Public knowledge of stroke and heart attack symptoms in China: a cross-sectional survey

Autor: Shenghua Luan, Yuqi Huang, Yujia Yang, Michelle McDowell
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMJ Open
BMJ Open, Vol 11, Iss 1 (2021)
ISSN: 2044-6055
Popis: ObjectiveStroke and ischaemic heart disease have become the leading causes of death in China. We evaluated recognition of stroke and heart attack symptoms and stroke treatment-seeking behaviour in a large representative sample of the Chinese adult population and explored characteristics associated with recognition rates.DesignCross-sectional survey.SettingHousehold interviews.Participant3051 Chinese adults aged between 18 and 69 (50.7% female) were interviewed between January and March 2019.Primary and secondary outcome measuresPrimary measures include recognitions of stroke and heart attack symptoms and stroke treatment-seeking behaviour. Secondary measures include numeracy level, sociodemographics and prior history of cardiovascular diseases and high blood pressure.ResultsParticipants on average recognised 5.2 out of 14 stroke symptoms and 2.6 out of 6 heart attack symptoms. In the presence of stroke symptoms, three quarters of participants would take immediate action and call an ambulance, yet the second most common action was to advise the person to see a doctor (59%) rather than to consult a doctor immediately (34%). Recognition of atypical heartattack symptoms, such as nausea and feeling of anxiety, was poor. Symptom recognition rates were higher in females, people with a personal or family/friend history of cardiovascular events, those with higher numeracy scores, and for stroke symptoms, participants with high (versus low) education level. Furthermore, symptom recognition rate was negatively correlated with burden of cardiovascular diseases across the four economic regions of China.ConclusionRecognition of stroke and heart-attack symptoms was moderate and there remains a gap between recognising symptoms and taking immediate action. Interventions focusing on simple symptom detection tools and on building numerical competencies may help reduce the burden of cardiovascular diseases in China.
Databáze: OpenAIRE