Beliefs and Perception of Stroke among Adult Inhabitants of Calabar South Local Government Area, Cross River State-Nigeria (original) (raw)
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Knowledge and Perception of Stroke: A Population-Based Survey in Uganda
ISRN Stroke, 2014
Purpose. This study, designed to complement a large population survey on prevalence of stroke risk factors, assessed knowledge and perception of stroke and associated factors.Methods. A population survey was conducted in urban Nansana and rural Busukuma, Wakiso district, central Uganda. Adult participants selected by multistage stratified sampling were interviewed about selected aspects of stroke knowledge and perception in a pretested structured questionnaire.Results. There were 1616 participants (71.8% urban; 68.4% female; mean age: 39.6 years ± 15.3). Nearly 3/4 did not know any stroke risk factors and warning signs or recognize the brain as the organ affected. Going to hospital (85.2%) was their most preferred response to a stroke event. Visiting herbalists/traditional healers was preferred by less than 1%. At multivariable logistic regression, good knowledge of stroke warning signs and risk factors was associated with tertiary level of education (OR 4.29, 95% CI 2.13–8.62 and O...
To investigate associations between knowledge and belief stroke and pathways to healthcare adopted by Nigerian stroke survivors. Method: This study involved 150 stroke survivors receiving care in secondary and tertiary health institutions in Lagos, Nigeria. All patients consented and their information was captured using validated key informal interview guide. The information was analyzed qualitatively. The data were summarized using descriptive statistics and analysed using Chi-square (p<0.05). Results: Of the 150 patients interviewed, 143 (95.33%) responses were valid for analysis. Sixty-four (44.8%) said the symptoms of stroke is weakness or paralysis, 1and 7 said chest pain, dizziness/slurred speech respectively while 38 had no knowledge. Thirty-nine (27.3%) said stroke is caused by high blood pressure while 20, 22, 5 and 5 said excessive thinking, stress, hereditary and spiritual attack respectively while 32 had no clue. At stroke onset, 5(3.5%) went to patent medicine stores for treatment while 27 and 111 went to traditional/religious healers and orthodox hospitals respectively. There was significant association between their knowledge and belief and choice of healthcare. There was significant association between religion belief, cultural belief, education and income and choice of healthcare. Conclusion: Nigeria stroke survivors had poor knowledge of stroke; some believed stroke is a spiritual attack and went to alternative healthcare for treatment. Private hospitals are mostly patronized for stroke treatment among Nigerian. There is significant association between knowledge and belief and choice of healthcare among Nigeria stroke survivors. There is significant association between religion and culture beliefs, education and income and choice of healthcare among them.
Background: There are many misconceptions or wrong belief about stroke. These wrong beliefs are held by non-health care professionals due to their little understanding and awareness about stroke. The aim of this study is to assess the level of right beliefs about stroke and its associated factors among private primary school teachers from Faith Standard Primary School, Ile Ife, Nigeria. Methods: A descriptive cross-sectional study design using 27-item, self-administered questionnaires to collect information on level of right beliefs about stroke among the respondents. Data were analyzed and presented using descriptive statistics. Results: A total of 29 private primary school teachers from Faith Standard School, Ile Ife, Osun State, Nigeria with 13.8% males and 86.2% females took part in this study. The overall stroke belief score obtained was 68.28 ± 18.09. Among all the sociodemographic variables considered in this study, statistical significant relationship was found only between marital status and the mean stroke belief scores (F (2, 26) = 7.655; P= 0.02). Also, 25.58%, 65.52% and 6.90% of the respondents have high, moderate and low level of right beliefs about stroke respectively. Conclusions: There is moderate level of right beliefs about stroke among the private primary school teachers from Faith standard primary school, Ile Ife. Therefore, there is still need for public health education on right beliefs about stroke to correct some misconceptions (wrong notions) held about stroke beliefs among them.
Knowledge and perception of stroke amongst hospital workers in an African community
European Journal of Neurology, 2009
Background and purpose: Stroke is a growing public health problem worldwide. Hospital workers are sources of knowledge on health issues including stroke. The present study aimed at assessing the knowledge and perception of a sample of Nigerian hospital workers about stroke.Methods: Hospital-based, cross-sectional survey. Respondents selected by systematic random sampling were interviewed using a 29-item pre-tested, structured, semi-closed questionnaire.Results: There were 370 respondents (63% female, mean age: 34.4 ± 7.5 years; 61% non-clinical workers). Twenty-nine per cent of respondents did not recognize the brain as the organ affected. Hypertension (88.6%) was the commonest risk factor identified; 13.8% identified evil spirit/witchcraft as a cause of stroke, whilst one-sided body weakness (61.9%) was most commonly identified as warning symptom. Hospital treatment was most preferred by 61.1% of respondents whilst spiritual healing was most preferred by 13.0%. In the bivariate analysis, higher level of education and being a clinical worker correlated with better stroke knowledge (P < 0.001).Conclusion: This study demonstrates gaps in the knowledge of these hospital workers about stroke, and treatment choice influenced by cultural and religious beliefs. Health education is still important, even, amongst health workers and stroke awareness campaigns may need to involve faith-based organizations.
