Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study.

Journal Article (Journal Article)

BACKGROUND: Little is known about knowledge of stroke symptoms, perceptions of self-risk, and health-care-seeking behavior for stroke in East Africa. METHODS: A 2-stage randomized population-based cluster survey with selection proportional to population size was performed in northern Tanzania. Self-identified household health-care decision makers were asked to list all symptoms of a stroke. They were further asked if they thought they had a chance of having a stroke and where they would present for care for stroke-like symptoms. A socioeconomic status score was derived via principal component analysis from 9 variables related to wealth. RESULTS: Of 670 respondents, 184 (27.4%) knew a conventional stroke symptom and 51 (7.6%) thought they had a chance of having a stroke. Females were less likely to perceive themselves to be at risk than males (OR 0.49, 95% CI 0.28-0.89, p = 0.014). Of respondents, 558 (88.3%) stated they would present to a hospital for stroke-like symptoms. Preference for a hospital was not associated with knowledge of stroke symptoms or perception of self-risk but was associated with a higher socioeconomic status score (p < 0.001). CONCLUSIONS: Knowledge of stroke symptoms and perception of self-risk are low in northern Tanzania, but most residents would present to a hospital for stroke-like symptoms.

Full Text

Duke Authors

Cited Authors

  • Hertz, JT; Madut, DB; William, G; Maro, VP; Crump, JA; Rubach, MP

Published Date

  • 2019

Published In

Volume / Issue

  • 53 / 1-2

Start / End Page

  • 41 - 47

PubMed ID

  • 30986785

Pubmed Central ID

  • PMC6842572

Electronic International Standard Serial Number (EISSN)

  • 1423-0208

Digital Object Identifier (DOI)

  • 10.1159/000499069


  • eng

Conference Location

  • Switzerland