Differences Between US and UK Adults in Stroke Preparedness: Evidence From Parallel Population-Based Community Surveys.
Differences Between US and UK Adults in Stroke Preparedness: Evidence From Parallel Population-Based Community Surveys.
复制标题
美国和英国成年人在中风准备方面的差异：来自平行人口社区调查的证据。
DOI：
10.1161/strokeaha.115.009997
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发表时间：
2015
期刊：
影响因子：
8.3
通讯作者：
Skolarus,LesliE
中科院分区：
文献类型：
--
作者：
Dombrowski,StephanU;Ford,GaryA;Morgenstern,LewisB;White,Martin;Sniehotta,FalkoF;Mackintosh,JoanE;Gellert,Paul;Skolarus,LesliE
背景和目的虽然可以获得时间依赖性治疗，但大多数人延迟联系中风的紧急医疗服务。鉴于在医疗保健系统和公共卫生运动的差异，探索国家之间的差异，中风的准备可能会发现新的方法，以增加急性中风treatment.MethodsA调查邮寄到人口为基础的样本在英厄姆县，密歇根州，美国（n=2500），和纽卡斯尔泰恩，英国（n=2500）。调查包括卒中感知和卒中/非卒中情景，以评估对卒中的识别和反应。使用t检验和线性混合models.ResultsOverall response rate为27.4%，检查了国家间差异和与卒中准备的关联。参与者的平均年龄为55岁，58%为女性。美国参与者在识别中风方面更好（70%对63%，d=0.27），更有可能呼叫紧急医疗服务（55%对52%，d=0.11）。在控制人口统计学和合并症后，美国参与者仍然更有可能识别中风，但不太可能做出适当的反应。一个更大的信念，医疗可以帮助中风和中风的理解与改善中风recognition and responsibility.ConclusionsOverall，中风识别和反应是中等的。美国参与者在识别中风方面略好，尽管对中风的反应几乎没有差异。未来的卒中意识干预措施可以更多地关注卒中结局预期，并在公众中加深对卒中的理解。
Background and PurposeAlthough time-dependent treatment is available, most people delay contacting emergency medical services for stroke. Given differences in the healthcare system and public health campaigns, exploring between-country differences in stroke preparedness may identify novel ways to increase acute stroke treatment.MethodsA survey was mailed to population-based samples in Ingham County, Michigan, US (n=2500), and Newcastle upon Tyne, UK (n=2500). Surveys included stroke perceptions and stroke/nonstroke scenarios to assess recognition and response to stroke. Between-country differences and associations with stroke preparedness were examined usingttests and linear mixed models.ResultsOverall response rate was 27.4%. The mean age of participants was 55 years, and 58% were female. US participants were better in recognizing stroke (70% versus 63%, d=0.27) and were more likely to call emergency medical services (55% versus 52%, d=0.11). After controlling for demographics and comorbidities, US participants remained more likely to recognize stroke but were not more likely to respond appropriately. A greater belief that medical treatment can help with stroke and understanding of stroke was associated with improved stroke recognition and response.ConclusionsOverall, stroke recognition and response were moderate. US participants were modestly better at recognizing stroke, although there was little difference in response to stroke. Future stroke awareness interventions could focus more on stroke outcome expectations and developing a greater understanding of stroke among the public.