Research Square (Research Square), 2022
Background: Increasing the level of knowledge of stroke risk factors and warning signs among individuals at high risk for stroke may empower them for positive health actions. Aim: This study assessed the knowledge of stroke risk factors and warning signs among individuals at increased risk and the association between these knowledge levels and some of the participants' demographics. Method: This study was a cross-sectional survey of one hundred and forty-six individuals (mean age= 53.16±17.66 years) at high risk for stroke from some selected communities in Nnewi North and South Local Government Areas, Anambra State. A self-developed questionnaire was used to measure the participants' knowledge level. Data Analysis: Data obtained were analyzed using descriptive statistics of frequency counts, percentages, mean and standard deviation while inferential statistics of Chi-square and Spearman rankorder correlation were used for testing the hypotheses at 0.05 alpha-level. Result: Participants' were mostly males 98 (65.07%), married, and gainfully employed (67.1%) and had at least a secondary level education (76.7%). About half of the participants had poor knowledge of stroke risk factors (52.05%) and warning signs (49.32%) despite their high literacy level. Being a male participant with a tertiary level of education and working in the public or private sector was associated with a better knowledge level (p≤0.05). No signi cant association existed between the age and marital status of the individuals. Knowledge of stroke risk factors and warning signs was poor for many in the sampled population particularly those with little or no education and those who are either unemployed or self-employed. Efforts should be made to increase the level of awareness among these groups of highrisk individuals through stroke awareness campaigns, which may empower them for positive health actions toward stroke prevention. Background Of The Study Stroke is one of the leading causes of death and permanent disability globally, representing a huge public health concern, because of its high morbidity and long-term disability [1]. The World Health Organization estimated that by the year 2030, 80% of all strokes will occur in low and middle-income countries like Nigeria [2]. Awareness of stroke risk factors and warning signs is important for stroke prevention and seeking care [3]. Stroke has many risk factors which are attributes that increase one's vulnerability to a disease condition. These risk factors can be modi able and non-modi able. The risk factors for stroke include age, heredity, race, sex, prior stroke, heart attack, transient ischaemic attack, sickle cell disease, alcohol, high blood pressure, diabetes mellitus, and many others American Heart Association [4]. Variables like gender, age, and educational level in uence the knowledge of risk factors, warning signs, and the occurrence of stroke. Detection and more effective treatment of risk factors as well as improved acute medical care and improvement in diagnostic procedures may play an important role in primary
2021
Introduction: Evaluation of public's knowledge or awareness of stroke risk factors and warning signs is key to preventive approach on reducing the incidence of stroke, however, there is still limited information needed for policy and actions among rural dwellers. This study assessed awareness and knowledge of stroke risk factors and warning signs among Nigerian rural community dwellers. Materials and Methods: This cross-sectional survey involved 322 community dwelling adults purposively selected from Ipetumodu, Osun State, Southwestern Nigeria. Systematic sampling technique was used to select every second house. A validated four-section questionnaire was used to collect data on stroke risk factors and warning signs awareness. Also, the socio-demographic information on the respondents was obtained. Descriptive statistics of frequency and percentage; and inferential statistics of Kruskal-Wallis test and logistic regression were used to analyze data. Alpha level was set at p<0.05. Result: A total of 322 respondents (176 males and 146 females) consented for this survey. Majorities were in the 18-40 years age group (69.5%) and had tertiary/postgraduate education (57.7%). Rate of correct identification of 'at least two risk factors and warning signs of stroke' (i.e. awareness) were 79.5% and 61.2%. The rates of identification of 'more than 50% of' stroke risk factors and warning signs (i.e. knowledge) were 80.4% and 13.7%. Family histories of stroke and lack of exercises were significant predictors of awareness of risk factors (OR= 0.436 and 0.376 respectively at p<0.05), and warning signs (OR=0.638 and 0.579 respectively at p<0.01). Male gender, family history of stroke, lack of exercise (OR=0.391, 0.436 and 0.376 respectively at p<0.01) and past smoker (OR= 3.616, p<0.05) were significant predictors of knowledge of stroke risk factors and warning signs respectively. Conclusion: There is high level of awareness of stroke risk factors and low level of knowledge of warning signs among Nigerian rural community dwellers.
