Stroke literacy in Central Harlem

A high-risk stroke population

Joshua Z. Willey, Olajide Williams, Bernadette Boden-Albala

Research output: Contribution to journalArticle

Abstract

BACKGROUND:: Awareness of stroke warning symptoms and risk factors (stroke literacy), as well as knowledge of available treatment options, may be poor in high-risk populations. We sought to evaluate stroke literacy among residents of Central Harlem, a predominantly African American population, in a cross-sectional study. METHODS:: Ten community-based sites in Central Harlem were identified between 2005 and 2006 for administration of a stroke knowledge survey. Trained volunteers administered in-person closed-ended questionnaires focused on stroke symptoms and risk factors. RESULTS:: A total of 1,023 respondents completed the survey. African Americans comprised 65.7% (n = 672) of the survey cohort. The brain was correctly identified as the site where a stroke occurs by 53.7% of respondents, whereas the heart was incorrectly identified by 20.8%. Chest pain was identified as a symptom of stroke by 39.7%. In multivariable analyses, African Americans (odds ratio [OR] 2.20, 95% confidence interval [CI] 1.09-4.45) and Hispanics (OR 5.27, 95% CI 2.46-11.30) were less likely to identify the brain as the damaged organ in stroke. Hispanics were more likely to incorrectly identify chest pain as a stroke symptom, compared with whites (OR 3.40, 95% CI 1.49-7.77). No associations were found between calling 911 and race/ethnicity and stroke knowledge, although women were more likely than men to call 911 (OR 0.50, 95% CI 0.30-0.80). CONCLUSION:: Significant deficiencies in stroke literacy exist in this high-risk population, especially when compared with national means. Culturally tailored and sustainable educational campaigns should be tested in high-risk populations as part of stroke public health initiatives.

Original languageEnglish (US)
Pages (from-to)1950-1956
Number of pages7
JournalNeurology
Volume73
Issue number23
DOIs
StatePublished - Dec 2009

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Stroke
Population
Odds Ratio
African Americans
Confidence Intervals
Chest Pain
Hispanic Americans
Literacy
Brain
Surveys and Questionnaires
Volunteers
Public Health
Cross-Sectional Studies

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Stroke literacy in Central Harlem : A high-risk stroke population. / Willey, Joshua Z.; Williams, Olajide; Boden-Albala, Bernadette.

In: Neurology, Vol. 73, No. 23, 12.2009, p. 1950-1956.

Research output: Contribution to journalArticle

Willey, Joshua Z. ; Williams, Olajide ; Boden-Albala, Bernadette. / Stroke literacy in Central Harlem : A high-risk stroke population. In: Neurology. 2009 ; Vol. 73, No. 23. pp. 1950-1956.
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abstract = "BACKGROUND:: Awareness of stroke warning symptoms and risk factors (stroke literacy), as well as knowledge of available treatment options, may be poor in high-risk populations. We sought to evaluate stroke literacy among residents of Central Harlem, a predominantly African American population, in a cross-sectional study. METHODS:: Ten community-based sites in Central Harlem were identified between 2005 and 2006 for administration of a stroke knowledge survey. Trained volunteers administered in-person closed-ended questionnaires focused on stroke symptoms and risk factors. RESULTS:: A total of 1,023 respondents completed the survey. African Americans comprised 65.7{\%} (n = 672) of the survey cohort. The brain was correctly identified as the site where a stroke occurs by 53.7{\%} of respondents, whereas the heart was incorrectly identified by 20.8{\%}. Chest pain was identified as a symptom of stroke by 39.7{\%}. In multivariable analyses, African Americans (odds ratio [OR] 2.20, 95{\%} confidence interval [CI] 1.09-4.45) and Hispanics (OR 5.27, 95{\%} CI 2.46-11.30) were less likely to identify the brain as the damaged organ in stroke. Hispanics were more likely to incorrectly identify chest pain as a stroke symptom, compared with whites (OR 3.40, 95{\%} CI 1.49-7.77). No associations were found between calling 911 and race/ethnicity and stroke knowledge, although women were more likely than men to call 911 (OR 0.50, 95{\%} CI 0.30-0.80). CONCLUSION:: Significant deficiencies in stroke literacy exist in this high-risk population, especially when compared with national means. Culturally tailored and sustainable educational campaigns should be tested in high-risk populations as part of stroke public health initiatives.",
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