Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study

Alhowaymel, Fahad; Abdelmalik, Mohammed A; Mohammed, Almoez M; Mohamaed, Mohamaed O; Alenezi, Atallah

doi:10.1177/23779608221150717

Cited by 14 publications

(9 citation statements)

References 48 publications

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“…Regarding attitudes, the ndings of this study revealed that 40.8% of the participants had a positive attitude toward stroke prevention [95% CI (35.7%, 45.8%], which is lower than that reported in previous studies in Saudi Arabia (64.3%) (30) and South India (73.8%) (15). The practical reason for this discrepancy may be the small sample size.…”

Section: Discussioncontrasting

confidence: 74%

Knowledge, Attitudes, and Practices Towards Stroke Prevention and Associated Factors Among Hypertensive Patients Attending North Shewa Public Hospitals, 2023

Hussein,

Girma,

Oyato

et al. 2024

Preprint

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Background Stroke is a global public health concern, with hypertension being a known risk factor. This study aimed to assess the knowledge, attitudes, and practices related to stroke prevention among hypertensive patients in central Ethiopia. Method An institution-based cross-sectional study was conducted among 417 hypertensive patients at North Shewa Public Hospitals from June to July 2023. A systematic random sampling technique was used to select study participants. The data were collected via a structured questionnaire through face-to-face exit interviews. The data were downloaded to Excel from the Kobo toolbox and subsequently exported to SPSS version 26 for analysis. Variables with a P value < 0.25 in the bivariate analysis were included in the multivariate logistic regression model. The degree of association was expressed using an adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a P value < 0.05. Results The prevalence of good knowledge, a positive attitude and good practices toward stroke prevention was 42.9%, within the 95% CI (38.4–48.0%), 40.8%, [95% CI (35.7%, 45.8%)] and 39.8%, within the 95% CI (42.9, 52.5], respectively. Factors associated with knowledge included educational level (secondary college education and above) (AOR = 5.1: 95% CI = 1.1–18.1; AOR = 6.2: 95% CI = 4.6–17.2); duration of illness (AOR = 9.5: 95% CI = 4.9–18.3]; duration of treatment (AOR = 7.4: 95% CI = 2422); and physical exercise [AOR = 3.9: 95% CI = 2.5–15.6]. Factors associated with a positive attitude included history of hearing or reading about stroke (AOR = 9.7: 95% CI = 4.4–21.4), duration of treatment (AOR = 2.0: 95% CI = 1.2–3.1) and history of hospitalization (AOR = 4.5: 95% CI = 4.5 1.4–13.8). Factors associated with good prevention practices included urban residency [AOR = 1.9 (95% CI: 1.2–3.1)], duration of illness (AOR = 1.6, 95% CI: 1.1–2.5), and diabetic mellitus comorbidity (AOR = 3.1, 95% CI: 1.7–5.9]. Conclusion The study revealed poor levels of knowledge, attitudes, and practices related to stroke prevention among hypertensive patients. Efforts should be made to improve patients' understanding and behaviors regarding stroke prevention.

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Section: Discussioncontrasting

confidence: 74%

Knowledge, Attitudes, and Practices Towards Stroke Prevention and Associated Factors Among Hypertensive Patients Attending North Shewa Public Hospitals, 2023

Hussein,

Girma,

Oyato

et al. 2024

Preprint

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“…The study's participants stated that they are fully aware that strokes can be prevented and cause death. However, according to a prior study, they are unsure of how to adequately prevent it [17]. In addition, individuals at high risk of stroke do not follow prevention advice even when medical professionals verbally advise them to do so [18].…”

Section: Discussionmentioning

confidence: 99%

Awareness of Acute Stroke Among the General Population in the Western Region of Saudi Arabia