Stroke-related knowledge and attitudes among university students in Northeast Nigeria
Annals of African Medical Research
Stroke education programs at schools and colleges help to promote public knowledge of stroke, but the impact in Nigeria is not well known. This study assessed stroke-related knowledge and attitudes among university students in Nigeria, where health studies are parts of college curricula. This was a cross-sectional study of students at three universities in Northeast Nigeria. Using questionnaire survey, we assessed biographical data and participant knowledge of the primary site, warning signs and risk factors of stroke. Responses were graded on a knowledge score, where ≥2.5 points indicated adequate knowledge. Data were analyzed with the SPSS version 21 program. We studied 824 participants, 67.1% males. Males were older than females (mean age ± SD: 27.42±5.58 years versus 26.27±5.31 years; P = 0.009; 95% CI: 0.29 – 1.99) and 14.5% participants had stroke lectures during general studies. Major sources of stroke knowledge were personal discussions (44.6%) and internet websites (24.5%)....
Knowledge of Stroke Risk Factors and Signs in Parakou, a Northern City of Benin in West Africa
Cerebrovascular Diseases
Introduction: We aimed to determine knowledge of stroke risk factors and signs in an urban population of northern Benin. Methods: A door-to-door purposeful sampling survey was conducted in resident population (age ≥15 years) of the district of Titirou in the city of Parakou (N = 255,478) in Benin between March 15 and July 15, 2016. In-person interviews were conducted with data collection on structured questionnaires with close and open questions, according to standard definitions. Multivariable logistic regression was used to assess predictors of good knowledge, defined by provision of a correct response in pre-defined set of questions on stroke risk factors and warning signs. Results: Of 4,671 participants (mean age 27.7 ± 12.9 years; females 50.6%), only 404 (8.6%) knew at least 1 stroke risk factor. Knowledge level of stroke risk factors (odds ratio, 95% confidence interval) was related to age (1.37, 1.27–1.48), level of education (2.54, 1.73–3.72), and family history of stroke (...
Journal of Neurosciences in Rural Practice, 2023
Objectives: This research intended to examine the demographic and clinical attributes of stroke admissions in a rural Nigerian hospital. Materials and Methods: A retrospective analysis of stroke admissions was conducted over 1 year. All necessary data were obtained from patients' records and SPSS was employed for data analysis. P < 0.05 was deemed significant. Results: There were 52 stroke cases, accounting for 5.9% of medical admissions. The patients' mean age was 62.81 ± 12.71 years, while females constituted 51.9% of cases. Common risk factors included hypertension (76.9%), hyperlipidemia (38.5%), alcohol (26.9%), and diabetes mellitus (26.9%). Clinical manifestations included hemiparesis/plegia (84.6%), altered consciousness (63.5%), slurred speech (61.5%), cranial nerve deficit (61.5%), aphasia (42.3%), and headache (34.6%). Ischemic stroke (71.2%) predominated over hemorrhagic stroke (28.8%). The average hospitalization duration was 17.62 ± 8.91 days, and the mean onset to arrival time was 121.31 ± 136.06 h. Discharge and mortality rates were 82.7% and 13.5%, respectively. The association between stroke subtypes and mortality was significant (P = 0.001). Conclusion: Stroke constitutes a significant portion of medical admissions in Nigeria, with ischemic stroke being more prevalent. High mortality rates underscore the urgent need to manage risk factors to prevent stroke.
Epidemiology of stroke in a rural community in Southeastern Nigeria
Vascular Health and Risk Management, 2014
The prevalence and incidence of stroke vary from community to community worldwide. Nonetheless, not much is known about the current epidemiology of stroke in rural Nigeria and indeed Africa. Methods: We carried out a two-phase door-to-door survey in a rural, predominantly low-income, community in Anambra, Southeastern Nigeria. We used a modified World Health Organization (WHO) protocol for detecting neurological diseases in the first phase, and a stroke-specific questionnaire and neurological examination in the second phase. An equal number of sex-and age-matched stroke-negative subjects were examined. Results: We identified ten stroke subjects in the study. The crude prevalence of stroke in rural Nigeria was 1.63 (95% confidence interval [CI] 0.78-3.00) per 1,000 population. The crude prevalence of stroke in males was 1.99 (95% CI 0.73-4.33) per 1,000, while that for females was 1.28 (95% CI 0.35-3.28) per 1,000 population. The peak age-specific prevalence of stroke was 12.08 (95% CI 3.92-28.19) per 1,000, while after adjustment to WHO world population, the peak was 1.0 (95% CI 0.33-2.33) per 1,000. Conclusion: The prevalence of stroke was found to be higher than previously documented in rural Nigeria, with a slightly higher prevalence in males than females. This is, however, comparable to data from rural Africa.