Factors Influencing Stroke Knowledge among Thai Rural Population

Objective: Stroke is the third leading cause of death in Thailand having devastating effects on patients and families. About half of stroke patients in Thailand live in rural areas where accessing to health care services and information is difficult. To reduce the incidence of stroke, public stroke awareness is critical. Therefore, this study aimed to determine the factors affecting stroke knowledge in Thai rural people. Materials and Methods: A study was conducted among 579 people who live in a rural area (Khao Suan Kwang District, Khon Kaen, Thailand). All participants were asked to complete the questionnaire which consisted of (1) demographic data (2) 19 items regarding stroke risk factors (3) 11 items of signs and symptoms of stroke including warning signs and (4) management after a stroke attack. Results: The majority of participants (79%) were females, with a mean age 49 (SD 16) years. Most participants recognized stroke risk factors, signs and symptoms and warning signs. Of these participants, 70% had excellent stroke knowledge. Only 16% knew to call 1669, the emergency call number in response to stroke symptoms. In multivariate analysis, age (more than 40 years old), females, working status and incomes showed a positive association with excellent stroke knowledge. Conclusion: The present study suggested young, male, and unemployed participants were associated with a deficit in stroke knowledge in rural areas. Therefore, an education campaign should be conducted in rural areas particularly among males and young people. Keywords: Stroke knowledge, Risk factor, Warning sign