Analysis of Gender Differences in Knowledge of Stroke Warning Signs

Madsen, Tracy E.; Baird, Katie A.; Silver, Brian; Gjelsvik, Annie

doi:10.1016/j.jstrokecerebrovasdis.2015.03.017

Cited by 33 publications

(18 citation statements)

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“…Lastly, we found that men were more likely to be unaware of their AKI diagnosis compared to women. Sex differences in knowledge have been previously demonstrated in other chronic and acute conditions such as hypertension and stroke, which we also observed in our analysis [43,44]. One potential explanation is that men, in general, have been observed to have lower health literacy than women [45], with a possible contributor including less frequent interactions with the health-care system [46].…”

Section: Discussionsupporting

confidence: 76%

Kidney Disease Awareness and Knowledge among Survivors ofAcute Kidney Injury

et al. 2019

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Background: Acute kidney injury (AKI) survivors are at risk for chronic kidney disease, recurrent AKI, and cardiovascular disease. The transition from hospital to ambulatory care is an opportunity to reduce these sequelae by launching self-care plans through effective patient education. How well AKI survivors are informationally prepared to apply kidney-specific self-care is unknown. The purpose of this study was to identify awareness and disease-specific knowledge among AKI survivors. Methods: We performed a cross-sectional survey of AKI-related awareness and knowledge in 137 patients with Kidney Disease Improving Global Outcomes Stage II or III AKI near the time of hospital discharge. Patients were asked (1) “Did you experience AKI while in the hospital?” and (2) “Do you have a problem with your kidney health?” Objective knowledge of AKI was evaluated with a 15-item adapted version of the validated Kidney Knowledge Survey that included topics such as common causes, risk factors, and how AKI is diagnosed. Results: Median age was 54 (interquartile range 43–63) and 81% were white. Eighty percent of patients were unaware that they had experienced AKI and 53% were both unaware they had experienced AKI or had a “problem with their kidneys.” Multivariable logistic regression identified being male and lack of nephrology consult as predictors of unawareness with ORs of 3.92 (95% CI 1.48–10.33) and 5.10 (95% CI 1.98–13.13), respectively. Less than 50% recognized nonsteroidal anti-inflammatory drugs, contrast, or phosphate-based cathartics as risk factors for AKI. Two-thirds of patients did not agree that they knew a lot about AKI and more than 80% desired more information. Conclusions: Most patients with moderate to severe AKI are unaware of their condition, lack understanding of risk factors for recurrent AKI, and desire more information. Patient-centered communication to optimize awareness, understanding, and care will require coordinated educational strategies throughout the continuum of AKI care.

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Section: Discussionsupporting

confidence: 76%

Kidney Disease Awareness and Knowledge among Survivors ofAcute Kidney Injury

et al. 2019

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“…[ 8 ] Overall, the general impression from this study would be that the level of knowledge regarding risk factors is moderate in relation to age, gender, diabetes, smoking, alcoholism, and family history that has been similarly observed in earlier studies in a few developed and developing nations. [ 25 26 27 ] This ignorance is not bliss and needs to be addressed urgently through public awareness campaigns if stroke prevention strategies are to be implemented.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice in relation to stroke: A community-based study from Kolkata, West Bengal, India

Das¹,

Hazra²,

Ray³

et al. 2016

Ann Indian Acad Neurol

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Background:The rising incidence of stroke in India indicates the importance of evaluating the existing knowledge, attitude, and practice (KAP) in the community, which is essential for stroke control.Objective:To explore and compare stroke-related KAP among participants from stroke-affected families (SAFs) and nonstroke-affected families (NSFs).Design:Using stratified random sampling, a three-phase house-to-house survey was conducted in Kolkata, West Bengal, India. First, field investigators screened subjects of stroke; second, the neurologist confirmed positive cases; and third, under supervision of the neuropsychologist, a validated questionnaire on KAP was administered to participants from SAFs and age-matched NSAFs from the same neighborhood.Results:The KAP questionnaire was administered to 282 participants each from both groups. Knowledge about stroke prevailed in 97% participants and was significantly higher in the SAF group. Both SAF and NSAF groups had better knowledge about prominent symptoms of stroke (loss of consciousness and paralysis) and admitted it as emergency situation requiring hospitalization and that it was potentially preventable. Those persons belonging to the SAF group, however, had lesser knowledge of the risk factors such as diabetes (P < 0.001), smoking (P < 0.014), alcoholism (P < .0.0001), family history (P < .0.0001) and mild stroke symptoms such as headache, (P < 0.001), vomiting (P < 0.001), and fits (P 0.003) as compared to the NSAF group.Conclusions:Persons from both SAF and non-SAF groups are aware about stroke but possess lesser knowledge about the many symptoms of stroke and risk factors, indicating the necessity of enhancement of existence knowledge on symptoms for better diagnosis and of risk factors for better prevention.

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“…Numerous studies carried out in the past few years have evaluated knowledge of stroke in the general population, but far fewer of them have analysed sex differences, especially in Europe [ 5 – 11 ]. According to available data, the population’s general knowledge of stroke, its risk factors and warning signs, and response in the event of stroke or stroke symptoms show room for improvement [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of stroke a study from a sex perspective

et al. 2015

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BackgroundPublic health is increasingly concerned with recognising factors that lead to sex differences in stroke. We conducted a study to determine the effect of sex on knowledge of stroke risk factors and warning signs, and how both are perceived, in a representative sample of adults.MethodsA representative sample of the population of Extremadura, Spain was selected using a double randomisation technique. Previously trained medical students carried out face-to-face interviews using a structured questionnaire.Results2409 subjects were interviewed [59.9 % women; mean age (SD) 49.0 (18.7) years]. Seventy-three percent of all subjects reported at least one correct warning sign of stroke (OR: 1.01; 95 % CI: 0.84–1.21). The most frequently mentioned warning signs were sudden weakness, dizziness, and headache. There were no sex differences regarding the types of warning symptoms that respondents listed. Women displayed better knowledge of risk factors than men (OR: 1.23; 95 % CI: 1.05–1.46). Women were more likely to name hypertension as a risk factor for stroke whereas men more frequently listed smoking, alcohol consumption and a sedentary lifestyle as risk factors. In response to stroke, women were significantly less likely than men to choose to call an ambulance or to go immediately to hospital (OR: 0.69; 95 % CI: 0.60–0.85).ConclusionsStroke knowledge is suboptimal in both men and women. We detected better knowledge of stroke risk factors in women, as well as differences in the type of risk factors listed by men and women. There were significant sex differences regarding response to stroke or to its warning signs.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1582-1) contains supplementary material, which is available to authorized users.

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Analysis of Gender Differences in Knowledge of Stroke Warning Signs

Cited by 33 publications

References 42 publications

Kidney Disease Awareness and Knowledge among Survivors ofAcute Kidney Injury

Kidney Disease Awareness and Knowledge among Survivors ofAcute Kidney Injury

Knowledge, attitude, and practice in relation to stroke: A community-based study from Kolkata, West Bengal, India

Knowledge of stroke a study from a sex perspective

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