ORIGINAL ARTICLE
Knowledge levels and sociodemographic influences on dementia awareness in the Eastern Province of Saudi Arabia
 
More details
Hide details
1
Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAUDI ARABIA
 
2
Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAUDI ARABIA
 
3
Department of Geriatrics and Gerontology, Ain Shams University, Cairo, EGYPT
 
4
Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAUDI ARABIA
 
5
Department of Neurology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAUDI ARABIA
 
 
Publication date: 2024-01-26
 
 
Electron J Gen Med 2024;21(1):em567
 
KEYWORDS
ABSTRACT
Purpose:
This study aims to examine the level of knowledge about dementia among the public and explore differences in knowledge between sociodemographic groups.

Materials & methods:
This cross-sectional questionnaire-based study surveyed individuals living in the Eastern Province of Saudi Arabia. Dementia knowledge assessment scale (DKAS) was used to measure knowledge about dementia. Multiple regression was used to identify the significant predictors of higher levels of knowledge about dementia.

Results:
Among 1,030 participants, the mean DKAS score was 20.5 (standard deviation=10.3) out of 50. A higher level knowledge about dementia was significantly and positively associated with university education (β=2.42; p=0.010) and income higher (β=2.78; p=0.001). On the other hand, the total DKAS score was significantly and negatively associated with being male (β=-1.78; p=0.003), not knowing a person with dementia (PwD) (β=-.56; p<0.001), and not living with a PwD (β=-1.57; p=0.120).

Conclusions:
The level of knowledge about dementia is low among people living in Saudi Arabia’s Eastern Province. Enhancing the community’s knowledge and awareness about dementia and its related topics should be considered at the regional or national levels.

 
REFERENCES (63)
1.
International Association for Social Development. Dementia statistics 2022. Available at: https://www.alzint.org/about/d... (Accessed: 1 November 2023).
 
2.
Werner P. Knowledge about symptoms of Alzheimer’s disease: Correlates and relationship to help-seeking behavior. Int J Geriatr Psychiatry. 2003;18(11):1029-36. https://doi.org/10.1002/gps.10... PMid:14618555.
 
3.
Low LF, Anstey KJ. Dementia literacy: Recognition and beliefs on dementia of the Australian public. Alzheimers Dement. 2009;5(1):43-9. https://doi.org/10.1016/j.jalz... PMid:19118808.
 
4.
WHO. Dementia: A public health priority 2023. Available at: https://www.who.int/publicatio... (Accessed: 1 November 2023).
 
5.
Rimmer E, Wojciechowska M, Stave C, Sganga A, O’Connell B. Implications of the facing dementia survey for the general population, patients and caregivers across Europe. Int J Clin Pract Suppl. 2005;(146):17-24. https://doi.org/10.1111/j.1368... PMid:15801187.
 
6.
Vrijsen J, Matulessij TF, Joxhorst T, de Rooij SE, Smidt N. Knowledge, health beliefs and attitudes towards dementia and dementia risk reduction among the Dutch general population: A cross-sectional study. BMC Public Health. 2021;21(1):857. https://doi.org/10.1186/s12889....
 
7.
Fortinsky RH, Hathaway TJ. Information and service needs among active and former family caregivers of persons with Alzheimer’s disease. Gerontologist. 1990;30(5):604-9. https://doi.org/10.1093/geront... PMid:2276632.
 
8.
Pacifico D, Fiordelli M, Fadda M, et al. Dementia is (not) a natural part of ageing: A cross-sectional study on dementia knowledge and misconceptions in Swiss and Italian young adults, adults, and older adults. BMC Public Health. 2022; 22(1):2176. https://doi.org/10.1186/s12889... PMid:36434540 PMCid:PMC9701025.
 
9.
Hakami F, Madkhali MA, Saleh E, et al. Awareness and perception toward Alzheimer’s disease among residents living in the Jazan Province, Saudi Arabia: A cross-sectional study. Cureus. 2023;15(9):e44505. https://doi.org/10.7759/cureus....
 
10.
Alluqman M, Zahid HM, Alhussaini AR, et al. Assess the public awareness, knowledge, and attitude towards Alzheimer’s disease in Medina Saudi Arabia. Res Sq. 2023. https://doi.org/10.21203/rs.3.....
 
11.
Algahtani H, Shirah B, Alhazmi A, Alshareef A, Bajunaid M, Samman A. Perception and attitude of the general population towards Alzheimer’s disease in Jeddah, Saudi Arabia. Acta Neurol Belg. 2020;120(2):313-20. https://doi.org/10.1007/s13760... PMid:30421351.
 
