Kharbach Ahmed, Obtel Majdouline, Achbani Abderrahmane, Bouchriti Youssef, Hassouni Kenza, Lahlou Laila, Razine Rachid
Laboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, MA.
Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, MA.
Ann Glob Health. 2020 Jul 23;86(1):83. doi: 10.5334/aogh.2885.
Stroke is increasingly becoming a major cause of disability and mortality. However, it can be prevented by raising awareness about risk factors and early health care management of patients.
The aim of this study is to assess the level of knowledge on stroke, its risk factors, and warning signs in the population attending urban primary health care centers in the city of Agadir, Morocco.
This is a multicentric cross-sectional study with a descriptive and analytical purpose. The study was conducted at five urban primary health care centers in Agadir in centralwest Morocco. All persons over the age of 18 years who consulted the health centers and who agreed to fill in the questionnaire were recruited, except for the foreign population and health workers. An interview questionnaire was used to assess the level of knowledge on stroke.
A total of 469 participants were involved in the study. The median knowledge score was 8 (Interquartile range 4-13). High blood pressure (55.7%), depression and stress (48.8%) were the most well-known risk factors. Sudden weakness of the face, arms or legs (37.3%) was the main warning sign cited by the participants. Multivariate analysis revealed that illiteracy (OR 1.92; CI: 1.08-3.44) primary education (OR 3.43; CI: 1.63-7.21), rural residential (OR 1.67; CI: 1.07-2.59), no history of stroke among respondents (OR 16.41; CI: 4.37-61.59) and no history of stroke among relatives, acquaintances, or neighbors (OR 4.42; CI: 2.81-6.96), were independently associated with a lower level of knowledge of stroke (Table 4).
The low level of knowledge on stroke among this Moroccan population indicates the importance of implementing stroke education initiatives in the community. More specifically, proximity education and awareness programs ought to be considered to anchor lifestyle preventive behaviors along with appropriate and urgent actions regarding the warning signs of stroke.
中风日益成为残疾和死亡的主要原因。然而，通过提高对风险因素的认识以及对患者进行早期医疗保健管理，可以预防中风。
本研究旨在评估摩洛哥阿加迪尔市城市初级卫生保健中心就诊人群对中风及其风险因素和警示信号的知晓水平。
这是一项具有描述性和分析性目的的多中心横断面研究。研究在摩洛哥中西部阿加迪尔的五个城市初级卫生保健中心进行。招募所有18岁以上到卫生中心就诊且同意填写问卷的人，但外国人口和卫生工作者除外。使用访谈问卷评估中风知晓水平。
共有469名参与者参与研究。知识得分中位数为8（四分位间距4 - 13）。高血压（55.7%）、抑郁和压力（48.8%）是最广为人知的风险因素。面部、手臂或腿部突然无力（37.3%）是参与者提及的主要警示信号。多变量分析显示，文盲（比值比1.92；可信区间：1.08 - 3.44）、小学教育程度（比值比3.43；可信区间：1.63 - 7.21）、农村居住（比值比1.67；可信区间：1.07 - 2.59）、受访者无中风病史（比值比16.41；可信区间：4.37 - 61.59）以及亲属、熟人或邻居无中风病史（比值比4.42；可信区间：2.81 - 6.96），均与中风知识水平较低独立相关（表4）。
摩洛哥人群对中风的知晓水平较低，这表明在社区实施中风教育举措很重要。更具体地说，应考虑开展近距离教育和提高认识项目，以确立生活方式预防行为以及针对中风警示信号采取适当和紧急行动。
