The burden of non-communicable diseases due to stroke is increasing. Despite this, community based studies that could stimulate stroke primordial prevention among the population at risk are sparse. This study assessed community knowledge and risk factors to stroke among University undergraduates in Osogbo, southwestern Nigeria. A descriptive cross sectional study was conducted among 420 male undergraduates selected through multi-stage sampling method. Research instruments were self-administered semi structured questionnaire. Data was analyzed using the SPSS software version 17.0. Four hundred and seven (96.9%) have heard about stroke. Good mean knowledge score of causes, symptoms, warning signs and risk factors of stroke were 62.6%, 61.7% and 42.1% and 56.7% respectively. Three hundred and nine (75.9%) said the body part primarily affected by stroke was the brain, while 35 (8.6%) said it was the kidneys. Only 73(17.9%) perceived that they were at risk of stroke while 33(8.1%) said they could not have stroke. Single risk was found among 43(10.2%), double risk among 334(79.5%) and multiple (>2) risks among 43(10.2%) of respondents. Predictors of good knowledge of risk factors among respondents found on multivariate analysis were older age, having one or both parents having stroke in the past, being a cigarette smoker, and having multiple risk factors to stroke. It was concluded that good awareness, relatively good knowledge of causes, symptoms and risk factors, but poor knowledge of warning signs of stroke was found among studied respondents. Sustained public awareness could bridge existing gap among respondents towards primordial stroke prevention.
Conflict(s) of Interest
None to declare
References with DOI
1. World Health Organization. Non-communicable diseases Fact sheet Updated January 2015 Geneva, Switzerland: World Health Organization. 2015. Accessed on 08thFebruary 2016. Available at: http://www.who.int/mediacentre/factsheets/fs355/en/
2. Osuntokun BO, Daija AO, Schoenberg BS. Neurological disorders in Nigerian Africans: a community based study. ActaNeurol Scand. 1987;75:13-21. https://doi.org/10.1111/j.1600-0404.1987.tb07883.x
3. Hickey A, O'Hanlon A, McGee H, Donnellan C, Shelley E, Horgan F et al. Stroke awareness in the general population: knowledge of stroke risk factors and warning signs in older adults. BMC Geriatrics. 2009;9:35. https://doi.org/10.1186/1471-2318-9-35
4. National Population Commission. The 2006 National Census preliminary results. NPC Abuja Nigeria 2006.
5. Araoye MO. Research methodology with statistics for health and social sciences. Ilorin, Nigeria: Nathadex Publishers. 2004:117-120.
6. Stroebele N, Muller-Riemenschneider F, Nolte CH, Muller-Nordhorn J, Bockelbrink A, Willich SN. Knowledge of risk factors, and warning signs of stroke: A systematic review from a gender perspective. International Journal of Stroke. 2011;6(1):60-6. https://doi.org/10.1111/j.1747-4949.2010.00540.x
7. Reeves MJ, Rafferty AP, Aranha AAR, Theisen V. Changes in knowledge of stroke risk factors and warning signs among Michigan adults. Cerebrovasc Dis. 2008;25:385-391. https://doi.org/10.1159/000121338
8. Agyemang C, van Valkengoed I, Koopmans R, Stronks K. Factors associated with hypertension awareness, treatment and control among ethnic groups in Amsterdam, The Netherlands: the SUNSET study. J Hum Hypertens. 2006;20:874-81. https://doi.org/10.1038/sj.jhh.1002073
9. Nicol MB and Thrift AG. Knowledge of risk factors and warning signs of stroke. Vasc Health Risk Manag. 2005;1(2):137-147. https://doi.org/10.2147/vhrm.126.96.36.199085
10. Pandian JD, Jaison A, Deepak SS. Public awareness of warning symptoms, risk factors, and treatment of stroke in Northwest India. Stroke 2005;36:644-8. https://doi.org/10.1161/01.str.0000154876.08468.a0
11. Yoon SS, Byles J. Perceptions of stroke in the general public and patients with stroke: a qualitative study. BMJ. 2002;324:1065-1070. https://doi.org/10.1136/bmj.324.7345.1065
12. Miller JE. Knowledge of stroke risk factors, symptoms, and treatment among New Jersey adults. N J Med. 2001;98:47-53.
13. Pancioli AM, Broderick J, Kothari R. Public perception of stroke warning signs and knowledge of potential risk factors. JAMA. 1998;279:1288-92. https://doi.org/10.1001/jama.279.16.1288
14. Milner A, Lewis WJ, Ellis C. Knowledge of stroke risk factors and early warning signs of stroke among students enrolled in allied health programs: a pilot study. J Allied Health. 2008;37(4):e296-315.
15. Kamran S, Bener AB, Deleu D. The level of awareness of stroke risk factors and symptoms in the Gulf Cooperation Council Countries: Gulf cooperation council stroke awareness study. Neuroepidemiology. 2007;29:235-42. https://doi.org/10.1159/000112856
16. Mississippi State Department of Health (MSDH, 2005). Available Online at http:// www.msdh.state.ms.us/msdsite/index.cfm/43,1842,297,63,pdf/StrokeRe- port2005. Accessed January 15th 2016.
17. Sallar AM, Williams PB, Omishakin AM, Lloyd DP. Stroke prevention: awareness of risk factors for stroke among African American residents in the Mississippi delta region. Journal of the National Medical Association. 2010;102(2):85. https://doi.org/10.1016/s0027-9684(15)30495-8
18. Reeves MJ, Hogan JG, Rafferty AP. Knowledge of stroke risk factors and warning signs among Michigan adults. Neurology. 2002;59:1547-1552. https://doi.org/10.1212/01.wnl.0000031796.52748.a5
19. Schneider AT, Pancioli AP, Khoury JC, Rademacher E, Tuchfarber A, Miller R et al. Trends in community knowledge of the warning signs and risk factors for stroke. JAMA. 2003;289:343-6. https://doi.org/10.1001/jama.289.3.343
20. Johnston SC, Mendis S, Mathers CD. Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modelling. Lancet Neurol. 2009;8:345-354. https://doi.org/10.1016/s1474-4422(09)70023-7
Adebimpe, Wasiu Olalekan
"Knowledge and Risk Factors for Stroke Among Undergraduates in Southwestern Nigeria,"
Marshall Journal of Medicine:
3, Article 4.
Available at: http://mds.marshall.edu/mjm/vol4/iss3/4