Ojike Nwakile, Ravenell Joe, Seixas Azizi, Masters-Israilov Alina, Rogers April, Jean-Louis Girardin, Ogedegbe Gbenga, McFarlane Samy I
Center for Healthful Behavior Change (CHBC), Division of Health and Behavior, Department of Population Health, New York University Medical Center, New York, USA.
The Saul R. Korey, Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
J Neurol Neurophysiol. 2016 Apr;7(2). doi: 10.4172/2155-9562.1000365. Epub 2016 Apr 7.
BACKGROUND/AIMS: Stroke is a leading cause of premature death and disability, and increasing the proportion of individuals who are aware of stroke symptoms is a target objective of the Healthy people 2020 project.
We used data from the 2014 Supplement of the National Health Interview Survey (NHIS) to assess the prevalence of stroke symptom knowledge and awareness. We also tested, using a logistic regression model, the hypothesis that individuals who have knowledge of all 5 stroke symptoms will be have a greater likelihood to activate Emergency Medical Services (EMS) if a stroke is suspected.
From the 36,697 participants completing the survey 51% were female. In the entire sample, the age-adjusted awareness rate of stroke symptoms/calling 911 was 66.1%. Knowledge of the 5 stroke symptoms plus importance of calling 911 when a stroke is suspected was higher for females, Whites, and individuals with health insurance. Stroke awareness was lowest for Hispanics, Blacks, and survey participants from Western US region.
The findings allude to continuing differences in the knowledge of stroke symptoms across race/ethnic and other demographic groups. Further research will confirm the importance of increased health literacy for Stroke management and prevention in minority communities.
背景/目的：中风是过早死亡和残疾的主要原因，提高知晓中风症状的人群比例是“健康人民2020”项目的一个目标。
我们使用了《国家健康访谈调查》（NHIS）2014年增刊中的数据来评估中风症状知识和知晓情况的患病率。我们还使用逻辑回归模型检验了这样一个假设，即知晓所有5种中风症状的个体在怀疑中风时更有可能呼叫紧急医疗服务（EMS）。
在完成调查的36697名参与者中，51%为女性。在整个样本中，中风症状/拨打911的年龄调整知晓率为66.1%。女性、白人和有医疗保险的个体对5种中风症状以及怀疑中风时拨打911的重要性的知晓程度更高。西班牙裔、黑人以及美国西部地区的调查参与者的中风知晓率最低。
研究结果表明不同种族/族裔和其他人口群体在中风症状知识方面仍存在差异。进一步的研究将证实提高健康素养对少数族裔社区中风管理和预防的重要性。
