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Stroke risk perception among participants of a stroke awareness campaign

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      Abstract

      BackgroundSubjective risk factor perception is an important component of the motivation to change unhealthy life styles. While prior studies assessed cardiovascular risk factor knowledge, little is known about determinants of the individual perception of stroke risk.MethodsSurvey by mailed questionnaire among 1483 participants of a prior public stroke campaign in Germany. Participants had been informed about their individual stroke risk based on the Framingham stroke risk score. Stroke risk factor knowledge, perception of lifetime stroke risk and risk factor status were included in the questionnaire, and the determinants of good risk factor knowledge and high stroke risk perception were identified using logistic regression models.ResultsOverall stroke risk factor knowledge was good with 67–96% of the participants recognizing established risk factors. The two exceptions were diabetes (recognized by 49%) and myocardial infarction (57%). Knowledge of a specific factor was superior among those affected by it. 13% of all participants considered themselves of having a high stroke risk, 55% indicated a moderate risk. All major risk factors contributed significantly to the perception of being at high stroke risk, but the effects of age, sex and education were non-significant. Poor self-rated health was additionally associated with high individual stroke risk perception.ConclusionStroke risk factor knowledge was high in this study. The self perception of an increased stroke risk was associated with established risk factors as well as low perception of general health.

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      Most cited references 34

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      Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies

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        Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project.

        This article presents information about the development and evaluation of the SF-36 Health Survey, a 36-item generic measure of health status. It summarizes studies of reliability and validity and provides administrative and interpretation guidelines for the SF-36. A brief history of the International Quality of Life Assessment (IQOLA) Project is also included.
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          AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee.

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            Author and article information

            Affiliations
            [1 ]Institute of Epidemiology and Social Medicine, University of Muenster, Germany
            [2 ]German Stroke Foundation, Guetersloh, Germany
            Contributors
            Journal
            BMC Public Health
            BMC Public Health
            BioMed Central (London )
            1471-2458
            2007
            20 March 2007
            : 7
            : 39
            1838904
            1471-2458-7-39
            17371603
            10.1186/1471-2458-7-39
            Copyright © 2007 Kraywinkel et al; licensee BioMed Central Ltd.

            This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

            Categories
            Research Article

            Public health

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