No difference in stroke knowledge between Korean adherents to traditional and western medicine - the AGE study: an epidemiological study

No difference in stroke knowledge between Korean adherents to traditional and western medicine - the AGE study: an epidemiological study
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DOI:
10.1186/1471-2458-6-153
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发表时间:
2006-06-13
期刊:
影响因子:
4.5
通讯作者:
Park, Min Kyu
Park, Min Kyu
中科院分区:
医学2区
文献类型:
--
作者:
Park, Moon Ho;Jo, Sangmee Ahn;Park, Min Kyu

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背景:有效的卒中干预和降低风险取决于公众对卒中的认识和了解。在同时实行东方医学和西医的韩国,估计公众对中风的认识和知识很差。本研究旨在描述安山老年研究 (AGE 研究) 的初始队列,并确定韩国样本中的基线中风认知度和首选中风治疗方法。 方法:从韩国安山老年研究中随机选出的总共 2,767 名受试者接受了关于中风的询问。他们的答案与社会人口统计数据和其他变量进行了比较。结果:只有 44.8% 的参与者正确地将中风识别为人脑血管疾病。突然麻木或虚弱是最常见的中风警告信号(60.2%)。高血压(66.7%)和精神压力(62.2%)最常被认为是中风危险因素。糖尿病和心血管疾病对中风的影响被低估;分别有 28.3% 和 18.6% 的参与者将它们视为危险因素。无论偏好西方还是东方医学治疗,对中风警告信号和危险因素了解不足的预测因素都是相似的,并且包括那些教育水平较低和中风定义不准确的人。电视和广播(40.3%)是两组最常见的中风信息来源。结论:这项研究表明,偏爱西方或东方医学治疗的韩国人对中风的了解相似,并且韩国老年人对中风的误解很常见。为了有效预防和管理中风,有必要进行有关中风基本概念的公众健康教育。这应该针对那些教育水平较低且对中风定义有误解的人。
Background: Effective stroke intervention and risk reduction depend on the general public's awareness and knowledge of stroke. In Korea, where both traditional Oriental medicine and Western medicine are practiced, estimates of the general public's awareness and knowledge of stroke are poor. The present study sought to describe the inception cohort of the Ansan Geriatric Study (AGE study) and to determine baseline stroke awareness and preferred medical treatment for stroke in this Korean sample.Methods: A total of 2,767 subjects selected randomly from the Ansan Geriatric Study in South Korea were questioned about stroke. Their answers were compared with their sociodemographic data and other variables.Results: Only 44.8% of participants correctly identified stroke as a vascular disease in the human brain. Sudden numbness or weakness was the most frequently identified stroke warning sign (60.2%). Hypertension (66.7%) and mental stress (62.2%) were most frequently identified as stroke risk factors. The contributions of diabetes mellitus and cardiovascular disease to stroke were underestimated; they were identified as risk factors by 28.3% and 18.6% of participants, respectively. The predictors for poor knowledge of stroke warning signs and risk factors were similar irrespective of preference for Western or Oriental medical treatment, and included those with lower levels of education and inaccurate definition of stroke. Television and radio (40.3%) were the most frequent sources of stroke information for both groups.Conclusion: This study shows that knowledge of stroke is similar among Koreans with preferences for either Western or Oriental medical treatment and that misunderstandings about stroke are common among the Korean elderly. In order to prevent and manage stroke effectively, public health education regarding basic concepts of stroke is necessary. This should target those with a lower level of education and a misunderstanding of the definition of stroke.