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      Awareness of stroke, its signs, and risk factors: A cross‐sectional population‐based survey in Ghana

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          Abstract

          Background and Aims

          The prevalence of stroke in sub‐Saharan Africa is steadily rising, leading to a growing strain on the healthcare system in the region. In the context of Ghana, stroke ranks as the third most prevalent cause of mortality. The current body of scholarly research on stroke awareness in Ghana is quite limited. The aim of this study is to assess the level of awareness of stroke, as well as its signs and symptoms among the Ghanaian population.

          Methods

          The study employed a cross‐sectional quantitative methodology, wherein 1000 participants completed self‐administered structured questionnaires. Descriptive statistics were utilized to summarize the participants' socio‐demographic characteristics and their responses. To assess the relationship between participants' sociodemographic traits and their awareness of stroke signs, symptoms, risk factors, and perception, the Chi‐square test of independence was conducted using IBM SPSS version 26. A significance level of p < 0.05 was established.

          Results

          The study identified limited awareness regarding stroke symptoms, warning signs, and risk factors. The participants exhibited an overall knowledge range of 25.9% to 47.2% concerning stroke signs and symptoms, and a range of 24%–39% regarding its causes and risk factors. Notably, paralysis (70.8%) and diet (59.9%) were the most easily recognized warning signs and risk factors for stroke, respectively. Sociodemographic characteristics such as age, religion, educational status, exposure to stroke, employment status, and marital status were shown to be associated with participants knowledge of stroke ( p < 0.05).

          Conclusion

          The study's results indicated a widespread lack of knowledge concerning the causes and risk factors of stroke among the Ghanaian population, highlighting the necessity for increased public education efforts to raise awareness about this condition.

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          Most cited references29

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          Stroke knowledge and awareness: an integrative review of the evidence.

          the recognition of stroke symptoms by the public and activation of the emergency medical services (EMS) are the most important factors in instigating pre-hospital stroke care. Studies have suggested that poor recognition of the warning signs of stroke is the main cause of delay in accessing the EMS. an integrative review of published studies about stroke knowledge and awareness was performed by searching online bibliographic databases, using keywords, from 1966 to 2008. Studies were included in the review if they focussed on risk factors, signs and symptoms, action and information. Each study was reviewed by two researchers (SJ and MJ). we identified 169 studies of which 39 were included in the review. The ability to name one risk factor for stroke varied between studies, ranging from 18% to 94% when asked open-ended questions and from 42% to 97% when asked closed questions. The ability to name one symptom ranged from 25% to 72% when asked open-ended questions and from 95% to 100% when asked closed questions. When asked what action people would take if they thought they were having a stroke, between 53% and 98% replied that they would call the EMS. People generally obtained information about stroke from family and friends. Older members of the population, ethnic minority groups and those with lower levels of education had consistently poor levels of stroke knowledge. generally, levels of knowledge about recognising and preventing stroke were poor. Nevertheless, most participants stated they would contact the EMS at the onset of stroke symptoms.
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            Knowledge of risk factors, and warning signs of stroke: a systematic review from a gender perspective.

            Stroke is one of the leading causes of death globally. Awareness of stroke risk factors and warning signs are important for stroke prevention and seeking care. The purpose of this systematic review was to review existing literature that assessed the knowledge of stroke risk factors and warning signs and allowed separate gender analysis. We conducted a systematic review of all published studies (to August 2008) examining knowledge of stroke risk factors and warning signs that included women and provided results separated by gender. Two reviewers selected studies for inclusion, assessed quality, and extracted data. The database search identified 2158 references for screening and 158 were selected for possible inclusion. Twenty-two studies were reviewed including 20 cross-sectional and two pretest-posttest design surveys. Overall, better stroke knowledge was observed in women compared with men in the majority of the studies although there is a general lack of knowledge in both genders. Four out of 18 studies reported better risk factor knowledge and eight out of 15 studies reported better knowledge in stroke warning signs in women compared with men. Women tended to know more evidence-based stroke risk factors than men. Stroke knowledge also appeared to be related to country of study origin, age, education, and medical history. Stroke knowledge among different populations and both in men and women is suboptimal. More research is necessary to further investigate gender differences in stroke knowledge with specific focus on how to use these differences to improve public health campaigns. © 2011 The Authors. International Journal of Stroke © 2011 World Stroke Organization.
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              Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India.

              This study assessed public awareness of warning symptoms, risk factors, and treatment of stroke in Ludhiana, Punjab, North West India. A hospital-based survey was conducted between February 2002 and September 2002 by the Stroke section of Christian Medical College. The study subjects were relatives of patients without history of stroke, attending the outpatient department of the hospital. Trained medical students, interns, and a nurse interviewed subjects using a structured, pretested, open-ended questionnaire. Nine hundred forty-two individuals were interviewed during the study period (56.4% men, mean age 40.1 years, age range 15 to 80 years). Forty-five percent of the subjects did not recognize the brain as the affected organ in stroke. In the multivariate analysis, higher education (P<0.001; odds ratio 2.6; 95%, CI 1.8 to 3.8) and upper socioeconomic status (P<0.005; odds ratio 1.6; CI, 1.1 to 2.2) correlated with a better knowledge of which organ was affected in stroke. Twenty-three percent of the participants did not know a single warning symptom of stroke. Twenty-one percent of the subjects could not identify even a single risk factor for stroke. Seven percent of the study population believed that oil massage would improve stroke victims. A small proportion of subjects believed in witchcraft, faith healing, homeopathic, and ayurvedic treatment (3%). This hospital-based survey reveals a better awareness of stroke warning signs and risk factors. However, knowledge regarding the organ involved, etiology, and treatment of stroke is lacking. Considerable education is needed to increase public awareness in modern concepts of stroke treatment.
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                Author and article information

                Contributors
                joeattakorah@gmail.com
                Journal
                Health Sci Rep
                Health Sci Rep
                10.1002/(ISSN)2398-8835
                HSR2
                Health Science Reports
                John Wiley and Sons Inc. (Hoboken )
                2398-8835
                17 June 2024
                June 2024
                : 7
                : 6 ( doiID: 10.1002/hsr2.v7.6 )
                : e2179
                Affiliations
                [ 1 ] Directorate of Internal Medicine Komfo Anokye Teaching Hospital Kumasi Ghana
                [ 2 ] Department of Pharmacy Practice Kwame Nkrumah University of Science & Technology Kumasi Ghana
                [ 3 ] Discipline of Pharmaceutical Sciences, College of Health Science, Westville Campus University of KwaZulu‐Natal Durban South Africa
                [ 4 ] School of Pharmacy University of Health and Allied Sciences Ho Ghana
                Author notes
                [*] [* ] Correspondence Joseph Attakorah, Directorate of Internal Medicine, Komfo Anokye Teaching Hospital, Box 1934, Kumasi, Ghana.

                Email: joeattakorah@ 123456gmail.com

                Author information
                http://orcid.org/0000-0001-6166-532X
                http://orcid.org/0000-0002-7971-4270
                Article
                HSR22179
                10.1002/hsr2.2179
                11183903
                38895547
                2b1f9cc3-26dd-4263-9925-d5658e783702
                © 2024 The Author(s). Health Science Reports published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 April 2024
                : 23 June 2023
                : 20 May 2024
                Page count
                Figures: 0, Tables: 7, Pages: 12, Words: 6830
                Categories
                Original Research
                Original Research
                Custom metadata
                2.0
                June 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.4 mode:remove_FC converted:18.06.2024

                awareness,ghana,risk factors,stroke,warning signs
                awareness, ghana, risk factors, stroke, warning signs

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