Hawati,

Binobaid,

Melybari

et al. 2024

Cureus

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BackgroundA stroke is an abrupt neurological deficit that occurs due to a vascular origin. Stroke is one of the main causes of functional disability and irreversible brain damage globally. Following cancer and ischemic heart disease, stroke ranks as the third-highest contributor to adult mortality. According to studies conducted in Saudi Arabia, the estimated annual incidence of stroke was 29.8 per 100,000 individuals. Patients who are at risk for stroke and their families should be aware of the danger of stroke and be familiar with the symptoms. Stroke warning signs include abrupt weakness in the face or limbs, confusion, speech slurring, vision problems, difficulty in walking, and severe headache with no obvious explanation. The burden of stroke consequences can be greatly reduced by early detection of stroke symptoms and prompt treatment for acute attacks. A delay in seeking medical attention following a stroke attack has been linked to poor knowledge of stroke symptoms and risk factors. Furthermore, an important factor in reducing the incidence of stroke is public awareness of risk factors, symptoms, and prevention strategies. General awareness of stroke leads to a proper response to stroke, pursuit of medical treatment, and a better outcome. AimThe aim of this study is to assess the awareness of acute stroke among the general population in the Western Region of Saudi Arabia. MethodologyA cross-sectional study was conducted in 2023 in the western region of Saudi Arabia. An online, validated, self-administered questionnaire was distributed randomly. The estimated sample size was 385, and 539 were the collected responses. ResultsMore than half of the respondents were females (66.0%) (n=356), aged 20 to 29 years (50.3%) (n=271). In general, the majority of respondents had correctly identified that the elderly are at high risk for stroke (92.8%) (n=500) and that stroke can cause death (81.6%) (n=440). More than half of the population under study (59.9%) (n=323) correctly indicated that stroke is preventable. However, only (11.3%) (n=61) of them stated that the ideal timeframe to initiate thrombolysis in acute cases is 4.5 hours. Regarding the risk factors of stroke, the most frequently identified factors included hypertension (84.4%) (n=455) and heart disease (64.6%) (n=347). When the participants were asked about the warning signs and symptoms of stroke, the most commonly identified response was confusion (70.3%) (n=379). A good knowledge level was prevalent among 311 participants (57.7%, 95% CI, 53.4 to 61.9). Good knowledge levels were significantly higher among participants aged 20 to 29 years (63.5%) (n=172) and 60 years or more (65.2%) (n=15) compared to other categories. A significantly higher proportion of non-Saudis had higher knowledge levels ((75.9%) (n=22) versus (56.7%) (n=289), p = 0.042). Results of the multivariate analysis showed that participants aged 40 to 49 years (OR = 0.54, 95% CI, 0.33-0.89; p = 0.016) and 50 to 59 years (OR = 0.37, 95% CI, 0.21 to 0.63, p < 0.001) were less likely to have ...

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“…Primary prevention of stroke is better and cheaper than treatment of stroke and the global cost of strokes is an average of between €610-€220,822.45 based on the cost of the illness (Lucas-Noll, et al, 2023). Good awareness and knowledge of stroke, risk factors, and warning signs are vital for early practice of stroke prevention (Alhowaymel, et al, 2023). Therefore, in this study, we sought to investigate sociodemographic predictors of knowledge and practice of stroke preventive strategies among Healthcare workers in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

“…Likewise, in effect, the management of stroke depends mainly on the public's knowledge of its warning signs, which could aid in earlier detection and better response rates (Kalehoff, & Oparil, 2020;Sayyad, et al, 2021). Consequently, it is important to measure individual patients' knowledge, attitudes, and practices (Alhowaymel, et al, 2023) (KAP) towards stroke prevention among the general population and explore the factors that may contribute to the KAP levels. Generally, people residing in the communities have less access to healthcare services.…”

Section: Introductionmentioning

confidence: 99%

“…Generally, people residing in the communities have less access to healthcare services. They have lower socioeconomic, and sociodemographic status compared to their counterparts in other areas which may influence their KAP toward stroke prevention (Alhowaymel, et al, 2023). There is a dearth of patients' knowledge and participation in the care of stroke especially in sub-Saharan Africa (Arisegi, et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic Predictors of Knowledge and Practice of Stroke Preventive Strategies among Healthcare Workers in a Tertiary Hospital in Asaba, Delta State, Nigeria

Ezunu,

Onwuekwe,

Ezeala-Adikaibe

et al. 2024

ejtas

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Introduction: Stroke occurrence and morbidity are on the increase in Sub-Saharan Africa. Knowledge and practice of stroke prevention with prompt response to symptoms or warning signs are essential elements of a timely diagnosis and disease management. We evaluated Sociodemographic predictors of knowledge and practice of stroke prevention among healthcare workers in Nigeria. Methods: This was a cross-sectional study designed among 200 Healthcare workers in the Federal Medical Center, Asaba, Nigeria. They were selected by systematic sampling technique. A semi-structured questionnaire was used to collect data on the research variables. Data were analyzed using the IBM SPSS version 25 statistical package. Results: One hundred and thirteen were female clinical Health workers (54.5%), who were married (63%) and above 30 years (72%) of age. They had good aggregate knowledge (84%) of stroke prevention but with poor practice (61%). There was a significant association between good knowledge of stroke with gender, age above 30 years, having tertiary education, and profession. However, their poor practice of stroke prevention was significant with gender and profession. We found age (95%CI= 0.082-0.865, p=0.028) and profession (95%CI= 0.033-0.350, p=0.0001) as the predictors of good knowledge of stroke prevention, while gender (95%CI=1.771-7.030, p=0.0001) and profession (95%CI=0.167-0.693, p=0.003) as the predictors of poor practice of stroke prevention among Healthcare workers. Conclusions: These findings suggest the need for older, tertiary-educated clinical Health workers to engage actively in both patients' education and public and government enlightenment campaigns to halt the rising burden of stroke across the globe.

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Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study

Cited by 14 publications

References 48 publications

Knowledge, Attitudes, and Practices Towards Stroke Prevention and Associated Factors Among Hypertensive Patients Attending North Shewa Public Hospitals, 2023

Knowledge, Attitudes, and Practices Towards Stroke Prevention and Associated Factors Among Hypertensive Patients Attending North Shewa Public Hospitals, 2023

Awareness of Acute Stroke Among the General Population in the Western Region of Saudi Arabia

Sociodemographic Predictors of Knowledge and Practice of Stroke Preventive Strategies among Healthcare Workers in a Tertiary Hospital in Asaba, Delta State, Nigeria

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