美国成年人对中风症状的认知和拨打 9-1-1 的情况：2009 年和 2014 年全国健康访谈调查。
Awareness of Stroke Signs and Symptoms and Calling 9-1-1 Among US Adults: National Health Interview Survey, 2009 and 2014.
机构信息
Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341. Telephone: 770-488-0259. Email:
出版信息
Prev Chronic Dis. 2019 Jun 20;16:E78. doi: 10.5888/pcd16.180564.
INTRODUCTION
Early recognition of stroke symptoms and recognizing the importance of calling 9-1-1 improves the timeliness of appropriate emergency care, resulting in improved health outcomes. The objective of this study was to assess changes in awareness of stroke symptoms and calling 9-1-1 from 2009 to 2014.
METHODS
We analyzed data among 27,211 adults from 2009 and 35,862 adults from 2014 using the National Health Interview Survey (NHIS). The NHIS included 5 questions in both 2009 and 2014 about stroke signs and symptoms and one about the first action to take when someone is having a stroke. We estimated the prevalence of awareness of each symptom, all 5 symptoms, the importance of calling 9-1-1, and knowledge of all 5 symptoms plus the importance of calling 9-1-1 (indicating recommended stroke knowledge). We assessed changes from 2009 to 2014 in the prevalence of awareness. Data analyses were conducted in 2016.
RESULTS
In 2014, awareness of stroke symptoms ranged from 76.1% (sudden severe headache) to 93.7% (numbness of face, arm, leg, side); 68.3% of respondents recognized all 5 symptoms, and 66.2% were aware of all recommended stroke knowledge. After adjusting for sex, age, educational attainment, and race/ethnicity, logistic regression results showed a significant absolute increase of 14.7 percentage points in recommended stroke knowledge from 2009 (51.5%) to 2014 (66.2%). Among US adults, recommended stroke knowledge increased from 2009 to 2014.
CONCLUSION
Stroke awareness among US adults has improved but remains suboptimal.
简介
早期识别中风症状并认识到拨打 9-1-1 的重要性可以提高紧急护理的及时性，从而改善健康结果。本研究的目的是评估从 2009 年到 2014 年中风症状和拨打 9-1-1 的意识变化。
方法
我们使用国家健康访谈调查（NHIS）分析了 2009 年的 27211 名成年人和 2014 年的 35862 名成年人的数据。NHIS 在 2009 年和 2014 年都包含了 5 个关于中风迹象和症状的问题，以及一个关于当有人中风时应采取的第一个行动的问题。我们估计了对每个症状、所有 5 个症状、拨打 9-1-1 的重要性以及所有 5 个症状加上拨打 9-1-1 的重要性（表示推荐的中风知识）的认识程度。我们评估了从 2009 年到 2014 年意识变化的流行率。数据分析于 2016 年进行。
结果
在 2014 年，中风症状的意识程度从 76.1%（突然严重头痛）到 93.7%（面部、手臂、腿部、侧面麻木）不等；68.3%的受访者认识到所有 5 个症状，66.2%的人意识到所有推荐的中风知识。在调整性别、年龄、教育程度和种族/族裔后，逻辑回归结果显示，从 2009 年（51.5%）到 2014 年（66.2%），推荐的中风知识绝对增加了 14.7 个百分点，这具有统计学意义。在美国成年人中，推荐的中风知识从 2009 年到 2014 年有所增加。
结论
美国成年人的中风意识有所提高，但仍不理想。
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