Knowledge of Parkinson’s Disease in a Multiethnic Urban Asian Setting

Tan, Ai Huey; Tan, Chong Tin; Marras, Connie; Loh, Kwong Weng; Ho, Niki Wai Wye; Lim, Quan Hziung; Tan, Pei Wen; Lim, Chee Chean; Cheong, Yee Weai; Kong, Sik Thien; Schee, Jie Ping; Tan, Kay Sin; Soo, Suet Ker; Vanderschaaf, Cheryl; Lew, Sara; Mahamad, Ummi Affah; Goh, Khean Jin; Yong, Hoi Sen; Lim, Shen‐Yang

doi:10.3233/jpd-150594

Cited by 22 publications

(20 citation statements)

References 26 publications

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Section: Discussionmentioning

confidence: 99%

“…Previously, few surveys have been conducted to assess the knowledge, attitudes and perceptions about PD [ 2 - 5 ]. In Asian countries, patients have the misconception that PD is currently curable and usually familial [ 2 ]. The results of Jitkritsadakul et al [ 3 ] showed that recruitment of patients at a younger age (< 60 years old), female gender, and higher disease duration (> 4 years), were identified as predictors of a higher level of PD knowledge among patients.…”

Section: Discussionmentioning

confidence: 99%

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Patients and Their Caregivers’ Burdens for Parkinson’s Disease in Korea

Baik¹,

Kim²,

Koh³

et al. 2017

JMD

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ObjectiveMany patients with Parkinson’s disease (PD) suffer from motor and non-motor symptoms. According to these variable symptoms of PD, patients or caregivers have a poorer quality of life than patients with other neurodegenerative diseases. Since the difficulties are varied for all patients, prioritizing their difficulties differs among all cases. The goal of this study was to investigate the burdens of PD among the caregivers as well as patients and to identify areas requiring aid from the government.MethodsWe surveyed the awareness and perceptions of PD in patients and caregivers of PD by a face-to-face questionnaire. The questionnaire was divided into three sections: symptoms of PD (part A), desire for policies (part B), and difficulties faced by their caregivers (part C). Part A comprised 8 questions, Part B had 2 questions, and Part C had 3 questions.ResultsIn total, 853 subjects (702 patients and 151 caregivers) were enrolled in this study. The major difficulties experienced by PD patients were physical (67%), psychiatric (60%) and socio-economic (52%). Assessing the physical difficulties, more than half the patients experienced severe difficulties (29% very severe, 39% severe). Psychiatric difficulties were assessed as severe (35%) and very severe (21%) among the patients. Severe difficulties were also experienced socio-economically, at 52% in patients and 49% in caregivers, especially among patients in their fifties (58%) and those with their spouse (65%) as caregivers. The topmost need was the introduction of new technology for treatment of PD (62%), followed by relief of costs for treatment (38%) and a family support system (31%). The majority (91%) of the patients were diagnosed with PD within two years after onset of symptoms.ConclusionWe know that the difficulties of PD and the needs for government assistance are different between patients and caregivers. These results emphasize that perceiving the difficulties and needs of patients and caregivers early can help to prevent and ameliorate the burden of disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patients and Their Caregivers’ Burdens for Parkinson’s Disease in Korea

Baik¹,

Kim²,

Koh³

et al. 2017

JMD

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“…This may explain findings showing that Black patients under-report their symptoms and could account for some differences in the severity of PD seen [167]. In a multi-ethnic study of PD knowledge in Asia, significant differences in PD knowledge according to ethnicity were found; people of Chinese ethnicity were more aware of the non-motor symptoms of PD compared to Malay people (p < 0.001) and Chinese people were more likely than Indians to be aware that not all patients with PD have a tremor (p = 0.009) [168].…”

Section: Under-reporting Of Symptomsmentioning

confidence: 99%

Ethnic Variation in the Manifestation of Parkinson’s Disease: A Narrative Review

Ben-Joseph

Marshall

Lees

et al. 2019

Journal of Parkinson’s Disease

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The global prevalence of Parkinson's disease is increasing, yet the characteristics, risk factors and genetics of PD in Black, Asian and Hispanic populations is little understood. In this paper we review the published literature on clinical variation in the symptoms and signs of Parkinson's disease in different ethnic groups and responses to treatment. We included any study that sampled patients with Parkinson's disease from distinct ethnic backgrounds. We conclude that whilst there is little published evidence for ethnic variation in the clinical features of Parkinson's disease, there are substantial limitations and gaps in the current literature, which mean that the evidence does necessarily not fit with clinical observation. Possible explanations for expected differences in manifestation include genetic determinants, the coexistence of cerebrovascular disease and/or Alzheimer's disease pathology, healthcare inequalities and socio-cultural factors.

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“…However, there are published studies on this topic from Asia, Europe, USA, and Australia. [6910111213] In our study, we introduced a previously validated questionnaire to the public ( n = 2609). We found the general knowledge of the public was reasonably well with common misperceptions (for example, tremor as the universal feature of PD among 79.15% of respondents).…”

Section: Discussionmentioning

confidence: 99%

“…[9] A study in Malaysia reported that 49.8% of participants believe that there is a cure for PD and 41.4% thought that it is usually familial. [10]…”

Section: Introductionmentioning

confidence: 99%

Public knowledge and awareness about Parkinson's disease in Saudi Arabia

Alyamani

Alarifi

Alfadhel

et al. 2018

J Family Med Prim Care

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Background:Parkinson's disease (PD) is one of the most prevalent neurologic disorders, leading to progressive disability that can be slowed but not stopped by treatment. It is characterized by tremors, slow movements, stiffness in arms and legs, and balance impairment. Despite advancement in treatment, diagnosis, and care of PD patients, lack of adequate knowledge and associated beliefs among the community might have a key role in limiting access to proper treatment and care.Objectives:To identify the level of awareness of our population regarding PD in terms of causes, signs, symptoms, and treatment.Materials and Methods:A cross-sectional study was conducted on Saudis, who have active Twitter accounts. Data were collected through a previously validated questionnaire, which tests recognition of PD symptoms and general knowledge regarding PD. The questionnaire was translated into Arabic. Part 1 of the questionnaire is the demographic data collection sheet, Part 2 of the questionnaire tests recognition of PD symptoms, and Part 3 of the questionnaire tests general knowledge regarding PD.Results:The questionnaire was administered to 3,050 members of the public, of which 2,609 questionnaires (86.20%) were included in the analysis. The tremor was the most widely recognized symptom (86.10%), and weight loss was the most recognized non-motor symptom (24%). Most respondents (56%) were able to identify imbalance as a symptom of PD, whereas only 4.10% of them were able to identify the reduced sense of smell as a symptom of PD. Motor symptoms were significantly better recognized (range 31.30%–86.10%) than non-motor symptoms (range 4.10%–24%).Conclusion:Educational campaigns may be appropriate to improve public awareness of PD and individual knowledge about PD symptoms and treatment.

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Knowledge of Parkinson’s Disease in a Multiethnic Urban Asian Setting

Abstract: This is the only study on public knowledge regarding PD in Asia. Important gaps in knowledge were evident, which could present a barrier to early diagnosis and appropriate treatment of PD. This highlights the need for targeted education campaigns and further research in this area.

Cited by 22 publications

References 26 publications

Patients and Their Caregivers’ Burdens for Parkinson’s Disease in Korea

Patients and Their Caregivers’ Burdens for Parkinson’s Disease in Korea

Ethnic Variation in the Manifestation of Parkinson’s Disease: A Narrative Review

Public knowledge and awareness about Parkinson's disease in Saudi Arabia

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