12.
Alhazzani AA, Alqahtani AM, Alqahtani MS, Alahmari TM, Zarbah AA. Public awareness, knowledge, and attitude toward Alzheimer’s disease in Aseer Region, Saudi Arabia. Egypt J Neurol Psychiatr Neurosurg. 2020;56:81. https://doi.org/10.1186/s41983....
 
13.
Alhumaidi FS, Siddiqui MI, Altowairqi AF, Alshawkani HH, Babkour BO, Alaugla FK. Public knowledge about Alzheimer disease in Mecca Region, Kingdom of Saudi Arabia: A cross-sectional study. Egypt J Neurol Psychiatr Neurosurg. 2020;56:89. https://doi.org/10.1186/s41983....
 
14.
Paul P, Mahfoud ZR, Malik RA, et al. Knowledge, awareness, and attitude of healthcare stakeholders on Alzheimer’s disease and dementia in Qatar. Int J Environ Res Public Health. 2023;20(5):4535. https://doi.org/10.3390/ijerph... PMid:36901551 PMCid:PMC10002196.
 
15.
Abdalrahim A, Alamoush KM, ALBashtawy M, et al. Jordanian community people’s knowledge of and attitudes toward dementia. SAGE Open Nurs. 2023;9:23779608231201052. https://doi.org/10.1177/237796... PMid:37705733 PMCid:PMC10496485.
 
16.
Elbejjani M, Wahab K, El Hachem R, Tanielian M, Feghali L, Assaf G. Knowledge and attitude towards Alzheimer’s disease and related dementias in a low- to middle-income country: A cross-sectional survey among Lebanese middle-aged and older adults. Psychogeriatrics. 2021;21(5):699-708. https://doi.org/10.1111/psyg.1... PMid:34107555.
 
17.
Jafarjalal E, Haghani H, Carpenter B, Sajady M, Farahaninia M. Knowledge about Alzheimer’s disease among individuals going to neighborhood houses in northern regions of Tehran, Iran. Arvand J Health Med Sci. 2017;2(2):59-69.
 
18.
Purandare N, Luthra V, Swarbrick C, Burns A. Knowledge of dementia among South Asian (Indian) older people in Manchester, UK. Int J Geriatr Psychiatry. 2007;22(8):777-81. https://doi.org/10.1002/gps.17... PMid:17192964.
 
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.... PMid:21983429.
 
20.
Annear MJ, Toye C, Elliott K-EJ, Mcinerney F, Eccleston C, Robinson A. Dementia knowledge assessment scale (DKAS): Confirmatory factor analysis and comparative subscale scores among an international cohort. BMC Geriatr. 2017;17(1):168. https://doi.org/10.1186/s12877... PMid:28760154 PMCid:PMC5537989.
 
21.
Annear MJ, Eccleston CE, McInerney FJ, 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;64(6):1329-34. https://doi.org/10.1111/jgs.14... PMid:27321614.
 
22.
Annear MJ, Toye CM, Eccleston CE, et al. Dementia knowledge assessment scale: Development and preliminary psychometric properties. J Am Geriatr Soc. 2015;63(11):2375-81. https://doi.org/10.1111/jgs.13... PMid:26503020.
 
23.
Lawler K, Kitsos A, Bindoff AD, Callisaya ML, Eccleston CEA, Doherty KV. Room for improvement: An online survey of allied health professionals’ dementia knowledge. Australas J Ageing. 2021;40(2):195-201. https://doi.org/10.1111/ajag.1... PMid:33295077.
 
24.
Annear MJ. Knowledge of dementia among the Australian Health Workforce: A national online survey. J Appl Gerontol. 2020;39(1):62-73. https://doi.org/10.1177/073346... PMid:29313420.
 
25.
Tan GTH, Yuan Q, Devi F, et al. Dementia knowledge and its demographic correlates amongst informal dementia caregivers in Singapore. Aging Ment Health. 2021;25(5):864-72. https://doi.org/10.1080/136078... PMid:32228179.
 
26.
Eccleston CE, Courtney-Pratt H, Mcinerney F, Johnstone A, Doherty K. Predictors of dementia knowledge in a rural general public sample. Aust J Rural Health. 2021;29(4):530-7. https://doi.org/10.1111/ajr.12... PMid:34351673.
 
