Perceived and actual stroke risk among men with hypertension.

Journal Article

The purposes of this study were to determine whether there is a significant correlation between the perceived and actual stroke risk among hypertensive patients and to identify patient characteristics associated with inaccurate estimation of stroke risk. The authors performed a cross-sectional analysis of 296 men with hypertension who were enrolled in the Veterans Study to Improve the Control of Hypertension (V-STITCH). A patient's actual stroke risk was calculated using the Framingham stroke risk (FSR); patients' perceived risk was measured according to a self-reported 10-point risk scale. The median 10-year FSR was 16%, but the median perceived risk score was 5 (range, 1 [lowest] to 10 [highest]). There was no significant correlation between patients' perceived risk of stroke and their calculated FSR (Spearman rho=-0.08; P=.16; 95% confidence interval, -0.19 to 0.03). Patients who underestimated their stroke risk were significantly less likely to be worried about their blood pressure than patients with accurate risk perception (12.4% vs 69.6%; P<.0001). The lack of correlation between hypertensive patients' perceived stroke risk and FSR supports the need for better patient education on the risks associated with hypertension.

Full Text

Duke Authors

Cited Authors

  • Powers, BJ; Oddone, EZ; Grubber, JM; Olsen, MK; Bosworth, HB

Published Date

  • April 2008

Published In

Volume / Issue

  • 10 / 4

Start / End Page

  • 287 - 294

PubMed ID

  • 18401226

Pubmed Central ID

  • 18401226

International Standard Serial Number (ISSN)

  • 1524-6175

Digital Object Identifier (DOI)

  • 10.1111/j.1751-7176.2008.07797.x


  • eng

Conference Location

  • United States