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Knowledge and Poor Understanding Factors of Stroke and Heart Attack Symptoms

1
Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang 10444, Korea
2
Department of Neurology, Catholic Kwandong University College of Medicine, International St. Mary’s Hospital, Incheon 22711, Korea
3
Department of Internal Medicine, Catholic Kwandong University College of Medicine, International St. Mary’s Hospital, Incheon 22711, Korea
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(19), 3665; https://doi.org/10.3390/ijerph16193665
Received: 9 September 2019 / Revised: 25 September 2019 / Accepted: 27 September 2019 / Published: 29 September 2019
(This article belongs to the Section Health Care Sciences & Services)
Objectives: Adequate awareness of cardiovascular disease (CVD) may help in its prevention and control. Therefore, we evaluated knowledge among the general population of stroke and heart attack symptoms and determined the factors associated with poor understanding of CVD. Methods: This cross-sectional study included 228,240 adults (102,408 males, 125,832 females) who participated in the 2017 Korean Community Health Survey. Data on sociodemographic characteristics and cognizance of the warning signs of CVD events (stroke and heart attack) were examined. Logistic regression analysis was used to investigate factors associated with poor understanding of CVD. Results: The stroke and heart attack warning signs that were identified least often by respondents were “sudden poor vision in one or both eyes” (66.1%) and “pain or discomfort in the arm or shoulder” (53.8%). Of the subjects, 19.0% had low CVD knowledge scores (less than 4 out of 10) with males having lower scores than females. In the multivariate analysis, poor understanding of CVD warning signs was significantly associated with older age, male gender, lower education level, lack of regular exercise, unmarried status, unemployment, poor economic status, poor health behaviors (high salt diet, no health screening), poor psychological status (high stress, self-perceived poor health status), and the presence of hypertension or dyslipidemia. Conclusions: Specialized interventions, including those based on public education, should focus on groups with less knowledge of CVD. View Full-Text
Keywords: cardiovascular disease; awareness; stroke; heart attack cardiovascular disease; awareness; stroke; heart attack
MDPI and ACS Style

Han, C.H.; Kim, H.; Lee, S.; Chung, J.H. Knowledge and Poor Understanding Factors of Stroke and Heart Attack Symptoms. Int. J. Environ. Res. Public Health 2019, 16, 3665.

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