27.
Van Patten R, Tremont G. Public knowledge of late-life cognitive decline and dementia in an international sample. Dementia (London). 2020;19(6):1758-76. https://doi.org/10.1177/147130... PMid:30309254.
 
28.
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268-74. https://doi.org/10.1111/j.1365... PMid:20874835.
 
29.
Cations M, Radisic G, Crotty M, Laver KE. What does the general public understand about prevention and treatment of dementia? A systematic review of population-based surveys. PLoS One. 2018;13(4):e0196085. https://doi.org/10.1371/journa... PMid:29672559 PMCid:PMC5908164.
 
30.
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;29(3):255-75. https://doi.org/10.1097/WAD.00... PMid:26207322.
 
31.
Knopman D, Donohue JA, Gutterman EM. Patterns of care in the early stages of Alzheimer’s disease: Impediments to timely diagnosis. J Am Geriatr Soc. 2000;48(3):300-4. https://doi.org/10.1111/j.1532... PMid:10733057.
 
32.
Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention, intervention, and care. Lancet. 2017;390(10113):2673-734. https://doi.org/10.1016/S0140-... PMid:28735855.
 
33.
Heger I, Deckers K, van Boxtel M, et al. Dementia awareness and risk perception in middle-aged and older individuals: Baseline results of the MijnBreincoach survey on the association between lifestyle and brain health. BMC Public Health. 2019;19(1):678. https://doi.org/10.1186/s12889... PMid:31159779 PMCid:PMC6545627.
 
34.
Parial LL, Lam SC, Ho JYS, Suen LKP, Leung AYM. Public knowledge of the influence of modifiable cardiovascular risk factors on dementia: A systematic literature review and meta-analysis. Aging Ment Health. 2021;25(8):1395-409. https://doi.org/10.1080/136078... PMid:32633131.
 
35.
Moon H, Adams KB. The effectiveness of dyadic interventions for people with dementia and their caregivers. Dementia (London). 2013;12(6):821-39. https://doi.org/10.1177/147130... PMid:24337642.
 
36.
Eggenberger E, Heimerl K, Bennett MI. Communication skills training in dementia care: A systematic review of effectiveness, training content, and didactic methods in different care settings. Int Psychogeriatr. 2013;25(3):345-58. https://doi.org/10.1017/S10416... PMid:23116547.
 
37.
Karlin NJ, Weil J, Felmban W. Aging in Saudi Arabia: An exploratory study of contemporary older persons’ views about daily life, health, and the experience of aging. Gerontol Geriatr Med. 2016;2:2333721415623911. https://doi.org/10.1177/233372... PMid:28138483 PMCid:PMC5119868.
 
38.
Statistics GAF. Saudi census 2022. Available at: https://portal.saudicensus.sa/... (Accessed: 1 November 2023).
 
39.
Mackenzie J. Stigma and dementia: East European and South Asian family carers negotiating stigma in the UK. Dementia. 2006;5(2):233-47. https://doi.org/10.1177/147130....
 
40.
Herrmann LK, Welter E, Leverenz J, et al. A systematic review of dementia-related stigma research: Can we move the stigma dial? Am J Geriatr Psychiatry. 2018;26(3):316-31. https://doi.org/10.1016/j.jagp... PMid:29426607.
 
41.
Khoja AT, Aljawadi MH, Al-Shammari SA, et al. The health of Saudi older adults; results from the Saudi national survey for elderly health (SNSEH) 2006-2015. Saudi Pharm J. 2018; 26(2):292-300. https://doi.org/10.1016/j.jsps... PMid:30166931 PMCid:PMC6111452.
 
42.
Fineberg HV, Green GM, Ware JH, Anderson BL. Changing public health training needs: Professional education and the paradigm of public health. Annu Rev Public Health. 1994;15(1):237-57. https://doi.org/10.1146/annure... PMid:8054084.
 
43.
Yaghmour SM, Bartlett R, Brannelly T. Dementia in Eastern Mediterranean countries: A systematic review. Dementia (London). 2019;18(7-8):2635-61. https://doi.org/10.1177/147130... PMid:29336168.
 
44.
Wang M, Xu X, Huang Y, et al. Knowledge, attitudes and skills of dementia care in general practice: A cross-sectional study in primary health settings in Beijing, China. BMC Fam Pract. 2020;21(1):89. https://doi.org/10.1186/s12875... PMid:32416731 PMCid:PMC7231407.
 
