A survey of public awareness, understanding, and attitudes toward epilepsy in Greece

PURPOSE: To assess familiarity, understanding, and attitude toward epilepsy in Greece and identification of negative predictive factors. METHODS: A 19-item questionnaire was administered to 750 adults. The magnitude of social stigma toward epileptic people with epilepsy was measured with a quantitative scale of social rejection. Statistical analysis with chi-square and multiple regression analysis were used to identify factors associated with negative attitudes. RESULTS: Of our respondents 38.8% knew someone with epilepsy and 50.8% had witnessed a seizure. Nineteen percent believed that epilepsy is a type of mental retardation, 15% believed it is a type of insanity, 91.8% considered epilepsy as a brain disorder while 5.2% considered it as a supernatural phenomenon. Seventy-seven percent considered epilepsy as a curable disease while 57.5% believed that the risk of inheriting it is very high. Regarding marriage to a patient with epilepsy 45.4% rejected it while regarding his employment 37.7% were positive, 47.8% were skeptical while 12.8% were against it. The Greek public's rejection tendency toward epileptic people was generally low. Negative predictive factors were older age, low educational level, unfamiliarity with epilepsy, and erroneous beliefs about epilepsy. CONCLUSIONS: The Greek public is familiar with epilepsy but has a suboptimal level of appropriate understanding of essential aspects of the disease. The overall public's level of rejection toward people with epilepsy is low but certain groups of people are highly rejective. Information campaigns targeting specific population subgroups are necessary in Greece in order to improve the public's understanding of epilepsy and tolerance toward people with epilepsy.     

Survey of public awareness, understanding, and attitudes toward epilepsy in Henan province, China

The awareness, understanding, and attitudes toward epilepsy in 1,278 men and women were surveyed in Henan, China in 1988. Results showed that 93% had read or heard about epilepsy; 77% knew someone who had epilepsy; 72% had seen someone who was having a seizure; 57% would object to having their children associate with persons with epilepsy in school or at play; 87% would object to having their children marry a person with epilepsy; 53% believed that epileptic persons should not be employed in jobs as other persons are; 16% believed that epilepsy was a form of insanity; 40% did not know the cause of epilepsy; 10% did not know what an epileptic attack was like; and 17% did not know what to recommend if their friends or relatives had epilepsy. The relationship between the responses and the respondents' age, sex, marital status, number of offspring, level of education, occupation, and residence was analyzed. Education reduced the respondent's prejudice against play and employment, but did not change their objection to marriage and appeared to have reinforced their linking epilepsy with insanity. As compared with the surveys conducted in Western countries, our survey showed that awareness of epilepsy in China was greater, if not the same, but the attitudes toward epilepsy were much more negative.     

Familiarity with, knowledge of, and attitudes toward epilepsy in Turkey

The aims of the study described here were to investigate familiarity with, knowledge of, and attitudes toward epilepsy and to assess indicators of positive attitudes toward epilepsy. Questionnaires previously developed for the Turkish population were used to assess knowledge and attitudes. Data were collected from 1354 randomly selected adults. Three-quarters of the sample had heard something about epilepsy, and almost half of the sample personally knew someone with epilepsy. The sample had a moderate level of knowledge of and favorable attitudes toward epilepsy in general. Variables that predicted positive attitudes were young age, male gender, and high level of knowledge of epilepsy. The results for both knowledge and attitudes indicate that the findings of the study are largely in line with previous studies, but where there is wide variability among previous findings, the findings for the Turkish population lie, just as Turkey does geographically, between those of the East and West.     

Survey of public awareness, attitudes, and understanding toward epilepsy in Nhan Chinh, Hanoi, Vietnam, in 2003

PURPOSE: Many studies have shown that cultural and social awareness of, attitudes toward, and knowledge about epilepsy can have an impact on the acceptance of treatment. The aim of this study is to characterize public awareness of attitudes toward and understanding of epilepsy in a Vietnamese community and to compare results with those obtained in other cultures. METHODS: A survey concerning the knowledge, attitudes, and practices of Vietnamese people with respect to epilepsy was carried out in the Nhan Chinh precinct of Hanoi. One thousand people were randomly selected for face-to-face interviews regarding epilepsy. RESULTS: Of the subjects surveyed, 54.6% had heard of epilepsy; 45.5% knew someone with epilepsy; 49.2% had witnessed an epileptic seizure; 56% would not allow their son or daughter to marry someone with epilepsy; 42.1% did not believe that epileptic patients could hold down a normal job; 77.8% believed that epilepsy is an organic disorder of the brain; 23.8% thought that epilepsy is a form of dementia; and 91% thought that epileptic patients require medical care. CONCLUSION: As compared with surveys conducted in other countries, our survey showed that the awareness of epilepsy in this Vietnamese community is limited, and gives rise to alternative attitudes and practices.     

