Sobotková Petra, Goldemund David, Reif Michal, Mikulík Robert
International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
Department of Neurology, International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
J Stroke Cerebrovasc Dis. 2014 Jul;23(6):1662-8. doi: 10.1016/j.jstrokecerebrovasdis.2014.01.013. Epub 2014 Apr 13.
Long-term campaigns to improve stroke awareness, such as the campaign conducted in the Czech Republic since 2006, have not been effective. However, the small subpopulation that noticed the campaign had better stroke awareness than the population that did not. To better understand this awareness campaign responsiveness and to design more successful future campaigns, predictors of noticing campaigns were identified.
This study is a secondary analysis of cross-sectional nationwide survey data of the Czech population older than 40 years, collected in 2009. The survey used a 3-stage random sampling method (area, household, and household member) and personal semistructured interview questionnaires concerning participants' stroke knowledge, demographic characteristics, medical history, and stroke information sources. To identify the association between these variables and whether the campaign was noticed (the primary outcome of the study), multivariate binary logistic regression analysis was used.
A total of 601 participants were surveyed (90% response rate), 19% of them stated that they noticed the stroke awareness campaign. Primary independent predictors of campaign efficiency were heart disease (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.0-3.2), obesity (OR, 2.4; 95% CI, 1.3-4.7), and current smoking (OR, .4; 95% CI, .3-.7).
Tobacco smokers in particular should be targeted by stroke awareness campaigns, for example, through health warning labels on cigarette packs. People with some stroke risk factors, such as heart disease and obesity, are responsive to information about stroke. Therefore, educational campaigns should target the groups with increased risk of stroke.
长期开展的提高中风认知度的活动，如自2006年以来在捷克共和国开展的活动，并未取得成效。然而，注意到该活动的一小部分亚人群比未注意到的人群有更好的中风认知度。为了更好地理解这种对认知活动的反应性，并设计出更成功的未来活动，确定了注意到活动的预测因素。
本研究是对2009年收集的捷克40岁以上人群全国横断面调查数据的二次分析。该调查采用三阶段随机抽样方法（地区、家庭和家庭成员），并使用个人半结构化访谈问卷，内容涉及参与者的中风知识、人口统计学特征、病史和中风信息来源。为了确定这些变量与是否注意到该活动（研究的主要结果）之间的关联，使用了多变量二元逻辑回归分析。
共调查了601名参与者（应答率为90%），其中19%的人表示他们注意到了中风认知活动。活动效果的主要独立预测因素是心脏病（优势比[OR]，1.8；95%置信区间[CI]，1.0 - 3.2）、肥胖（OR，2.4；95%CI，1.3 - 4.7）和当前吸烟（OR，0.4；95%CI，0.3 - 0.7）。
中风认知活动应特别针对吸烟者，例如通过在烟盒上设置健康警示标签。患有某些中风风险因素（如心脏病和肥胖）的人对中风信息有反应。因此，教育活动应针对中风风险增加的人群。
