Dementia literacy in Western Pacific countries: A mixed methods study

Angela Yee Man Leung (Corresponding Author), Sau Fong Leung, Grace W.K. Ho, Daniel Bressington, Alex Molassiotis, Claire Lam, Jason Ligot, Les Paul Valdez, La Arnie Lazalita, Sophal Chhit, Phallyka Chou, Maritta Valimaki

Research output: Journal article publicationJournal articleAcademic researchpeer-review

9 Citations (Scopus)


Objectives: To examine levels of knowledge about dementia and attitudes towards dementia in low- and middle-income countries (LMICs), identify sources to turn to for help, and explore the relationship between knowledge and attitudes. Methods: This mixed methods study with both quantitative (a cross-sectional survey) and qualitative (focus group interviews) components was conducted in Cambodia, the Philippines, and Fiji in 2017-18. A survey was completed by the citizens of the three countries, and two focus group interviews were conducted in each country to generate a context-specific understanding of dementia literacy within the local LMIC setting. The quantitative component utilized the Alzheimer's Disease Knowledge Scale and the Dementia Attitude Scale, while knowledge, attitudes, and views on seeking help for dementia was discussed in the focus group interviews (qualitative component). Results: A total of 476 participants completed the survey. Another 54 participants (39 females and 15 males) were invited to join six focus group interviews to express their views on dementia. Positive attitudes were noted despite the level of dementia knowledge was low. Families and religious figures were viewed as the sources for help. Controlling for demographics, country-specific predictors of positive attitudes towards dementia were found. Conclusions: The involvement of family members and religious leaders in dementia education could enhance the recognition of dementia. Specific kinds of dementia knowledge should be targeted to educate the public in different countries.

Original languageEnglish
Pages (from-to)1815-1825
Number of pages11
JournalInternational Journal of Geriatric Psychiatry
Issue number12
Publication statusPublished - 1 Dec 2019


  • attitudes
  • dementia
  • focus group interviews
  • health literacy
  • knowledge
  • religion

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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