Community-Level Knowledge and Perceptions of Stroke in Rural Malawi

Mvula, Hazzie; Chisambo, Christina; Nyirenda, V; Geis, Steffen; Glynn, Judith R.; Crampin, Amelia C.; Nyirenda, Moffat; Smeeth, Liam; Walker, Richard; Price, Alison

doi:10.1161/strokeaha.119.025105

Cited by 13 publications

(7 citation statements)

References 15 publications

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“…This is consistent with the results of a range of studies in which low education level has been the factor most associated with a low level of knowledge in the population surveyed about stroke [19,[31][32][33]. Similarly, other investigations have confirmed an association between a higher level of education and a good state of knowledge [12,[34][35][36].…”

Section: Discussionsupporting

confidence: 90%

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: Discussionsupporting

confidence: 90%

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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“…Unlike the poor perception of stroke reported in previous studies among patients in Nigeria 16 and even in community-based studies in Malawi 30 and Tanzania 31 majority of the respondents in this study had a good aggregate knowledge (84%) of Stroke and they (87.5%) knew stroke as a disease of the blood vessels in the brain which is consistent (87.4%) with the findings of the study done in Sokoto Nigeria 16 . The majority of the healthcare workers (93.5%) in this study knew that stroke is a preventable disease.…”

Section: Discussionsupporting

confidence: 84%

Knowledge of Stroke, Its Symptoms or Signs, Risk Factor and Practice of Prevention among Healthcare Workers in a Tertiary Hospital in Nigeria

Okechukwu,

Esther,

Queen

et al. 2024

EJHS

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Purpose: Stroke is a leading cause of disability globally. Deaths from stroke and stroke-related disability occur more in low-income and middle-income countries. However, most studies narrated a lack of public knowledge and practice related to stroke. This study aims to investigate stroke-related knowledge, associated factors, and prevention practices among Healthcare workers. Materials and Methods: This was a cross-sectional study among 200 Healthcare workers from the Federal Medical Centre, Asaba Nigeria. They were selected by systematic sampling technique to participate in the study. A semi-structured questionnaire was used to collect data on the research variables. Data were analyzed using the IBM SPSS version 25 statistical package Findings: The mean age of respondents was 36.20 ± 10.60 years and they were predominantly females (56.5%). The respondents had good aggregate knowledge of stroke (84%), its warning signs or symptoms (72%), and risk factors (78%). However, the aggregate practice of stroke prevention among healthcare workers was poor (61%). There was a significant association (p < 0.0001) between good knowledge of stroke and Clinical Healthcare when compared with Non-Clinical Health Care workers [Chi-squares =27.1, 95%CI= (0.029-0.256)] but this did not affect their practice [Chi-square =3.570, p-value = 0.02, 95%CI= (0.321-1.023)] Implications to Theory, Practice and Policy: There is a need for healthcare workers to encourage health educational programs on Knowledge and behavior-changing strategies toward stroke prevention practices.

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“…Social media includes newspapers, television, and online social media platforms. Some communities in Malawi believe that witchcraft was the reason for stroke and were unaware of the actual risk factors [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, protection from CVDs was perceived in the presence of medication adherence. Perceived seriousness and susceptibility to CVDs were reported as low to average across various studies [ 8 , 18 , 19 ]. Another study reported that perceived susceptibility to heart disease was related to destiny [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Risk Perception and Knowledge Regarding Cardiovascular Diseases in Patients With Hypertension and Diabetes in Central India: A Mixed-Methods Study

Singhal,

Prasad,

Asati

et al. 2023

Cureus

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Background Cardiovascular diseases (CVDs) are a major cause of morbidity and mortality worldwide. The perceptions of patients can be important in health-related behaviors and disease prognosis. Thus, this study aimed to determine the risk perception and knowledge of hypertensive and diabetic patients. Methodology The study was conducted among 264 patients with diabetes and/or hypertension. A sequential exploratory mixed-methods design was used, which initially identified themes related to risk perception about CVDs among patients. Knowledge and risk perception about CVDs were quantified using a survey derived from predefined themes. CVD knowledge scores were categorized into low, intermediate, and high scores, and the trends of risk perception were studied across this spectrum of cardiovascular knowledge. Results The age of the participants ranged from 30 to 78 years. Overall, 57.19% of the participants were males, whereas 42.80% were females. The qualitative results revealed that the sources of knowledge about CVDs, physical activity, and maintaining a nutritious diet included family, friends, and media. On the other hand, doctors played a significant role in influencing perceptions related to medications. The observation of complications related to CVDs and the fear of mortality played a pivotal role in shaping the perception regarding the seriousness of the condition. Perceived susceptibility was low if there was unawareness of protection through medications and lifestyle changes, but it was high with stress or heredity. The analysis of CVD knowledge and risk perception survey data revealed the median CVD knowledge score to be 12 (interquartile range = 7.5-13), which showed a significant association with education and socioeconomic status (p < 0.05). The distribution of risk perception scores across the spectrum of CVD knowledge scores depicted that participants with higher scores agreed more with CVDs being serious and their susceptibility to them. Conclusions Despite having high knowledge scores regarding CVDs, the study population had average risk perception. Patient risk perceptions should be evaluated as it affects the health-seeking behavior and prognosis of the disease.

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Community-Level Knowledge and Perceptions of Stroke in Rural Malawi

Cited by 13 publications

References 15 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

Knowledge of Stroke, Its Symptoms or Signs, Risk Factor and Practice of Prevention among Healthcare Workers in a Tertiary Hospital in Nigeria

Assessing the Risk Perception and Knowledge Regarding Cardiovascular Diseases in Patients With Hypertension and Diabetes in Central India: A Mixed-Methods Study

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