45.
Hammad SH, Daher-Nashif S, Kane T, Al-Wattary N. Sociocultural insights on dementia care-giving in Arab and Muslim communities: The perspectives of family care-givers. Ageing Soc. 2022:1-28. https://doi.org/10.1017/S01446....
 
46.
Shubair SA. Dementia care in gerontological social work: Emerging issues and challenges in Saudi Arabia. Front Public Health. 2023;11:1167856. https://doi.org/10.3389/fpubh.... PMid:37614449 PMCid:PMC10442813.
 
47.
Abyad A, Hammami SO. Geriatric medicine in the Arab world. In: Laher I, editor. Handbook of healthcare in the Arab world. Berlin: Springer; 2021. p. 2149-76. https://doi.org/10.1007/978-3-....
 
48.
Lüdecke D, von dem Knesebeck O, Kofahl C. Public knowledge about dementia in Germany–Results of a population survey. Int J Public Health. 2016;61(1):9-16. https://doi.org/10.1007/s00038... PMid:26149831.
 
49.
Joo SH, Jo IS, Kim HJ, Lee CU. Factors associated with dementia knowledge and dementia worry in the South Korean elderly population. Psychiatry Investig. 2021;18(12):1198-204. https://doi.org/10.30773/pi.20... PMid:34965705 PMCid:PMC8721298.
 
50.
Liu D, Cheng G, An L, et al. Public knowledge about dementia in China: A national WeChat-based survey. Int J Environ Res Public Health. 2019;16(21):4231. https://doi.org/10.3390/ijerph... PMid:31683665 PMCid:PMC6862030.
 
51.
Zhang H, Loi SM, Zhou S, et al. Dementia literacy among community-dwelling older adults in urban China: A cross-sectional study. Front Public Health. 2017;5:124. https://doi.org/10.3389/fpubh.... PMid:28638820 PMCid:PMC5461251.
 
52.
Seo HJ, Lee DY, Sung MR. Public knowledge about dementia in South Korea: A community-based cross-sectional survey. Int Psychogeriatr. 2015;27(3):463-9. https://doi.org/10.1017/S10416... PMid:25196255.
 
53.
Sun F, Gao X, Shen H, Burnette D. Levels and correlates of knowledge about Alzheimer’s disease among older Chinese Americans. J Cross Cult Gerontol. 2014;29(2):173-83. https://doi.org/10.1007/s10823... PMid:24728621.
 
54.
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):S381-9. https://doi.org/10.1016/j.jalz... PMid:24630852 PMCid:PMC4163539.
 
55.
Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2002;21(2):60-76. https://doi.org/10.1377/hlthaf... PMid:11900187.
 
56.
Turrell G, Mathers CD. Socioeconomic status and health in Australia. Med J Aust. 2000;172(9):434-8. https://doi.org/10.5694/j.1326... PMid:10870537.
 
57.
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):433-8. https://doi.org/10.1002/gps.19... PMid:18265436.
 
58.
Ek S. Gender differences in health information behaviour: A Finnish population-based survey. Health Promot Int. 2015;30(3):736-45. https://doi.org/10.1093/heapro... PMid:23985248.
 
59.
Alshammari B, Noble H, McAneney H, Alshammari F, O’Halloran P. Caregiver burden in informal caregivers of patients in Saudi Arabia receiving hemodialysis: A mixed-methods study. Healthcare (Basel). 2023;11(3):366. https://doi.org/10.3390/health... PMid:36766941 PMCid:PMC9914672.
 
60.
Alfakhri AS, Alshudukhi AW, Alqahtani AA, et al. Depression among caregivers of patients with dementia. Inquiry. 2018;55:46958017750432. https://doi.org/10.1177/004695... PMid:29345180 PMCid:PMC5798670.
 
61.
Shin JH, Seo HJ, Kim KH, Kim KH, Lee Y. Knowledge about dementia in South Korean nursing students: A cross-sectional survey. BMC Nurs. 2015;14:67. https://doi.org/10.1186/s12912... PMid:26635508 PMCid:PMC4668625.
 
62.
WHO. Global action plan on the public health response to dementia 2017-2025. Available at: https://www.who.int/publicatio... (Accessed: 1 November 2023).
 
63.
Keyes SE, Clarke CL, Wilkinson H, et al. “We’re all thrown in the same boat ... “: A qualitative analysis of peer support in dementia care. Dementia (London). 2016;15(4):560-77. https://doi.org/10.1177/147130... PMid:24742876.
 
eISSN:2516-3507
Journals System - logo
Scroll to top