Community-Level Measures of Stroke Knowledge among Children: Findings from Hip Hop Stroke.
Community-Level Measures of Stroke Knowledge among Children: Findings from Hip Hop Stroke.
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儿童中风知识的社区级测量：来自嘻哈中风的发现。
DOI：
10.1016/j.jstrokecerebrovasdis.2016.08.045
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Williams,Olajide
中科院分区：
文献类型：
--
作者：
Simmons,Cailey;Noble,JamesM;Leighton-Herrmann,Ellyn;Hecht,MindyF;Williams,Olajide
儿童中风知识的社区水平决定因素尚不清楚，但可能对公众中风教育活动产生有意义的影响。我们探讨了社区和学校水平的质量措施之间的关联，相对于基线中风知识的儿童参与嘻哈中风program.MethodsBaseline中风知识评估进行了2839四，五，六年级的学生（年龄9-11岁）从2005年11月至2014年4月。知识评估相对于学校成绩等级（SPG，A-F级;由纽约市[NYC]教育部确定的学校水平测量）和经济需求指数（弹性网卡，范围：0-2;一个社区层面的，学校内的住房和膳食补贴措施，得分越高，表明更多的社会经济困境）。SPG = C（n = 1590）和SPG = D（n = 1053），平均ENI = .85（标准差：.23）。自2006年以来，持续进行了知识的综合评估，包括4种卒中症状（视力模糊、面部下垂、突发头痛和言语不清）。总体而言，学生正确识别出平均1.74个中风症状（95%置信区间：1.70-1.79;可能范围：0-4，仅随机反应或不知情的预期值= 2）。对于ENI的四分位数，平均知识得分如下：ENIQ 1 = 2.00，ENIQ 2 = 2.09，ENIQ 3 = 1.46，ENIQ 4 = 1.56（ENIQ 3和ENIQ 4与ENIQ 1相比，P< .001）。对于SPG，SPG = B学校：2.09，SPG = C：1.83，和SPG = D：1.56（SPG = C和SPG = D与SPG = B学校，P≤ .05）。这些发现可以指导中风教育运动的实施策略。
BackgroundCommunity-level determinants of stroke knowledge among children are unknown but could meaningfully impact public stroke education campaigns. We explored for associations between community- and school-level quality measures relative to baseline stroke knowledge among children participating in the Hip Hop Stroke program.MethodsBaseline stroke knowledge assessments were performed in 2839 fourth-, fifth-, and sixth-grade students (ages 9-11 years) from November 2005 to April 2014. Knowledge was assessed relative to school performance grade (SPG, graded A-F; a school-level measure determined by the New York City [NYC] Department of Education) and economic need index (ENI, range: 0-2; a community-level, within-school measure of subsidized housing and meals with higher scores indicating more socioeconomic distress).ResultsSchools studied included those with SPG = B (n = 196), SPG = C (n = 1590), and SPG = D (n = 1053) and mean ENI = .85 (standard deviation: .23). A composite assessment of knowledge, including 4 stroke symptoms (blurred vision, facial droop, sudden headache, and slurred speech), was conducted consistently since 2006. Overall, students correctly identified a mean of 1.74 stroke symptoms (95% confidence interval: 1.70-1.79; possible range: 0-4, expected value of chance response alone or no knowledge = 2). For quartiles of ENI, mean knowledge scores are as follows: ENIQ1= 2.00, ENIQ2= 2.09, ENIQ3= 1.46, and ENIQ4= 1.56 (ENIQ3and ENIQ4versus ENIQ1,P< .001). For SPG, SPG = B schools: 2.09, SPG = C: 1.83, and SPG = D: 1.56 (SPG = C and SPG = D versus SPG = B schools,P≤ .05).ConclusionsChildren's stroke knowledge was lowest in NYC communities with greater economic need and lower school performance. These findings could guide stroke education campaign implementation strategies.
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