ArticleBMJ open2021
Public knowledge of stroke and heart attack symptoms in China: a cross-sectional survey.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Awareness of Stroke Symptoms, Risk Factors, and Utilization of Neuroradiology Services Among the General Public in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Knowledge, Attitudes, and Practices Regarding Stroke Among Young Stroke Patients in China: A Cross-Sectional Survey.Patient preference and adherence · 2026Article
- Effects of an online stroke education program on enhancing knowledge, awareness of stroke warning signs, and emergency medical services seeking among high-risk residents in Huanggang City, China.Journal of education and health promotion · 2026Article
- Stroke awareness and response among university students in five Middle Eastern and North African countries: a multicenter cross-sectional study.Frontiers in public health · 2026Article
- Knowledge of stroke warning signs, attitudes to emergency activation, and help-seeking practices among adults in a hospital catchment: a single-center KAP study.Frontiers in public health · 2026Article
- Public awareness of cardiovascular disease and its risk factors in Palestine: a cross-sectional survey.BMC public health · 2025Article
- Public Awareness of Stroke Symptoms in Developed and Developing Countries: A Systematic Review.Journal of caring sciences · 2025Review
- Global Awareness and Response to Early Symptoms of Acute Stroke: A Systematic Literature Review.Cureus · 2025Review
- Knowledge and awareness of stroke in the United Arab Emirates: a cross-sectional study of the general population.F1000Research · 2023Article
- Layperson knowledge of heart attacks in the state of Georgia, USA.Health psychology research · 2023Article
- Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension.Healthcare (Basel, Switzerland) · 2021Article
- Public attention to cardiac arrest in China: A Baidu Index analysis of online search trends and hotspot events.Digital healthArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveStroke and ischaemic heart disease have become the leading causes of death in China. We evaluated recognition of stroke and heart attack symptoms and stroke treatment-seeking behaviour in a large representative sample of the Chinese adult population and explored characteristics associated with recognition rates.
designCross-sectional survey.
settingHousehold interviews. PARTICIPANT: 3051 Chinese adults aged between 18 and 69 (50.7% female) were interviewed between January and March 2019. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary measures include recognitions of stroke and heart attack symptoms and stroke treatment-seeking behaviour. Secondary measures include numeracy level, sociodemographics and prior history of cardiovascular diseases and high blood pressure.
resultsParticipants on average recognised 5.2 out of 14 stroke symptoms and 2.6 out of 6 heart attack symptoms. In the presence of stroke symptoms, three quarters of participants would take immediate action and call an ambulance, yet the second most common action was to advise the person to see a doctor (59%) rather than to consult a doctor immediately (34%). Recognition of atypical heartattack symptoms, such as nausea and feeling of anxiety, was poor. Symptom recognition rates were higher in females, people with a personal or family/friend history of cardiovascular events, those with higher numeracy scores, and for stroke symptoms, participants with high (versus low) education level. Furthermore, symptom recognition rate was negatively correlated with burden of cardiovascular diseases across the four economic regions of China.
conclusionRecognition of stroke and heart-attack symptoms was moderate and there remains a gap between recognising symptoms and taking immediate action. Interventions focusing on simple symptom detection tools and on building numerical competencies may help reduce the burden of cardiovascular diseases in China.
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