Public Awareness of Stroke in Korea A Population-Based National Survey

Public Awareness of Stroke in Korea A Population-Based National Survey
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DOI:
10.1161/strokeaha.111.638460
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发表时间:
2012-04-01
期刊:
影响因子:
8.3
通讯作者:
Yoon, Byung-Woo
Yoon, Byung-Woo
中科院分区:
医学1区
文献类型:
--
作者:
Kim, Young Seo;Park, Sang-Soon;Yoon, Byung-Woo

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背景和目的-到目前为止,还没有进行大型研究来调查具有全国代表性的韩国人口样本中的基线卒中意识。方法-根据地区人口统计特征随机抽样1000名居民,并由训练有素的采访者进行面谈。结果:在开放式提问中,62%的受访者报告了至少一种中风症状,56%的人报告了至少一种中风危险因素。多因素分析显示,受教育年限与症状知识(OR,1.527;95%CI,1.146-2.034)和危险因素(OR,1.577;95%CI,1.175-2.115)独立相关。分别有大约31%和33%的受访者了解一些溶栓知识和适当的行动(呼叫紧急医疗服务)。与20~39岁的受试者相比,40~59岁的受试者更了解溶栓治疗(OR,1.433;95%CI,1.045~1.964)和正确操作(OR,2.291;95%CI,1.646~3.188)。有关中风的主要信息来源是电视(59%),最可靠的来源是受访者的医生(55%)。在20至39岁的受访者中,互联网(37%)是第二大信息来源。结论-韩国对中风的认识不佳,特别是在年轻公民和受教育程度较低的人群中。为了提高他们的知识水平,医生应该加大力度,利用大众媒体和互联网教育公众有关中风的知识。(笔划。2012;43:1146-1149。)
Background and Purpose-To date, no large study has been conducted to investigate baseline stroke awareness within a nationally representative sample of the Korean population.Methods-A total of 1000 residents were randomly sampled according to regional demographic characteristics and were interviewed in person by trained interviewers. Structured, open-ended and close-ended questions were asked to assess stroke awareness.Results-Among the respondents, 62% reported at least 1 stroke symptom and 56% reported at least 1 risk factor for stroke in open-ended questioning. Multivariate analysis revealed that completion of >= 12 years of education was independently associated with knowledge of symptoms (OR, 1.527; 95% CI, 1.146-2.034) and risk factors (OR, 1.577; 95% CI, 1.175-2.115). Approximately 31% and 33% of respondents, respectively, had some knowledge of thrombolysis and the proper action (call emergency medical services). Compared with subjects aged 20 to 39 years, those aged 40 to 59 years were more knowledgeable about thrombolysis (OR, 1.433; 95% CI, 1.045-1.964) and proper action (OR, 2.291; 95% CI, 1.646-3.188). The major source of information about stroke was television (59%), and the most reliable source was the respondents' physicians (55%). Among respondents 20 to 39 years of age, the Internet (37%) was the second greatest source of information.Conclusions-Stroke awareness was suboptimal in Korea, especially among younger citizens and those with less education. To improve their knowledge, physicians should exert greater efforts to educate the public about stroke using mass media and the Internet. (Stroke. 2012;43:1146-1149.)