We read with great interest the article by Stites et al. [1] and commend the authors for analyzing stigma of dementia among 317 adults from the US general public. Their study showed that 55% respondents expected a person with dementia to be discriminated by his/her employers, and approximately 46% respondents expected a person with dementia to have his/her health-care insurance limited. As such, the authors called for public education and policies to address such stigmatized attitudes, particularly among divergent racial and ethnic groups. In a previous study [2] investigating Chinese-American general public attitudes toward people with dementia, we found that 78% respondents expected a person with dementia to be fired by his employers, but only 14% respondents expected a person with dementia to have his health-care insurance limited. This suggests that a cultural factor, filial piety (respecting one’s elders), that is not commonplace in the US general public may be an important theme in the Chinese-American community. Because the effect of filial piety may be especially potent in the Chinese immigrant communities, future studies should examine the effect of filial piety on dementia stigma in Chinese-American immigrant adults. Future studies should also explore what are the effects of social and cultural factors on ageism. Nevertheless, public education is much needed to address the rampant discrimination on the basis of age and health among the Chinese-American general public. In the study by Stites et al. [1], the authors hypothesized that expected dementia stigma would be less common among African Americans as these respondents were more likely to interact with persons with dementia than white respondents. However, in the Chinese-American general public, we observed that even Chinese Americans with first-degree relatives with dementia subscribed to moderately stigmatizing views about the illness [3]. Because direct contact with persons with dementia may not aid in mitigating stigma among Chinese Americans, other strategies would be needed to reduce dementia stigma, specifically

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减轻华裔美国人对阿尔茨海默病痴呆的耻辱感

我们饶有兴趣地阅读了 Stites 等人的文章。[1] 并赞扬作者分析了来自美国公众的 317 名成年人对痴呆症的污名。他们的研究表明，55% 的受访者预计痴呆症患者会受到雇主的歧视，约 46% 的受访者预计痴呆症患者的医疗保险有限。因此，作者呼吁公共教育和政策来解决这种污名化的态度，特别是在不同种族和族裔群体中。在之前的一项研究 [2] 调查了华裔美国人对痴呆症患者的普遍态度时，我们发现 78% 的受访者预计痴呆症患者会被雇主解雇，但只有 14% 的受访者预计痴呆症患者会被解雇。医疗保险有限。这表明，一种在美国公众中并不常见的文化因素——孝道（尊重长辈）可能是美籍华人社区的一个重要主题。由于孝道在华裔移民社区中的作用可能特别强，未来的研究应该检查孝道对华裔美国移民成年人痴呆症耻辱的影响。未来的研究还应探讨社会和文化因素对年龄歧视的影响。然而，为了解决美籍华人普遍存在的基于年龄和健康状况的歧视，公共教育是非常必要的。在 Stites 等人的研究中。[1], 作者假设，预期的痴呆症耻辱在非裔美国人中不太常见，因为这些受访者比白人受访者更有可能与痴呆症患者互动。然而，在华裔美国公众中，我们观察到，即使是一级亲属患有痴呆症的华裔美国人也对这种疾病持中度的污名化观点 [3]。由于与痴呆症患者的直接接触可能无助于减轻华裔美国人的耻辱感，因此需要其他策略来减少痴呆症的耻辱感，特别是