Healthcare professionals' knowledge of modifiable stroke risk factors: A cross-sectional questionnaire survey in greater Gaborone, Botswana.
eNeurologicalSci
; 25: 100365, 2021 Dec.
Article
em En
| MEDLINE
| ID: mdl-34485721
BACKGROUND: Stroke remains the second leading cause of deaths and disability globally, with highest mortality in Africa (low- and middle-income countries). It is crucial for healthcare professionals to have sufficient stroke risk factors' knowledge in order to reduce the stroke burden. AIMS: We investigated healthcare professionals' knowledge of modifiable stroke risk factors, and identified demographic factors influencing this knowledge. METHODS: In this cross-sectional survey study from Botswana (upper middle-income country), structured questionnaires reflecting recent stroke guidelines were administered to a representative selection of healthcare workers in greater Gaborone. The response rate was 61.4%, comprising 84 doctors, 227 nurses and 33 paramedics. Categorical data were described using percentages and Chi-square tests. Associations between stroke risk factors' knowledge and demographic factors were analyzed with one-way ANOVA using SPSS 25 statistical software. RESULTS: Awareness rate of individual stroke risk factors was highest for hypertension (96.5%), followed by obesity (93.3%), smoking (91.9%), elevated total cholesterol (91.0%), physical inactivity (83.4%), elevated low-density lipoprotein (LDL) cholesterol (81.1%), excessive alcohol drinking (77.0%), and lowest for diabetes (73.3%). For all-8 risk factors, doctors had the highest knowledge, followed by nurses and paramedics lowest (7.11 vs 6.85 vs 6.06, P < 0.05). CONCLUSION: In Botswana, specific healthcare professionals' subgroups need to be targeted for continuing education on stroke risk factors for improving stroke prevention and reducing stroke-related disability and mortality.
AHA/ASA, American Heart Association/American Stroke Association; ANOVA, analysis of variance; Awareness; DALY, Disability-adjusted life-years; HIC, high-income countries; Healthcare professionals; Knowledge; LDL, low-density lipoprotein; LMIC, low- and middle-income countries; Low and middle-income countries; Modifiable stroke risk factors; P, p-value; SD, standard deviation; SPSS, Statistical Package for the Social Sciences; SSA, Sub-Saharan Africa; USA, United States of America; Upper middle-income country
Texto completo:
1
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Idioma:
En
Revista:
ENeurologicalSci
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Noruega