Hawkes Maximiliano A, Ameriso Sebastián F, Willey Joshua Z
Neurology Department, Institute for Neurological Research FLENI, Buenos Aires, Argentina.
Neuroepidemiology. 2015;44(3):121-9. doi: 10.1159/000381100. Epub 2015 Apr 9.
Spanish is the second most-spoken language in the world. Spanish-speaking populations (SSP) have heterogeneous cultural backgrounds, racial and ethnical origins, economic status, and access to health care systems. There are no published reviews about stroke knowledge in SSP. We reviewed the existing literature addressing stroke knowledge among SSP and propose here some future directions for research.
We identified 18 suitable studies by searching PubMed, Lilacs, Scopus, Embase, Cochrane and Scielo databases, and by looking at reference lists of eligible articles. We also included 2 conference abstracts. Data related to stroke knowledge from studies of Spanish-speakers were analyzed. Key Messages: Little is known about stroke knowledge in SSP, especially in Latin America. Information is lacking even among subjects at risk, stroke patients, stroke survivors, and health care providers. 'Ictus', the word used for stroke in Spanish, is largely unrecognized among subjects at risk. Furthermore, access to medical care and the availability of neurologists are suboptimal in many regions. There are several potential issues to solve regarding stroke knowledge and stroke care in SSP. Programs to educate the general population and non-neurologists medical providers in stroke and telemedicine may be better ways of improving the present situation.
西班牙语是世界上使用人数第二多的语言。讲西班牙语的人群（SSP）有着不同的文化背景、种族和民族起源、经济状况以及获得医疗保健系统的机会。目前尚无关于讲西班牙语人群中风知识的已发表综述。我们回顾了现有的关于讲西班牙语人群中风知识的文献，并在此提出一些未来的研究方向。
通过检索PubMed、Lilacs、Scopus、Embase、Cochrane和Scielo数据库，并查看符合条件文章的参考文献列表，我们确定了18项合适的研究。我们还纳入了2篇会议摘要。分析了来自讲西班牙语人群研究的与中风知识相关的数据。关键信息：对讲西班牙语人群的中风知识了解甚少，尤其是在拉丁美洲。即使在高危人群、中风患者、中风幸存者和医疗保健提供者中也缺乏相关信息。“Ictus”（西班牙语中表示中风的词）在高危人群中大多不为人知。此外，在许多地区，获得医疗护理的机会以及神经科医生的可及性都不理想。在讲西班牙语人群的中风知识和中风护理方面有几个潜在问题需要解决。针对普通人群和非神经科医疗服务提供者开展中风和远程医疗教育项目可能是改善当前状况的更好方法。
