A cross-sectional population survey on stroke knowledge and attitudes in Greater Kampala, Uganda.
A cross-sectional population survey on stroke knowledge and attitudes in Greater Kampala, Uganda.
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DOI：
10.1080/2331205x.2017.1327129
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发表时间：
2017-01-01
期刊：
影响因子：
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通讯作者：
Sajatovic, Martha
中科院分区：
文献类型：
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作者：
Kaddumukasa, Mark;Kayima, James;Sajatovic, Martha
背景：卒中是一种神经系统疾病，在许多低收入和中等收入国家的负担迅速增加。由于人口迅速增长、工业化模式、采用有害的西方饮食以及高血压和肥胖症等危险因素的流行，非洲受到的打击尤其严重。减少中风危险因素和教导人们对中风警告信号作出反应可以预防中风并减轻负担。然而，要解决知识差距和改善预防和早期反应护理，就需要清楚地了解实际和可能修改的主题。在这一横断面研究中，我们评估的知识和态度之间的城市人口居住在大坎帕拉，Uganda.METHODS：人口横断面调查进行了城市穆科诺，区，乌干达中部。通过系统抽样的方法，数据收集从440名成年参与者进行了采访有关中风的知识，态度和知觉的选定方面，使用预先测试的结构式questionnaire.RESULTS：共440名研究参与者被招募。参与者确定的中风的主要危险因素分别是压力（75.7%）和高血压（45.2%）。只有两名（0.5%）研究参与者将吸烟确定为中风风险因素。高血压患者对中风的知识贫乏，尽管他们的高风险stroke.CONCLUSION：中风知识是穷人，而压力和高血压是领先的感知危险因素，在我们的设置。虽然压力是促成因素，但高血压可能是一个更容易接受和更实际的干预目标。针对具有中风风险因素的个体，增加中风知识和教育，对于参与医疗保健至关重要。实施自我管理计划来支持和激励这一高危人群，并采取健康的生活方式，可能是减少乌干达中风负担的一种方法。
BACKGROUND: Stroke is a neurological condition with rapidly increasing burden in many low- and middle income countries. Africa is particularly hard-hit due to rapid population growth, patterns of industrialization, adoption of harmful western diets, and increased prevalence of risk factors such as hypertension and obesity. Reducing stroke risk factors and teaching people to respond to stroke warning signs can prevent stroke and reduce burden. However, being able to address gaps in knowledge and improving both preventative and early-response care requires a clear understanding of practical and potentially modifiable topics. In this cross sectional study, we assessed the knowledge and attitudes among an urban population residing within the greater Kampala, Uganda.METHODS: A population cross sectional survey was conducted in urban Mukono, district, central Uganda. Through the systematic sampling method, data were gathered from 440 adult participants who were interviewed about selected aspects of stroke knowledge, attitudes and perception using a pretested structured questionnaire.RESULTS: A total of 440 study participants were enrolled. The leading risk factors for stroke identified by the participants were stress (75.7%) and hypertension (45.2%) respectively. Only two (0.5%) of the study participants identified cigarette smoking as a stroke risk factor. Individuals with hypertension have poor knowledge regarding stroke in spite their high risk for stroke.CONCLUSION: Stroke knowledge is poor while, stress and hypertension are the leading perceived risk factors in our settings. While stress is contributing factor, hypertension is likely a more amenable and practical intervention target. Targeting individuals with stroke risk factors to increase stroke knowledge and education is crucial for engagement in healthcare. Implementing a self-management program to support and motivate this high-risk group as well as adopting healthy life-styles may be a way to reduce stroke burden in Uganda.