Community awareness of stroke, hypertension and modifiable risk factors for cardiovascular disease in Nkonya-Wurupong, Ghana
Community awareness of stroke, hypertension and modifiable risk factors for cardiovascular disease in Nkonya-Wurupong, Ghana
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DOI：
10.4081/jphia.2018.783
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发表时间：
2018-01-01
影响因子：
0.8
通讯作者：
King, Renee
中科院分区：
文献类型：
--
作者：
Murray, Melissa;King, Carol;King, Renee
在加纳等低收入和中等收入国家，高血压和其他非传染性疾病正日益成为心血管疾病和中风的危险因素，这些国家正在经历快速城市化和全球化的影响。意识和教育可能有助于减少人们接触可改变的风险因素。一项来自Volta地区Ho市外一家中心诊所的调查调查了参与者对高血压和中风的认识和教育水平。它提供了关于教育方法和预防可改变的危险因素的重要信息。2016年7月，加纳恩科尼亚-乌鲁蓬的一家中心诊所对1671名患者进行了评估，302名18岁以上的成年人提供了方便的抽样。该调查检查了三个主要方面：人口统计学、病史、卒中和心血管危险因素知识评估。18.5%的参与者表现出高血压（BP(3) 140/90）。30%的高血压患者为女性。35%的人认为高血压是中风的危险因素，目前只有26%的人接受高血压药物治疗。饮食不良、肥胖和酗酒是中风最常见的危险因素，86%的参与者认为中风是可以预防的。然而，饮食、心脏病、吸烟、肥胖、糖尿病、久坐不动的生活方式或酒精并没有被统一认定为中风的危险因素。单侧虚弱是与中风相关的唯一症状。调查中包括的其他症状包括头痛、言语不清、视觉变化、头晕和面部下垂。教育资源包括电视、学校、互联网、广播、医学书籍和卫生专业人员，7%的人回答他们从未接受过有关中风及其危险因素的教育。对高血压后果（包括心血管疾病和中风）的认识随着中风的鉴定和教育来源的不同而显著不同。然而，许多人指出，中风是由生活方式引起的，是可以预防的。目前尚不清楚受访者认为这些生活方式的选择是什么。这些数据表明，在一些主要领域需要进行保健教育。在评估包括患者健康教育计划在内的卫生资源分配领域时，确定发展中国家的基线健康状况将变得越来越重要。
Hypertension and other non-communicable diseases are growing risk factors for cardiovascular disease and stroke in low- and middle-income countries like Ghana who are experiencing the effects of rapid urbanization and globalization. Awareness and education may help reduce the population's exposure to modifiable risk-factors. A survey from a central clinic outside the city of Ho, in the Volta region investigates participants' level of awareness and education surrounding hypertension and stroke. It provides important information about the approach to education and preventing modifiable risk factors.A central clinic in Nkonya-Wurupong, Ghana, evaluated 1671 patients in July 2016, and a group of 302 adults over the age of 18 provided a convenience sampling. The survey examined three main areas: demographics, medical history, and evaluation of knowledge with respect to stroke and cardiovascular risk factors.18.5% of participants demonstrated hypertension (BP (3) 140/90). 30% of those with hypertension were female. Thirty-five percent believed hypertension was a risk factor for stroke, and only 26% were currently medicated for hypertension. Poor diet, obesity and alcohol were the most frequently identified risk factors for stroke and 86% of participants felt that it was preventable. However, diet, heart disease, smoking, obesity, diabetes, sedentary lifestyle or alcohol were not uniformly identified as stroke risk factors. One-sided weakness was the only symptom the group associated with stroke. Other symptoms included in the survey were headache, slurred speech, visual changes, dizziness, and facial droop. Educational resources included TV, school, internet, radio, medical books and health professionals and 7% responded that they had never been educated about stroke and its risk-factors.Knowledge of hypertensive consequences including cardiovascular disease and stroke varies significantly along with stroke identification and educational sources. However, many indicated that stroke is due to lifestyle and can be prevented. It is unclear what respondents believe these lifestyle choices are. This data suggests there are major areas where healthcare education is needed. Discerning baseline health in developing countries will become increasingly important when evaluating an area for health resource allocation including patient health education programs.