Dementia literacy of racially minoritized people in a Chinese society: a qualitative study among South Asian migrants in Hong Kong.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 9608374 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3419 (Electronic) Linking ISSN: 13557858 NLM ISO Abbreviation: Ethn Health Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire ; Cambridge, MA : Carfax, c1996-

Dementia* ; Transients and Migrants* ; Health Literacy*; Aged ; Humans ; East Asian People ; Health Knowledge, Attitudes, Practice ; Hong Kong ; Language ; Qualitative Research

Objectives: Research on dementia literacy in Chinese societies is still emerging, and this is especially the case among racially minoritized groups. The present study explored the knowledge, causal beliefs, and help-seeking behaviors of South Asian migrants in Hong Kong about dementia. It also investigated existing community barriers related to dementia knowledge and help-seeking.
Design: We conducted a qualitative study from a purposive sample of 38 older people and family caregivers from India, Pakistan, and Nepal who lived in Hong Kong. Focus groups and individual in-depth interviews were used to gather information, while thematic analysis was employed to analyze the data.
Results: Five main themes were identified: normalization with stigmatization of dementia; spiritual and psychosocial attributions of dementia; familial responsibility despite potential caregiving burden; uncertainties versus openness to professional care; and barriers and opportunities in dementia literacy. Ethnic minorities recognized dementia as a disease of normal aging or a mental disorder. They also perceived spiritual and psychosocial factors as their main causes. While participants recognized the potential burden of dementia caregiving, families were their first point of help-seeking, as many of them expressed contrasting feelings of confidence or doubt toward professional services. Utilization of health education strategies, together with collaboration with community leaders, could address the barriers to dementia literacy.
Conclusions: This is the first study to explore how ethnic minorities in Asia perceive dementia and its related help-seeking behaviors in their communities. South Asian migrants in Hong Kong have a limited understanding of dementia and may experience delays in obtaining relevant community services. While culture influenced their knowledge, health education may address their misperceptions and help-seeking behaviors toward dementia. Culture- and language-specific programs could also improve dementia knowledge and health service access.

Keywords: South Asians; culture; dementia literacy; ethnic/racial minorities; mental health

Date Created: 20221102 Date Completed: 20230614 Latest Revision: 20230624

20230624

10.1080/13557858.2022.2139818

36322705