J Korean Neurol Assoc > Volume 30(1); 2012 > Article
Journal of the Korean Neurological Association 2012;30(1): 26-32.
뇌졸중경고증상과 위험인자 인식도: 2010년 광주 지역주민 설문결과
이영훈, 신민호 권순석 최진수 박만석 조기현 임영실
원광대학교 의과대학 예방의학교실 , 원광대학교병원 권역심뇌혈관질환센터 , 전남대학교 의과대학 예방의학교실 , 화순전남대학교 병원 전남지역암센터 d , 전남대학교 의과대학 신경과학교실 e , 전남대학교병원 권역심뇌혈관질환센터 f , 질병관리본부 만성질환관리과 g桓?? g(-?4?
Awareness of Stroke Warning Signs and Risk Factors: Result of a 2010 Community Survey in Gwangju Metropolitan City
Young-Hoon Lee
Department of Preventive Medicine a , Wonkwang University College of Medicine, Iksan, Korea Regional Cardiocerebrovascular Center b , Wonkwang University Hospital, Iksan, Korea Department of Preventive Medicine c , Chonnam National University Medical School, Gwangju, Korea Jeonnam Regional Cancer Center d , Chonnam National University Hwasun Hospital, Hwasun, Korea Department of Neurology e , Chonnam National University Medical School, Gwangju, Korea Regional Cardiocerebrovascular Center f , Chonnam National University Hospital, Gwangju, Korea Division of Chronic Disease Control g , Korea Centers for Disease Control and Prevention, Cheongwon, Korea
Abstract
Background: A high level of public awareness of stroke may reduce the stroke risk. The aim of this study was to assess the public’s awareness of stroke warning signs and risk factors, and to determine the associated factors.
Methods: The study population was 2492 community-dwelling adults aged 50 years and older who participated in the 2010 baseline Dong-gu Study. Information regarding knowledge of stroke warning signs, stroke risk factors, and demographics was collected using standardized open- and closed-form questionnaires.
Results: The stroke warning signs that were most frequently identified by respondents were “sudden numbness or weakness” (73.7%) and “sudden difficulty in speaking or in understanding speech” (73.6%). In multivariate analysis, incomplete awareness of stroke warning signs was significantly associated with a lower education level, no history of past stroke, and incorrect knowledge of the definition of stroke. Hypertension and stress were most commonly recognized as risk factors when open-ended questions were used (by 22.3% and 14.1% of the respondents, respectively) and also with close-ended questions (77.7% and 82.4%, respectively). In multivariate analysis, older age, current smoking, lower education level, and incorrect knowledge of the definition of stroke were associated with a worse awareness of stroke risk factors.
Conclusions: A community-based program is needed to improve public awareness of the warning signs and risk factors for stroke. In order to reduce the risk of stroke, public health education and media efforts should focus on people who are older and have a lower level of education. Key Words: Stroke warning signs, Risk factors, Awareness
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