Enter and update disclosures at http: In the multivariable logistic regression model, a history of hypertension was the only self-reported risk factor that was an independent predictor of increased overall knowledge of stroke risk factors. Virgin Islands, Stroke is the third leading cause of death in the United States 1 and a major cause of disabilities among adults 2.
Two other groups at increased risk for stroke, men and blacks, also were less knowledgeable about stroke risk factors.
Some studies indicate that the prevalence of stroke risk factors may be higher among Hispanic women. Inthe 17 states and USVI included a module in their surveys regarding symptoms of heart attack and stroke and the first action to take if someone were having a heart attack or stroke 7.
Knowing the level of awareness and the popular means of gaining knowledge are essential to build community educational program. Department of Health and Human Services. Guidelines for the management of patients with acute ischemic stroke: Am J Prev Med ; First Responses The majority of women in the study reported that they would call first if they thought they were experiencing signs of a stroke Table 2.
Thursday, May 13: Variables considered in the modeling included age, race, sex, and level of education, as well as self-reported risk factors of current smoking, past smoking, hypertension, diabetes, and history of stroke or transient ischemic attack TIA.
The proportion of persons recognizing sudden, severe headache with no known cause as a warning sign ranged from An interview questionnaire was used to collect information on personal data, familiarity with term stroke, knowledge of warning symptoms and risk factors and the immediate response as a victim or a care-giver.
Awareness of all correct stroke warning signs and calling was lower in USVI 5. These estimates of stroke signs awareness and the need for urgent action suggest that state and local public health efforts must improve public awareness of stroke urgency if the national health objective 6 is to be achieved.
Callbacks were made during all possible times ie, early and late morning, afternoon, early and late evening, and Saturdays and Sundays. Increasing trends in pre-transport stroke deathsUnited States, Stroke is an emergency event requiring immediate action.
Sincethe number of stroke deaths has declined 3and substantial advances have been made in the diagnosis and treatment of ischemic stroke during the previous decade 4 ; however, the proportion of deaths that occur before patients are transported to hospitals has increased to nearly half of all stroke deaths 5.
More respondents listed "chest pain" as a warning sign of stroke than listed unilateral weakness. Improvement in stroke awareness level can be achieved by health education utilizing the media tools preferred by the targeted population. Of these calls, were to households with eligible respondents.
The findings in this report are subject to at least three limitations. The public should be aware of the major warning signs of stroke and take prompt action for a stroke patient. Inpublic awareness of the major warning signs of stroke was high Table 1.
Awareness of individual warning signs of stroke varied by state. Univariate comparisons showed that men were more likely to list pain and shortness of breath as warning signs of stroke than were women, but showed no significant differences by racial group.
Decline in deaths from heart disease and strokeUnited States, Random digit telephone sampling is more accurate than other telephone sampling techniques eg, added digit dialing, directory dialingbecause telephone numbers are selected randomly, and numbers that would not appear in a directory, such as unlisted numbers and recently activated numbers, are included.
State variations in public awareness might reflect past education efforts by some state health departments, the American Stroke Association, and the National Institute of Neurological Disorders and Stroke; however, greater efforts are needed.
The remainder of the calls were to ineligible households because of the age, race, and sex subgroup quotas that were required for the sample. In a study of patients with acute stroke who were interviewed within 48 hours of hospital admission, Kothari et al 9 reported that the most commonly documented stroke warning signs, as noted by the patient at the time of stroke onset, were weakness and numbness.
Mochari-Greenberger and colleagues evaluated the knowledge of stroke warning signs and intent to call first if warning signs occurred. Signs least likely recognized as someone possibly having a stroke were sudden trouble seeing in one or both eyes The 32 interviewers who performed the telephone interviews were monitored for quality and comparability.
If there was no answer at one of the selected telephone numbers, the number was called back repeatedly a minimum of 5 callbacks during the survey period. No substitutions were permitted; persons other than the randomly selected individual within the household were not interviewed.The public should be aware of the major warning signs of stroke and take prompt action for a stroke patient.
The findings in this report indicate that, inalthough recognition of several individual signs was high, recognition of all five major warning signs and. In this review, we have summarized the findings of fifteen studies of knowledge of stroke warning signs and risk factors in both high- and low-risk populations.
on public knowledge of stroke warning signs and risk factors. In this study, we No. 16 Public Perception of Stroke Warning Signs—Pancioli et al © American Medical Association. All. the level of awareness of the warning signs of stroke and to determine the impact of different media strategies.
Methods—Telephone surveys were conducted among members of the general public in 1 control and 3 test communities. Public knowledge of stroke warning signs and risk factors is limited, with persons at greatest risk of stroke (the elderly, men, African-Americans) having the least knowledge.
While recognition of stroke and rapid presentation for medical evaluation are essential to effective treatment, public knowledge of stroke warning signs is poor.
Mass media campaigns to improve public awareness of stroke warning signs have been found to be effective in improving knowledge of warning signs [8, 10, 16, 20, 26], particularly in younger age groups, although producing little change in knowledge of risk factors.Download