Evidence map›Paper›PMID 30986785›Full record

ArticleNeuroepidemiology2019

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

Julian T Hertz, Deng B Madut, Gwamaka William, Venance P Maro, John A Crump, Matthew P Rubach

Open access · hybridAbstract read
In one paragraph

Article in Neuroepidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. UPESI: Swahili translation of the FAST acronym for stroke awareness campaigns in East Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  5. Review
  6. Conceptual framework for establishing the African Stroke Organization.International journal of stroke : official journal of the International Stroke Society · 2021
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Julian T HertzDivision of Emergency Medicine, Duke University Medical Center, Durham, North Carolina, USA, julian.hertz@duke.edu.
Deng B MadutDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Gwamaka WilliamKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Venance P MaroDepartment of Medicine, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
John A CrumpOtago Global Health Institute, University of Otago, Dunedin, New Zealand.
Matthew P RubachDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Duke Medical Center · USKilimanjaro Christian Medical Centre · TZUniversity of Otago · NZ

Funding

Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
Investigating Febrile Deaths in Tanzania (INDITe)R01AI121378 · NIAID · DUKE UNIVERSITY · PI RUBACH, MATTHEW P · 2016 to 2020
$2.7M
Viral Zoonoses and Severe Febrile Illness in Northern TanzaniaK23AI116869 · NIAID · DUKE UNIVERSITY · PI RUBACH, MATTHEW P · 2016 to 2020
$896k
FIC NIH HHS D43 TW009337NIAID NIH HHS K23 AI116869NIAID NIH HHS R01 AI121378
6 · The paper itself

Abstract

backgroundLittle is known about knowledge of stroke symptoms, perceptions of self-risk, and health-care-seeking behavior for stroke in East Africa.

methodsA 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.

resultsOf 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).

conclusionsKnowledge 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.

Indexed as

Health Knowledge, Attitudes, PracticeSurveys and QuestionnairesAdolescentAdultAgedAged, 80 and overFemaleHumansIndependent LivingMaleMiddle AgedPatient Acceptance of Health CareRandom AllocationStrokeTanzaniaYoung AdultHealth-care-seeking behaviorKnowledgeStrokeSub-Saharan AfricaTanzania

Identifiers

PMID30986785
PMCPMC6842572
OpenAlexW2936200118

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.