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

Publication ,  Journal Article
Hertz, JT; Madut, DB; William, G; Maro, VP; Crump, JA; Rubach, MP
Published in: Neuroepidemiology
2019

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.

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Published In

Neuroepidemiology

DOI

EISSN

1423-0208

Publication Date

2019

Volume

53

Issue

1-2

Start / End Page

41 / 47

Location

Switzerland

Related Subject Headings

  • Young Adult
  • Tanzania
  • Surveys and Questionnaires
  • Stroke
  • Random Allocation
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Independent Living
  • Humans
 

Citation

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Chicago
ICMJE
MLA
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Hertz, J. T., Madut, D. B., William, G., Maro, V. P., Crump, J. A., & Rubach, M. P. (2019). Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study. Neuroepidemiology, 53(1–2), 41–47. https://doi.org/10.1159/000499069
Hertz, Julian T., Deng B. Madut, Gwamaka William, Venance P. Maro, John A. Crump, and Matthew P. Rubach. “Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study.Neuroepidemiology 53, no. 1–2 (2019): 41–47. https://doi.org/10.1159/000499069.
Hertz JT, Madut DB, William G, Maro VP, Crump JA, Rubach MP. Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study. Neuroepidemiology. 2019;53(1–2):41–7.
Hertz, Julian T., et al. “Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study.Neuroepidemiology, vol. 53, no. 1–2, 2019, pp. 41–47. Pubmed, doi:10.1159/000499069.
Hertz JT, Madut DB, William G, Maro VP, Crump JA, Rubach MP. Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study. Neuroepidemiology. 2019;53(1–2):41–47.
Journal cover image

Published In

Neuroepidemiology

DOI

EISSN

1423-0208

Publication Date

2019

Volume

53

Issue

1-2

Start / End Page

41 / 47

Location

Switzerland

Related Subject Headings

  • Young Adult
  • Tanzania
  • Surveys and Questionnaires
  • Stroke
  • Random Allocation
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Independent Living
  • Humans