Awareness of stroke among patients attending primary healthcare services in Abha, Southwestern Saudi Arabia

Alhazzani, Adel; Mahfouz, Ahmed A.; Abolyazid, Ahmed Y; Awadalla, Nabil J.; Ahmed, Razia Aftab; Siddiqui, Aesha Farheen; Khalil, Shamsun Nahar

doi:10.17712/nsj.2019.3.20180041

Cited by 18 publications

(26 citation statements)

References 21 publications

(34 reference statements)

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“…2020; 86(1): 83, 1-13. DOI: https://doi.org/10.5334/aogh.2885 confirmed the persistence of a low level of knowledge among the general public about stroke, and more specifically about risk factors and warning signs [10][11][12][13].…”

Section: Introductionmentioning

confidence: 77%

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Kharbach

Obtel

Achbani

et al. 2020

Annals of Global Health

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Background: Stroke is increasingly becoming a major cause of disability and mortality. However, it can be prevented by raising awareness about risk factors and early health care management of patients. Objective: The aim of this study is to assess the level of knowledge on stroke, its risk factors, and warning signs in the population attending urban primary health care centers in the city of Agadir, Morocco. Methods: This is a multicentric cross-sectional study with a descriptive and analytical purpose. The study was conducted at five urban primary health care centers in Agadir in centralwest Morocco. All persons over the age of 18 years who consulted the health centers and who agreed to fill in the questionnaire were recruited, except for the foreign population and health workers. An interview questionnaire was used to assess the level of knowledge on stroke. Findings: A total of 469 participants were involved in the study. The median knowledge score was 8 (Interquartile range 4-13). High blood pressure (55.7%), depression and stress (48.8%) were the most well-known risk factors. Sudden weakness of the face, arms or legs (37.3%) was the main warning sign cited by the participants. Multivariate analysis revealed that illiteracy (OR 1.92; CI 95% : 1.08-3.44) primary education (OR 3.43; CI 95% : 1.63-7.21), rural residential (OR 1.67; CI 95% : 1.07-2.59), no history of stroke among respondents (OR 16.41; CI 95% : 4.37-61.59) and no history of stroke among relatives, acquaintances, or neighbors (OR 4.42; CI 95% : 2.81-6.96), were independently associated with a lower level of knowledge of stroke (Table 4). Conclusions: The low level of knowledge on stroke among this Moroccan population indicates the importance of implementing stroke education initiatives in the community. More specifically, proximity education and awareness programs ought to be considered to anchor lifestyle preventive behaviors along with appropriate and urgent actions regarding the warning signs of stroke.

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Section: Introductionmentioning

confidence: 77%

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Kharbach

Obtel

Achbani

et al. 2020

Annals of Global Health

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“…A domestic survey on the recognition of stroke among community residents in Chongqing found that the recognition rate of stroke warning symptoms was 30.7-75.6% [9]. A study of 1472 respondents found that sudden headaches (54.1%), vertigo (51.0%), and dyslexia (44.3%) were the most recognizable stroke warning symptoms [13].…”

Section: Discussionmentioning

confidence: 99%

Recognition of stroke-related knowledge among community residents and the improvement after intensive health education: a cross-sectional study

Zhong

Wang

et al. 2020

BMC Neurol

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Background The high morbidity, mortality, and disability rates of stroke constitute a heavy burden to the society. The level of understanding about stroke warning symptoms and first aid systems among community residents was generally low. The aim of our work is to investigate stroke-related knowledge in community residents of Jinjiang district of Chengdu and to raise public awareness about stroke through an intensive educational program. Methods Nine communities in Jinjiang district were sampled and a questionnaire about stroke-related knowledge was applied before and after stroke educational activities. We analyzed the impact of such activities in stroke recognition and management. Results We collected 1685 valid questionnaires. The awareness about stroke risk before educational activities was 11.4%. The recognition of stroke warning signs among community residents was 29.8–59.5%. Among them, the recognition of major signs, such as limb weakness, language disorder, and imbalance was more than 50%. When faced with five stroke warning signs, the proportion of participants who chose to make an emergency call was 41.5%. Less than 10% of the participants chose to consult a doctor, take medicine, or wait. After strengthening publicity and educational activities regarding stroke, there was a significant improvement in the identification of stroke risk factors, warning signs, and stroke management. The percentage of participants who chose to make an emergency call increased from 53.2 to 82.7%. Conclusions The knowledge about stroke among community residents in Jinjiang District of Chengdu was low. Strengthening publicity and educational activities may raise awareness about stroke prioritizing call emergency after the onset of stroke signs.

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“…Saudi Arabia suffers from a high prevalence rate of hypertension among the adult population, reaching 26.1% [ 20 ]. Additionally, the adult population showed a low awareness of hypertension as a risk factor for stroke [ 21 ] Our present study showed that one-third of the control group were hypertensive. Surprisingly, a study reported that only 23% of hypertensive patients in Saudi Arabia are aware of their blood pressure elevation [ 9 ].…”

Section: Discussionmentioning

confidence: 64%

Risk Factors of the First-Time Stroke in the Southwest of Saudi Arabia: A Case-Control Study

et al. 2021

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Worldwide, stroke is the second leading cause of death and a frequent cause of permanent disability. The objective was to identify the first-time stroke modifiable risk factors in the Aseer region, southwest Saudi Arabia. In a multicenter hospital-based case-control study design, all first stroke patients admitted to hospitals in the Aseer region were included consecutively over one year. Age, sex, and geographical residence-matched controls were selected and included in a ratio of 1:1. Data collected included altitude (low or high), nationality, marital status, educational level, family history of stroke, history of diabetes mellitus, history of systemic hypertension, high cholesterol level, current smoking, obesity, and regular exercise practice. The study included 1249 first-time stroke patients and 1249 age, sex, and residence-matched controls. Hypertension, diabetes mellitus, obesity, and high cholesterol were significantly highly prevalent among cases (57.7%, 49.4%, 42.0%, 29.4%, respectively) compared to controls (31.8%, 25.9%, 30.8%, 12.1%, respectively). Practicing regular exercise was significantly highly prevalent among controls (29.9%) compared to cases (13.1%). Multivariable logistic regression analysis revealed that systemic hypertension (adjusted odds ratio (aOR) = 2.12, 95%CI: 1.74–2.57), diabetes mellitus (aOR = 1.73, 95%CI: 1.41–2.21), obesity (aOR = 1.95, 95%CI: 1.61–2.28) and high cholesterol (aOR = 1.64, 95%CI: 1.28–2.10) were significant risk factors, while regular exercise practice was a significant protective factor (aOR = 0.12, 95%CI: 0.05–0.26) for stroke. Hypertension, diabetes mellitus, obesity, and high cholesterol are major risk factors for stroke in the Aseer region of southwest Saudi Arabia. The protective role of regular physical activity in reducing the risk of stroke is evident. The observed higher prevalence of potentially modifiable risk factors among stroke cases encourages an urgent need to develop and implement a national program to control these factors.

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Awareness of stroke among patients attending primary healthcare services in Abha, Southwestern Saudi Arabia

Cited by 18 publications

References 21 publications

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Recognition of stroke-related knowledge among community residents and the improvement after intensive health education: a cross-sectional study

Risk Factors of the First-Time Stroke in the Southwest of Saudi Arabia: A Case-Control Study

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