Gender differences in feelings and knowledge about stroke

Itzhaki, Michal; Melnikov, Semyon; Koton, Silvia

doi:10.1111/jocn.13366

Cited by 12 publications

(8 citation statements)

References 29 publications

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“…The study indicated that there are multiple factors influencing the different outcomes of interest among the surveyed population, and several aspects of the findings of the multivariate analysis merit comment. For example, in accordance with previous studies conducted elsewhere [41,42,43,44], it has been demonstrated that gender was an independent variable associated with the level of knowledge. Females had a significantly higher level of knowledge on eating disorders, and they are also more likely to have a fear of getting fat.…”

Section: Discussionsupporting

confidence: 89%

Assessment of Knowledge, Attitudes, and Behaviors toward Eating Disorders among Adolescents in Italy

Napolitano

Bencivenga

Pompili

et al. 2019

IJERPH

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The objectives of this survey were to assess the knowledge, attitudes, and behaviors toward eating disorders among adolescents in Italy. The survey was undertaken between May and June 2017 among a random sample of 420 adolescents aged 14–20 years. Data were collected through a self-administered questionnaire. Only 22.8% correctly knew both the definition of anorexia and bulimia nervosa. Female, overweight or obese individuals, and who had at least one parent with a college degree or higher level of education were more likely to have this knowledge. More than one third (38.8%) had a fear of getting fat. Female, overweight or obese individuals, who did not know the definition of anorexia and bulimia nervosa, who avoided eating when they were hungry, and who always and usually were engaged in dieting behavior were more likely to have a fear of getting fat. Only 10.1% and 11.9% always and usually were engaged in dieting behavior, and 40.8% never did so. Respondents who usually/always had a strong desire to be thinner and who had a fear of getting fat were more likely to be engaged in dieting behavior. There is an urgent need to inform Italian adolescents about eating disorders, and healthcare workers may play a crucial role in distributing eating disorder-related knowledge.

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Section: Discussionsupporting

confidence: 89%

Assessment of Knowledge, Attitudes, and Behaviors toward Eating Disorders among Adolescents in Italy

Napolitano

Bencivenga

Pompili

et al. 2019

IJERPH

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show abstract

“…Participants with a recurrent stroke blamed themselves for changing their medications by themselves, and for not adhering to the healthy lifestyles recommended by professionals. Consistent with the existing literature (Itzhaki et al, 2016), we found that the main feelings expressed by survivors of recurrent stroke were self‐concern about survival, blaming fate and self‐accusation.…”

Section: Discussionsupporting

confidence: 91%

Qualitative study of Stroke Survivors’ Perceptions of Secondary Prevention

Lin

Zhang

Thrift

et al. 2021

Journal of Advanced Nursing

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Aims To understand how survivors of stroke perceive secondary prevention and explore their perceived barriers and facilitators using the Theoretical Domains Framework. Design A qualitative descriptive study. Methods Nineteen survivors of stroke from three hospitals were recruited and interviewed from April 2019 to April 2020. The data were analysed deductively and inductively by content analysis strategies. Results Three main themes of perception of secondary prevention were identified, these being active treatment‐seeking, attention to taking medications and negative attitude towards lifestyle changes. Using deductive analysis, eight domains of the Theoretical Domains Framework were reported to be relevant in the secondary prevention behaviour of survivors of stroke that mapped to five ‘barrier’ domains (i.e. knowledge, physical skills, beliefs about capability, beliefs about consequences and optimism) as well as six ‘facilitator’ domains (i.e. knowledge, interpersonal skills, beliefs about capability, intention, emotion and social influences). Using inductive analysis we identified two additional important factors not falling in the domains of the Theoretical Domains Framework. These comprised female spouses’ support and patients’ economic autonomy, both of which could be classified as a facilitator or barrier. Conclusion Survivors of stroke perceive seeking treatment and using preventive medication as more important than modifying lifestyle behaviours. Knowledge and insight into the barriers and facilitators of secondary prevention in this specific context provides a theoretical and practical basis for the design of future secondary prevention interventions. Impact Stroke survivors’ perceptions of secondary prevention, barriers and facilitators were explored in the context of a developing country. These findings highlight the need to better communicate the importance of improving lifestyle modification and medication adherence, and provide evidence for designing relevant interventions for stroke management in the community.

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“…Hemorrhagic stroke patients tend to be younger than infarct stroke patients [ 26 , 27 ]. Additionally, hypertension is more prevalent in hemorrhagic stroke than in infarct stroke [ 28 ]. However, a recent study reported that female/male ratios for ischemic stroke risk vary with age [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Walking ability and functional status after post-acute care for stroke rehabilitation in different age groups: a prospective study based on propensity score matching

Wang

Miyoshi²,

Chen

et al. 2020

Aging

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Few studies have compared how rehabilitative post-acute care affects recovery of walking ability and other functions after stroke in different age groups. After propensity score matching (1:1), 316 stroke patients were separated into an aged group (age ≥65 years, n=158) and a non-aged group (age <65 years, n=158). Both groups significantly improved in Barthel index, EuroQol-5 dimension, Berg balance scale, 6-minute walking distance and 5-meter walking speed ( P <0.001). The non-aged group had significantly larger improvements in Berg balance scale, instrumental activities of daily living, EuroQol-5 dimension and 6-minute walking distance ( P <0.001) compared to the aged group. The two groups did not significantly differ in Barthel index, 5-meter walking speed, length of stay, and cost. The aged group had poorer walking ability and poorer instrumental activities of daily living compared to the non-aged group. After intensive rehabilitative post-acute care, however, the aged group improved in walking ability, functional performance and mental health. Intensive strength training for unaffected lower limbs in the stroke patients achieved good recovery of walking ability and other functions. Overall, intensive rehabilitative post-acute care improved self-care ability and decreased informal care costs. Rehabilitative PAC under per-diem reimbursement is efficient and economical for stroke patients in an aging society.

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Gender differences in feelings and knowledge about stroke

Abstract: Health education on stroke prevention should be tailored to population groups differing in level of education. Health promotion recommendations should be provided by nurses with regard to beliefs of both men and women regarding prevention of stroke.

Cited by 12 publications

References 29 publications

Assessment of Knowledge, Attitudes, and Behaviors toward Eating Disorders among Adolescents in Italy

Assessment of Knowledge, Attitudes, and Behaviors toward Eating Disorders among Adolescents in Italy

Qualitative study of Stroke Survivors’ Perceptions of Secondary Prevention

Walking ability and functional status after post-acute care for stroke rehabilitation in different age groups: a prospective study based on propensity score matching

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