Institute; 2013, p. 15-37 (Korean).
  8. Kim HO, Joung KH. Comparison of health lifestyle among elders according to residential area. J Korean Gerontol Nurs 2009;11(1):16-28 (Korean).
  9. Montlahuc C, Soumare A, Dufouil C, Berr C, Dartigues JF, Poncet M, et al. Self-rated health and risk of incident dementia: a community-based elderly cohort, the 3C study. Neurology 2011;77(15):1457-1464. https://doi.org/10.1212/WNL.0b013e31823303e1
  10. St John P, Montgomery P. Does self-rated health predict dementia? J Geriatr Psychiatry Neurol 2013;26(1):41-50. https://doi.org/10.1177/0891988713476369
  11. Baumgart M, Snyder HM, Carrillo MC, Fazio S, Kim H, Johns H. Summary of the evidence on modifiable risk factors for cognitive decline and dementia: a population-based perspective. Alzheimers Dement 2015;11(6):718-726. https://doi.org/10.1016/j.jalz.2015.05.016
  12. Laurin D, Verreault R, Lindsay J, MacPherson K, Rockwood K. Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol 2001;58(3):498-504. https://doi.org/10.1001/archneur.58.3.498
  13. Ahlskog JE, Geda YE, Graff-Radford NR, Petersen RC. Physical exercise as a preventive or disease-modifying treatment of dementia and brain aging. Mayo Clin Proc 2011;86(9):876-884. https://doi.org/10.4065/mcp.2011.0252
  14. Choi J. The perception and attitude for rural older people [dissertation]. Chuncheon: Hallym University; 2011 (Korean).
  15. Hakansson K, Rovio S, Helkala EL, Vilska AR, Winblad B, Soininen H, et al. Association between mid-life marital status and cognitive function in later life: population based cohort study. BMJ 2009;339:b2462. https://doi.org/10.1136/bmj.b2462
  16. Mousavi-Nasab SM, Kormi-Nouri R, Sundstrom A, Nilsson LG. The effects of marital status on episodic and semantic memory in healthy middle-aged and old individuals. Scand J Psychol 2012;53(1):1-8. https://doi.org/10.1111/j.1467-9450.2011.00926.x
  17. van Gelder BM, Tijhuis M, Kalmijn S, Giampaoli S, Nissinen A, Kromhout D. Marital status and living situation during a 5-year period are associated with a subsequent 10-year cognitive decline in older men: the FINE Study. J Gerontol B Psychol Sci Soc Sci 2006;61(4):P213-P219. https://doi.org/10.1093/geronb/61.4.P213
  18. Jung YM, Kim JH. Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. J Korean Acad Nurs 2004;34(3):495-503 (Korean). https://doi.org/10.4040/jkan.2004.34.3.495
  19. Robinson L, Tang E, Taylor JP. Dementia: timely diagnosis and early intervention. BMJ 2015;350:h3029. https://doi.org/10.1136/bmj.h3029
  20. Yun MJ, Sohn AR. Factors that affect health promotion behavior for prevention of dementia. Korea Sports Res 2004;15(6): 811-820 (Korean).
  21. Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, et al. Korean version of Mini Mental Status Examination for Dementia Screening and its' short form. Psychiatry Investig 2010;7(2): 102-108. https://doi.org/10.4306/pi.2010.7.2.102
  22. Han JW, Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, et al. A normative study of the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and its short form (SMMSE-DS) in the Korean elderly. J Korean Geriatr Psychiatry 2010;14(1): 27-37 (Korean).
  23. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12(3):189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  24. Ku BD, Kim SG, Lee JY, Park KH, Shin JH, Kim KK, et al. Clinical practice guideline for dementia by clinical research center for dementia of South Korea. J Korean Med Assoc 2011;54(8):861-875 (Korean). https://doi.org/10.5124/jkma.2011.54.8.861
  25. Cho M, Kim K, Kim M, Kim M, Kim B, Kim S, et al. Nationwide study on the prevalence of dementia in Korean elders. Seoul: Ministry of Health, Welfare and Family Affairs; 2008, p. 146-157 (Korean).
  26. Seo HJ, Lee DY, Sung MR. Public knowledge about dementia in South Korea: a community-based cross-sectional survey. Int Psychogeriatr 2015;27(3):463-469. https://doi.org/10.1017/S1041610214001896
  27. Sung MR. A survey on the awareness of dementia and care needs for dementia programs. Gwangmyeong: Gwangmyeong City; 2014, p. 30-36 (Korean).
  28. Arai Y, Arai A, Zarit SH. What do we know about dementia?: A survey on knowledge about dementia in the general public of Japan. Int J Geriatr Psychiatry 2008;23(4):433-438. https://doi.org/10.1002/gps.1977
  29. Roberts JS, McLaughlin SJ, Connell CM. Public beliefs and knowledge about risk and protective factors for Alzheimer's disease. Alzheimers Dement 2014;10(5 Suppl):S381-S389. https://doi.org/10.1016/j.jalz.2013.07.001
  30. Cho HO. A study on public's knowledge of and attitude towards dementia [dissertation]. Seoul: Hanyang University; 1999 (Korean).
  31. So H, Ju K, Jung M, Kim H. Cognitive function of the urban elderly. Korean J Rehabil Nurs 2004;7(2):179-187 (Korean).
  32. Sachdev PS, Lipnicki DM, Kochan NA, Crawford JD, Thalamuthu A, Andrews G, et al. The prevalence of mild cognitive impairment in diverse geographical and ethnocultural regions: the COSMIC collaboration. PLoS One 2015;10(11): e0142388. https://doi.org/10.1371/journal.pone.0142388
  33. Lee JY, Park S, Kim KW, Kwon JE, Park JH, Kim MD, et al. Differences in knowledge of dementia among older adults with normal cognition, mild cognitive impairment, and dementia: a representative nationwide sample of Korean elders. Arch Gerontol Geriatr 2016;66:82-88. https://doi.org/10.1016/j.archger.2016.04.013

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