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Heterogeneity in the level of dementia literacy among community doctors in China: A latent profile analysis

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机构： [1]Dementia Care and Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China. [2]Beijing Municipal Key Laboratory for the Translational Research on Diagnosis and Treatment of Dementia, Beijing, China. [3]National Health Commission Key Laboratory of Mental Health, National Clinical Research Center for Mental Disorders (Peking University), Beijing, China. [4]Beijing Haidian Psychological Rehabilitation Hospital, Haidian District, Beijing, China. [5]Mental Health Center, West China Hospital, Sichuan University, Chengdu, China. [6]Department of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China. [7]Department of Neurology, Peking University First Hospital, Beijing, China. [8]The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. [9]Department of Geriatric Neurology, the Chinese PLA General Hospital, Beijing, China. [10]Department of Psychological Medicine, Cancer Hospital of the University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.

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This study aimed to explore the heterogeneity of community doctors based on their knowledge of dementia and the potential factors associated with their dementia literacy.A total of 1288 community doctors completed the Alzheimer disease knowledge scale (ADKS) in a cross-sectional study conducted between December 2021 and January 2022. We used latent class analysis (LCA) to explore potential clusters based on responses to the ADKS. Multivariate multinomial logistic regression analysis was performed to evaluate the associations between potential risk factors and the knowledge of community doctors.Community doctors were divided into four clusters according to their knowledge structure (Akaike information criterion (AIC) = 35672.83, Bayesian information criterion (BIC) = 36307.63, adjusted BIC (aBIC) = 35916.91, entropy = 0.814): the severity-focused subgroup (n = 269), the physical issues-focused group (n = 370), the knowledge uncertainty group (n = 191), and the general-focused group (n = 458). Age, education level, type of practice, and professional title were associated with the knowledge structure of Alzheimer's disease (AD). In addition, the perception that patients seek care in community health centres for physical reasons and community doctors' failure to manage patients with recently identified cognitive impairment were associated with the structures of the ADKS among community doctors (P < 0.05).There is heterogeneity in the level of AD knowledge among community doctors and their demographic characteristics, perceptions, and practices. Further efforts are needed to optimise the knowledge structure of dementia among community health care professionals.Copyright © 2024 by the Journal of Global Health. All rights reserved.

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最新[2023]版：

大类 | 3 区医学

小类 | 3 区公共卫生、环境卫生与职业卫生

第一作者：

第一作者机构： [1]Dementia Care and Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China. [2]Beijing Municipal Key Laboratory for the Translational Research on Diagnosis and Treatment of Dementia, Beijing, China. [3]National Health Commission Key Laboratory of Mental Health, National Clinical Research Center for Mental Disorders (Peking University), Beijing, China.

通讯作者：

通讯机构： [1]Dementia Care and Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China. [2]Beijing Municipal Key Laboratory for the Translational Research on Diagnosis and Treatment of Dementia, Beijing, China. [3]National Health Commission Key Laboratory of Mental Health, National Clinical Research Center for Mental Disorders (Peking University), Beijing, China.

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