Public knowledge and attitudes toward epilepsy in Kuwait

PURPOSE: The study was conducted to determine the familiarity with, knowledge of, misunderstandings, and attitudes toward epilepsy among the Kuwaiti population. METHODS: A pretested questionnaire was used to collect data from a sample of 784 Kuwaiti individuals, selected from five governorates in Kuwait using a multistage stratified clustered sampling. RESULTS: Seven hundred fifty-five subjects were interviewed, and 97.6% reported their awareness about epilepsy. Of these, 51.8% knew someone who had epilepsy, 56.4% had witnessed an epileptic seizure, 45.9% believed that epilepsy is a hereditary disease, 60.4% reported that "all epileptic fits manifest symptoms of generalized tonic-clonic seizure," 88.3% indicated that putting an object into the patient's mouth to prevent tongue biting during a seizure is appropriate, and 57.1% stated that drug therapy was the only treatment available for epilepsy. Objections to shake hands with, working with, marrying, and employing epileptic patients were reported by 16.0%, 24.8%, 71.6%, and 45.2%, respectively. Childbirth by epileptic women and allowing children to play with an epileptic child were opposed by 56.3% and 27.7%, respectively. A total of 370 (50.2%) agreed that epilepsy is equivalent to psychiatric disorder. DISCUSSION: The present findings have demonstrated that epilepsy is a well-known disease in Kuwait, and that negative attitudes toward epilepsy do prevail in Kuwait. The majority of the negative attitudes were significantly associated with the misunderstanding of epilepsy. Continuing effective educational interventions would be needed in order to improve the appropriate understanding of epilepsy, and to ameliorate the social discrimination and misconceptions against epileptic patients.     

Familiarity with, understanding of, and attitudes toward epilepsy among people with epilepsy and healthy controls in South Korea

This study identifies differences between people with epilepsy (PWE) and healthy controls in South Korea with respect to their familiarity with, understanding of, and attitudes toward epilepsy. PWE and controls older than 18 years of age were recruited from outpatient clinics and health promotion centers, respectively, associated with five university hospitals located throughout the country. Structured questionnaires consisting of 18 items were administered in face-to-face interviews. The sample consisted of 1924 participants (PWE: 384, controls: 1540). The groups did not differ with respect to age, sex, and place of residence. However, the groups did differ significantly in educational, marital, and occupational status (P = 0.000). Familiarity with seizures and epilepsy (two items) did not differ significantly between the groups. Questions pertaining to understanding seizures and epilepsy (seven items) showed that controls had significantly greater misunderstanding of the etiology and long-term prognosis of epilepsy compared with PWE. Attitudes expressed toward PWE were significantly different in response to six of seven questions. Control subjects expressed more negative attitudes toward PWE than did PWE themselves, particularly concerning potential relationships with their children (e.g., friendships, marriage). In conclusion, we found significant differences between PWE and controls, particularly with respect to understanding of and attitudes toward epilepsy. We recommend the development of different strategies for PWE and controls to improve understanding of and attitudes toward epilepsy and to reduce the knowledge gap between these groups. Nationwide educational programs conducted by associated organizations and the government may provide the solution to this problem.     

Public awareness, attitude, and understanding of epilepsy in Hong Kong Special Administrative Region, China

PURPOSE: Because of the nature of the epileptic seizure, the social stigma attached to epilepsy is a major handicap to persons with epilepsy compared with the disability associated with seizures or the side effects from medications. Measuring the awareness, attitude, and understanding of epilepsy is the first step in alleviating discrimination. METHODS: We conducted a face-to-face questionnaire interview survey in five different locations (HKSAR) that represented the population structure, administrative function, and occupations of inhabitants. Subjects with epilepsy or with relatives who had epilepsy were excluded. RESULTS: We interviewed 1,128 subjects; 58.2% had heard about epilepsy before. Of these, 55% had witnessed one or more epileptic seizure, and 18.9% knew one or more persons with epilepsy; 52.7% would put an object into a patient's mouth during an epileptic seizure to prevent injury of the tongue (32.2% learned this from a local television program), and 94.1% agreed that persons with epilepsy could be married. However, only 72.5% considered pregnancy to be appropriate; 11.2% would not let their children play with others with epilepsy; 32.2% would not allow their children to marry persons with epilepsy. Employers (22.5%) would terminate the employment contract after an epileptic seizure in an employee with unreported epilepsy. CONCLUSIONS: This study documented the public attitude toward epilepsy in HKSAR; although it was more negative than that in Western societies, it was more positive than that of the Chinese in China or Taiwan. We suggest that more effort be made to improve public awareness of, attitude toward, and understanding of epilepsy through school education and epilepsy-related organizations in HKSAR.     

