老年认知症疾病“污名化”与“去污名化”干预研究进展
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南京中医药大学卫生经济管理学院

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Research progress on the stigma and de-stigmatization of Dementia in the old adults
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江苏高校哲学社会科学研究项目(2021SJA0320),江苏省社科应用研究精品工程项目(21SYB-048),江苏高校护理学优势学科建设工程资助项目(2019YSHL073)

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    摘要:

    随着人口老龄化的加剧,认知功能障碍(又称“认知症)”疾病发病率呈上涨的趋势,而疾病“污名化”对认知症患者带来的影响受到广泛关注。文章通过梳理认知症“污名化”的概念、类型和现状,归纳总结了认知症“污名化”从知识、态度、行为三个方面表现出的特征,以及认知症的“污名化”对老年人社会参与、就医行为和健康产生的影响。在此基础上总结了目前国际上关于认知症“去污名化”的干预措施、成效和存在问题。借鉴已有的研究指出我国也应重视认知症“污名化”问题,指出建设认知友好社区开展“去污名化”干预时的注意事项,同时应关注“污名化”产生的卫生服务利用和健康不公平,以及认知友好社区建设的文化包容问题。

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    As the population ages, the incidence of cognitive dysfunction (also known as "dementia") is on the rise. The impact of disease "stigma" on patients with dementia has received widespread attention. The article describes the concept, type and current situation of dementia "stigma", and points out that dementia "stigma" shows different characteristics in terms of knowledge, attitude and behavior. It also summarizes the impact of "stigma" on the social participation, health-seeking behavior and health of elderly adults with cognitive impairment. Additionally, the article discusses current international interventions, effectiveness and existing problems regarding the "de-stigmatization" of dementia. Based on existing research, it is pointed out that the issue of dementia stigma should be paid attention in China. It proposes building a "de-stigmatizing" social environment through dementia-friendly communities, and at the same time pay attention to the utilization of health services and health inequalities caused by "stigma" Equity. We also emphasize the importance of equity and cultural inclusion in building dementia-friendly communities.

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  • 收稿日期:2023-12-12
  • 最后修改日期:2024-01-24
  • 录用日期:2024-01-25
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