Popular knowledge of stroke in São Paulo: a cross-sectional study within the World Stroke Campaign.


Journal

Sao Paulo medical journal = Revista paulista de medicina
ISSN: 1806-9460
Titre abrégé: Sao Paulo Med J
Pays: Brazil
ID NLM: 100897261

Informations de publication

Date de publication:
Historique:
received: 19 05 2020
accepted: 18 11 2020
pubmed: 18 3 2021
medline: 28 5 2021
entrez: 17 3 2021
Statut: ppublish

Résumé

Stroke is the second leading cause of death in Brazil and the main cause of disability. Inability to identify alarm signals causes delays in seeking emergency services, thereby leading to a worse prognosis. To assess the population's knowledge of how to recognize and prevent stroke. Prospective cross-sectional study on data derived from a questionnaire that was administered during the 2016 World Stroke Campaign, launched in the city of São Paulo, Brazil. Data on 806 interviewees were evaluated using descriptive statistics and univariate and multivariate analyses. Among all the interviewees, 52.1% knew how to conceptualize stroke; 70.07% knew someone who had suffered a stroke; and 29.03% listed three or more risk factors. Only 27.5% mentioned controlling high blood pressure as a preventive measure. In the event of witnessing a stroke, 57.8% would call the emergency service and 2.9% would check the timing. Less educated individuals were 5.6 times more likely (95% confidence interval, CI 3.45-9.02) to have poor knowledge of stroke, compared with the more educated group. Knowing someone who had had a stroke reduced the chances of not knowing the terms relating to the disease (odds ratio, OR = 0.56; 95% CI 0.4-0.78). Despite the severity and prevalence of stroke, the population still has little information on this disease. In this context, the importance of mounting campaigns to improve prevention and treatment and to contribute to healthcare policies becomes evident.

Sections du résumé

BACKGROUND BACKGROUND
Stroke is the second leading cause of death in Brazil and the main cause of disability. Inability to identify alarm signals causes delays in seeking emergency services, thereby leading to a worse prognosis.
OBJECTIVES OBJECTIVE
To assess the population's knowledge of how to recognize and prevent stroke.
DESIGN AND SETTING METHODS
Prospective cross-sectional study on data derived from a questionnaire that was administered during the 2016 World Stroke Campaign, launched in the city of São Paulo, Brazil.
METHODS METHODS
Data on 806 interviewees were evaluated using descriptive statistics and univariate and multivariate analyses.
RESULTS RESULTS
Among all the interviewees, 52.1% knew how to conceptualize stroke; 70.07% knew someone who had suffered a stroke; and 29.03% listed three or more risk factors. Only 27.5% mentioned controlling high blood pressure as a preventive measure. In the event of witnessing a stroke, 57.8% would call the emergency service and 2.9% would check the timing. Less educated individuals were 5.6 times more likely (95% confidence interval, CI 3.45-9.02) to have poor knowledge of stroke, compared with the more educated group. Knowing someone who had had a stroke reduced the chances of not knowing the terms relating to the disease (odds ratio, OR = 0.56; 95% CI 0.4-0.78).
CONCLUSIONS CONCLUSIONS
Despite the severity and prevalence of stroke, the population still has little information on this disease. In this context, the importance of mounting campaigns to improve prevention and treatment and to contribute to healthcare policies becomes evident.

Identifiants

pubmed: 33729417
pii: S1516-31802021005007201
doi: 10.1590/1516-3180.2020.0116.R1.18112020
pmc: PMC9632521
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

117-122

Références

Arq Neuropsiquiatr. 2015 Sep;73(9):746-50
pubmed: 26352491
JAMA. 2016 Sep 27;316(12):1279-88
pubmed: 27673305
Int J Stroke. 2017 Jan;12(1):13-32
pubmed: 27794138
Stroke. 2006 Jan;37(1):263-6
pubmed: 16339467
Sao Paulo Med J. 2015 Nov-Dec;133(6):457-9
pubmed: 26760122
eNeurologicalSci. 2016 Dec 16;6:63-67
pubmed: 29260013
Stroke. 2008 Feb;39(2):292-6
pubmed: 18162624
Stroke. 2006 Apr;37(4):946-50
pubmed: 16514090
Circulation. 2018 Mar 20;137(12):e67-e492
pubmed: 29386200
Stroke. 2018 Mar;49(3):e46-e110
pubmed: 29367334
Cerebrovasc Dis Extra. 2018;8(2):60-69
pubmed: 29788007
Neuroepidemiology. 2015;45(3):230-6
pubmed: 26505985

Auteurs

Marina Trombin Marques (MT)

MD. Resident Physician, Discipline of Neurology, Department of Medicine, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

Mila Carvalho Guachala (MC)

MD. Resident Physician, Department of Surgery, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

Vinícius Andreoli Schoeps (VA)

MD. Physician, Discipline of Neurology, Department of Medicine, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

Marcel Simis (M)

MD, MSc, PhD. Professor, Neuromodulation Laboratory, Institute of Physical Medicine and Rehabilitation, Hospital das Clínicas (HC), Universidade de São Paulo (USP), São Paulo (SP), Brazil.

Manoel Carlos Sampaio de Almeida Ribeiro (MCSA)

MD, PhD. Professor, Discipline of Preventive Medicine, Department of Collective Health, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

Rubens José Gagliardi (RJ)

MD, PhD. Full Professor, Discipline of Neurology, Department of Medicine, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

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