Public familiarity with,knowledge of,and predictors of negative attitudes toward epilepsy in Thailand

The purpose of this nationwide survey was to assess familiarity with and knowledge of epilepsy, as well as to identify predictors of negative attitudes toward people with epilepsy, in Thailand. Of the 1581 people interviewed, 80.8% were familiar with the word epilepsy, but few knew anyone with the condition. The main reason given for avoiding helping a seizure victim was a lack of proper first-aid knowledge, not a negative attitude toward the person. The factors predicting negative attitudes in the Thai population were low educational level, unfamiliarity with epilepsy, and the misconception that epilepsy is a form of insanity. Different from most previous studies worldwide, the attitudes of friends and parents toward people with epilepsy were strongly positive. Social awareness of the public organization Epilepsy Society of Thailand was low; only 4.6% of the respondents knew about it. These data should be considered in a nationwide strategy to alleviate social discrimination against people with epilepsy.     

Public awareness, perceptions, and attitudes with respect to epilepsy in Ebolowa and Sangmelima—Urban Cameroon

Within the framework of a series of studies mandated by the Ministry of Public Health of Cameroon to obtain baseline data for an epilepsy education program adapted to our communities, we interviewed 456 subjects without epilepsy in the Ebolowa Regional and Sangmelima District Hospitals. We found that 99.6 and 72.6% had heard or knew a person or people with epilepsy (PWE) and 76.8% had seen a seizure. About 58% of respondents would offer equal employment opportunities to PWE; 39.6% and 33.6% would respectively object to their children associating with or marrying PWE; 13% associated epilepsy with insanity and witchcraft, whereas 82.5% would recommend modern treatment for epilepsy. Predictors of negative attitudes were the beliefs that epilepsy is hereditary (26.3%) and epilepsy is a form of insanity (13%). Familiarity with epilepsy in Ebolowa and Sangmelima is high, and attitudes toward PWE are better there than in other areas of Cameroon. These results demonstrate a regional variation in public awareness and attitudes toward epilepsy and suggest that urban populations may constitute targets as well as channels for epilepsy sensitization campaigns in Cameroon.     

Public attitudes toward psychiatric treatment

Aim In order to examine whether there is a relationship between the state of mental health care and the acceptance of psychiatry, public attitudes toward psychiatric treatment in three countries where the reform of mental health care has progressed to a different degree will be compared. Methods Population surveys on public beliefs about mental illness and attitudes toward psychiatric treatment were conducted in Bratislava, Slovak Republic, and Novosibirsk, Russia. The data were compared with those from a population survey that had recently been carried out in Germany. In all three surveys, the same sampling procedure and fully structured interview were applied. Results Although respondents from all three countries were equally inclined to seek help from mental health professionals, those from Bratislava and Novosibirsk tended to recommend more frequently to address other medical or nonmedical professionals or members of the lay support system. In all three countries, psychotherapy was the most favored treatment modality, followed by psychotropic medication. Although natural remedies were more frequently recommended in Bratislava and Novosibirsk, meditation/yoga was more popular among the German public. Across all three countries, the endorsement of a brain disease as cause was associated with a greater willingness to seek help from medical professionals (psychiatrist, GP). Respondents who adopted biological causes tended to recommend psychotropic medication more frequently. Conclusion In countries with less developed mental health care systems, there appears to be a tendency of the public toward more frequently relying on helping sources outside the mental health sector and on traditional “alternative” treatment methods. However, it is our prognosis that with the progress of reforms observed, differences may further decrease.     

Public attitudes to schizophrenia in rural Turkey

BACKGROUND: The aim of this study was to determine the public's attitudes and their correlates towards patients with schizophrenia in rural areas. METHODS: The study was carried out in a village near Manisa City, Turkey. Two hundred and eight subjects completed the public survey form which consists of ten items screening demographic and health status and 32 items rating attitudes towards schizophrenia. RESULTS: Half of the subjects stated that persons with schizophrenia are aggressive and that they should not be free in the community. More than half of the subjects stated that they would be irritated about having a neighbour with schizophrenia (61.5%), that they would not rent their home to a person with schizophrenia (58.2%), that they do not want to work with a person with schizophrenia (61.1%), and that they would not get married to a person with schizophrenia (85.6%). CONCLUSIONS: The public in rural areas sufficiently recognises schizophrenia but has a tendency to stigmatise schizophrenic patients. Their attitudes are generally negative and rejective. They do not want close contact with schizophrenic patients. Interpretation of schizophrenia as a mental illness leads to more negative attitudes and increases the social distance.     

