Popular knowledge of stroke in São Paulo: a cross-sectional study within the World Stroke Campaign

圣保罗的中风知识普及:世界中风运动中的一项横断面研究

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作者:Marina Trombin Marques, Mila Carvalho Guachala, Vinícius Andreoli Schoeps, Marcel Simis, Manoel Carlos Sampaio de Almeida Ribeiro, Rubens José Gagliardi

Background

Stroke is the second leading cause of death in Brazil and the main cause of disability. Inability to identify alarm signals causes delays in seeking emergency services, thereby leading to a worse prognosis. Objectives: To assess the population's knowledge of how to recognize and prevent stroke. Design and setting: Prospective cross-sectional study on data derived from a questionnaire that was administered during the 2016 World Stroke Campaign, launched in the city of São Paulo, Brazil.

Conclusions

Despite the severity and prevalence of stroke, the population still has little information on this disease. In this context, the importance of mounting campaigns to improve prevention and treatment and to contribute to healthcare policies becomes evident.

Methods

Data on 806 interviewees were evaluated using descriptive statistics and univariate and multivariate analyses.

Results

Among all the interviewees, 52.1% knew how to conceptualize stroke; 70.07% knew someone who had suffered a stroke; and 29.03% listed three or more risk factors. Only 27.5% mentioned controlling high blood pressure as a preventive measure. In the event of witnessing a stroke, 57.8% would call the emergency service and 2.9% would check the timing. Less educated individuals were 5.6 times more likely (95% confidence interval, CI 3.45-9.02) to have poor knowledge of stroke, compared with the more educated group. Knowing someone who had had a stroke reduced the chances of not knowing the terms relating to the disease (odds ratio, OR = 0.56; 95% CI 0.4-0.78). Conclusions: Despite the severity and prevalence of stroke, the population still has little information on this disease. In this context, the importance of mounting campaigns to improve prevention and treatment and to contribute to healthcare policies becomes evident.

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