{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:41:19Z","timestamp":1791211279140,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["22KJ3208"],"award-info":[{"award-number":["22KJ3208"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["24K20158"],"award-info":[{"award-number":["24K20158"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>People's stigma toward dementia may hinder support and care in early dementia. We explored the association of stigma beliefs and attitudes toward dementia with help\u2010seeking intentions among middle\u2010aged and older adults in hypothetical early signs of dementia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study involved individuals aged 40\u00a0years and above without dementia, recruited from public facility visitors in Aichi, Japan, between July and August 2024. Dementia stigma was assessed using a short form of the Phillipson Dementia Stigma Assessment, comprising four domains: personal avoidance (avoiding contact and interaction with people with dementia), fear of labeling (fear and anxiety regarding dementia diagnosis), person\u2010centeredness (respect and positive attitudes toward people with dementia), and fear of discrimination (fear of ostracism because of dementia). The participants were asked about their help\u2010seeking intentions from family members, other relatives, healthcare professionals, public facilities, and the phone helpline during the hypothetical early signs of dementia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 380 individuals were analyzed (mean age 75.0\u00a0years; 76.1% women), of whom 90.4% had help\u2010seeking intentions from a partner, 85.9% from children, and 85.8% from healthcare professionals. Multivariable regression analysis revealed that higher dementia stigma was associated with a lower likelihood of help\u2010seeking intentions from a partner, children, and healthcare professionals. Of the subdomains, fear of discrimination was negatively related to help\u2010seeking intentions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study indicated that people's stigma beliefs and attitudes may pose barriers to help\u2010seeking in the early stage of dementia. Our findings highlight the need to strengthen support for individuals with early dementia, while reducing people's fear of discrimination and prejudice against dementia in the long term.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.70141","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T04:59:48Z","timestamp":1754974788000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Stigma Beliefs and Attitudes Against Dementia and Help\u2010Seeking Intentions in Hypothetical Early Signs of Dementia: An Observational Cross\u2010Sectional Study of Middle\u2010Aged and Older Adults in Japan"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9165-5501","authenticated-orcid":false,"given":"Taiji","family":"Noguchi","sequence":"first","affiliation":[{"name":"Department of Community Health and Preventive Medicine Hamamatsu University School of Medicine  Hamamatsu Japan"},{"name":"Department of Social Science Research Institute National Center for Geriatrics and Gerontology  Obu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhua","family":"Shang","sequence":"additional","affiliation":[{"name":"Faculty of Human Health Aichi Toho University  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation Sciences Aichi Medical College  Kiyosu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(17)31756\u20107"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2468\u20102667(21)00249\u20108"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1474\u20104422(23)00415\u20105"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.12638"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2217\/ahe.12.42"},{"key":"e_1_2_11_7_1","volume-title":"Alzheimer Society of Ireland","author":"Nolan L.","year":"2006"},{"key":"e_1_2_11_8_1","unstructured":"Alzheimer\u2019s Disease International.World Alzheimer Report: Overcoming the Stigma of Dementia (2012)."},{"key":"e_1_2_11_9_1","unstructured":"Alzheimer's Disease International.World Alzheimer Report 2019: Attitudes to Dementia (2019)."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638231003728166"},{"key":"e_1_2_11_11_1","volume-title":"Stigma: Notes on the Management of Spoiled Identity","author":"Goffman E.","year":"2009"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.27.1.363"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301218800122"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(06)68184\u20101"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5672"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyg.13168"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20106612.2012.00624.x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/wad.0000000000000065"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301213504202"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2014.995588"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1041610219002229"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/50.2.111"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659605281979"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12086"},{"issue":"1","key":"e_1_2_11_25_1","first-page":"16","article-title":"Understanding the Impact of Stigma on People With Mental Illness","volume":"1","author":"Corrigan P. 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