Public attitudes to depression in urban Turkey

BACKGROUND: The aim of this study was to determine public attitudes towards patients with depression and the influence of perception and causal attributions on social distance towards individuals suffering from depression in urban areas. METHODS: This study was carried out with a representative sample in Istanbul which is the biggest metropolis in Turkey. Seven hundred and seven subjects completed the public survey form which consisted of ten items screening the demographic features and health status of the participants, and 32 items rating attitudes towards depression. RESULTS: The respondents' attitudes towards depression were very negative and nearly half of the subjects perceived people with depression as dangerous. More than half of the subjects stated that they would not marry a person with depression, and nearly half of the subjects stated that they would not rent their house to a person with depression. One-quarter of the subjects stated that depressive patients should not be free in the community. The subjects who considered depression as a disease and who believed that weakness of personality and social problems cause depression had negative attitudes towards depression. CONCLUSIONS: In Istanbul, people recognise depression well, but their attitudes towards it are fairly negative. The urban public has unfavourable attitudes towards depression and a tendency to isolate patients from the society. Notwithstanding the high prevalence, there is still considerable stigmatisation associated with depression.     

Awareness,understanding and attitudes towards epilepsy among Iranian ethnic groups

ObjectiveThis study is an attempt to identify and specify the differences among five major Iranian ethnic groups, i.e. Persian, Azeri, Kurd, Lur, and Arab regarding their awareness, understanding and attitudes towards epilepsy and their beliefs about the treatment of epilepsy.MethodThis survey was carried out cross-sectionally on a sample containing 500 participants from five major ethnic groups in Iran. These groups were selected using cluster random sampling method in April and May 2008. A standardized questionnaire was used for data collection which was composed of four parts: sociodemographic grounds, awareness of epilepsy, attitudes toward epilepsy and causes of epilepsy.ResultsThe results of the analysis suggest that Iranian ethnic groups were significantly different in their awareness of epilepsy (p < .001) and in this regard the level of awareness about epilepsy was quiet high. Most of the respondents in all ethnic groups emphasized physical causes of epilepsy and rejected metaphysical causes. Iranian ethnic groups’ attitudes toward their children's marriage with a person suffering from epilepsy and their living in isolation was highly negative, but they had positive attitude regarding their children's association with those who have epilepsy and their employment and their having children. There was a significant difference among these groups in their beliefs about the treatment of epilepsy (p < .05). Although a great number of people in different ethnic groups emphasized the treatment of epilepsy but a quite large number also were unaware of the treatment.ConclusionThe level of awareness, understanding and also beliefs about epilepsy among Iranian ethnic groups was fairly desirable. In spite of this, Iranian's attitudes about their children's marriage with people who have epilepsy were highly negative as it was in other parts of the world. Although they had a positive attitude about their employment, childbearing, and their association with healthy people.     

Dental students' knowledge and attitudes toward patients with epilepsy

BackgroundInadequate knowledge and negative attitudes toward epilepsy can affect the provision of health services for patients with epilepsy.AimThe aim of the present study was to assess the knowledge and attitudes toward epilepsy among clinical dental students in Jordan.MethodThe study was conducted using a 21-item questionnaire to assess professional experience with epilepsy, knowledge about epilepsy, social tolerance, and willingness to care for patients with epilepsy among dental students at the University of Jordan.ResultsMore than one-third of dental students believed that epilepsy is due to insanity or mental illness. Only 45% were able to identify convulsion or shaking as a sign of epilepsy, and more than one-third did not know how to act in case of an epileptic seizure in the dental clinic. Disappointingly, 43.4% of the respondents were of the opinion that people with epilepsy should not have children, and only 38.6% thought that people with epilepsy should be employed at the same jobs as other people. About 50% indicated that their families would be concerned about them treating patients with epilepsy, and 30% believed that knowing that patients with epilepsy were treated in their clinic might make other patients reluctant to continue their treatment there.ConclusionThe results revealed an inadequate level of knowledge and negative attitudes toward epilepsy among dental students at the University of Jordan. There is an urgent need to educate dental students about epilepsy.     

New Zealand community attitudes toward people with epilepsy

PURPOSE: International surveys on knowledge and attitudes toward people with epilepsy suggest that public opinion is improving in many countries. This study aimed to discover how New Zealand compared with other countries, and how subgroups within the New Zealand population compared with each other, by conducting a survey of community knowledge and attitudes toward epilepsy. METHODS: Telephone interviews were conducted on a random sample of 400 persons older than 17 years, drawn from a mid-sized provincial town and its hinterland. RESULTS: Ninety-five percent of respondents had heard or read about epilepsy; 73% knew someone with epilepsy; and 67% had seen an epileptic seizure. Somewhat less knowledgeable were young people, the less educated, lower socioeconomic status (SES), and those of Maori or non-European ethnicity. Attitudes toward people with epilepsy were favorable, with only 5% objecting to their child marrying a person who sometimes had seizures. Less-positive attitudes were found among some older people. CONCLUSIONS: Compared with those in other Western countries, New Zealanders are well informed about epilepsy, and their attitudes toward it are mainly positive. Continuing public education about epilepsy is still necessary, especially among the young, the non-European, and older people.     

Knowledge of,perceptions of,attitudes and practices regarding epilepsy among medical students in Turkey

PurposeMedical practitioners' attitudes have a significant impact on the quality of care for patients with epilepsy. This study was conducted to assess the current level of knowledge about epilepsy and treatment together with attitudes and perception toward patients with epilepsy among medical students in Turkey.MethodThe study was conducted using a structured questionnaire to assess knowledge, awareness, and practices about epilepsy among medical students at Selçuk University, Konya, Turkey.ResultsEight hundred and ninety subjects were interviewed, and 73.5% reported their awareness about epilepsy. Of these, 38.1% knew someone who had epilepsy, and 38.5% had witnessed an epileptic seizure. Although most of the students had heard about epilepsy, 38.4% of the students believed that epilepsy was primarily a genetic disease. About one-fifth of the students attributed the causes of epilepsy to vitamin deficiency (8.8%) and psychiatric (19.1%), infectious (19.5%), mental (4.4%), and hematological disorders (3.4%). According to 4.8% of the students, epilepsy could be a punishment from God, and 2.1% of students thought that it could be caused by an evil spirit. Eighty-eight percent considered epilepsy as a dangerous disease, and most of them thought that epilepsy is a lifelong condition. Fifty point six percent indicated that putting an object into the patient's mouth to prevent tongue-biting during a seizure is appropriate while 91.9% stated that drug therapy was the only treatment available for epilepsy. The most common negative attitudes toward people with epilepsy were students' objection to marrying someone with epilepsy and patients with epilepsy having children.ConclusionMisconceptions about the causes, treatment, and nature of epilepsy are common among medical students at a Turkish medical school. Negative attitudes toward patients with epilepsy still exist. Medical school training programs should be designed to increase awareness of students about epilepsy.     

Public knowledge and attitudes towards epilepsy in Jordan.

BACKGROUND: Social acceptances of people with epilepsy very often constitute a considerable problem for patients and their family. Nationwide opinion polls on the public knowledge and attitudes towards epilepsy have been reported from several countries. The purpose of this study is to assess the knowledge and attitudes of the Jordanian public towards epilepsy, which have not been verified before. METHODS: A total of 16,044 people (8158 males and 7886 females) living in different areas of Jordan were interviewed by invitation using standard four set questionnaire constructed from previous similar studies (Caveness and Gallup) that tested public knowledge and attitudes toward epilepsy. Two hundred and thirty senior students of the faculty of pharmacy at Jordan University of Science and Technology are involved in this study. Each student interviewed at least 50 individuals, aged 18 years or older, from their immediate community including family members, relatives, neighbors and friends by invitation. The interviews took place during the period from February to June of 2005. RESULTS: Eighty-eight percent had read or knew about epilepsy, and 52.4% had witnessed an epileptic attack at least once in their life. From the people interviewed, 84.7% believed that the cause of epilepsy is a neurological disease, and 80.6% believe that the main symptom is brief loss of consciousness. The response of the younger participants and those with higher education were statistically significant more positive regarding the knowledge on causes and symptoms of epilepsy. More than 70% accepts shaking hands with people with epilepsy; they also believe that people with epilepsy are able to have children and to get high academic degrees. Less than 50% accepts letting their children play with children with epilepsy or employ people with epilepsy. Nine percent had negative attitudes, and believed that patients with epilepsy are insane and 88.5% objects the marriage of people with epilepsy to their sons or daughters. Approximately one third of the respondents believed that epilepsy is more dangerous than diabetes mellitus and hypertension. CONCLUSIONS: The overall knowledge and attitudes of Jordanians towards epilepsy is relatively comparable with the results from Asian countries but more negative when compared with reports from the Western countries. Consequently, well-organized educational campaigns are needed to improve public perception about epilepsy.