Evidence map›Paper›PMID 41628157›Full record

ArticlePloS one2026

Community voices: Exploring beliefs, attitudes, practices and recommendations for improving stroke prevention and stroke care in rural and urban communities in Nigeria.

Ezinne O Uvere, Carolyn Jenkins, Ezinne S Melikam, Oyedunni S Arulogun, Omotolani T Ajala, Adewale E Ayodele, Olayinka J Adebajo, Osimhiarherhuo Adeleye, Olumayowa Ogunronbi, Chukwuemeka Nwimo and 15 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

25 authors.

Ezinne O UvereDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.ORCID https://orcid.org/0000-0003-3290-6483
Carolyn JenkinsCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, United States of America.
Ezinne S MelikamDepartment of Public Health, Clemson University, Clemson, South Carolina, United States of America.
Oyedunni S ArulogunDepartment of Health Promotion and Education, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Omotolani T AjalaDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Adewale E AyodeleDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Olayinka J AdebajoDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.ORCID https://orcid.org/0009-0002-8536-2926
Osimhiarherhuo AdeleyeDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Olumayowa OgunronbiDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Chukwuemeka NwimoDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Michelle NicholsDepartment of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, United States of America.ORCID https://orcid.org/0000-0002-2078-9649
Oluwafemi A PopoolaDepartment of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Joshua O AkinyemiDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Raelle TaggeWeill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, United States of America.
Rufus O AkinyemiNeuroscience and Ageing Research Unit, IAMRAT, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Onoja M AkpaDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Ayodeji SalamiDepartment of Pathology, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Olalekan J TaiwoDepartment of Geography, Faculty of the Social Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria.
Ayodeji AdebayoDepartment of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Paul OlowoyoDepartment of Medicine, Afe Babalola University, Ado Ekiti, Nigeria.
Temitope IloriDepartment of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Olanrewaju OlaniyanDepartment of Economics, Faculty of Social Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria.
Richard W WalkerPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Bruce OvbiageleWeill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, United States of America.
Mayowa O OwolabiDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.ORCID https://orcid.org/0000-0003-1146-3070

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGlobally, stroke is a leading cause of mortality with higher incidence in low- and middle-income countries. However, stroke beliefs and knowledge among community partners are essential considerations for tailoring of interventions in West Africa. PURPOSE: To describe differences in beliefs, attitudes, and practices related to stroke risks, prevention, and care delivery from alternative/complementary providers/healers, orthodox/modern medicine/health care providers, community members and leaders in Nigeria.

methodsSix focus groups with community members and leaders (n = 57) and key informant interviews with health providers (n = 24) from alternative/complementary and orthodox/modern medicine providers were conducted to qualitatively explore beliefs, attitudes, practices, and recommendations related to stroke in urban (Ibadan) and rural (Ibarapa) communities in Nigeria. The Socio-Ecological Model guided selection of participants, and the Health Belief Model guided the development of questions for participants.

resultsParticipants perceived stroke as disabling, though manageable, and having higher odds of repeat stroke for survivors. High blood pressure, stress, sleep issues, heredity, and lifestyle factors were some stroke risk factors perceived by participants from both sites although God, witchcraft/evil people were reported by rural participants. Hospital visits and consumption of herbal concoction, self-medication and visit to church for prayers were some actions taken to manage stroke by both urban and rural participants. Low literacy levels, limited funds, fear of and distance to hospitals, and absence of insurance were some barriers to uptake of recommendations from orthodox medicine practitioners which are drivers to unorthodox practitioners. To improve stroke care and prevention across communities, free risk factor screening, indigenous stroke awareness programs via print, audio-visual and electronic media were suggested by all participants.

conclusionDiverse beliefs and practices are related to stroke risk factors, prevention and care and barriers with obtaining care. There is need to work across systems to improve stroke prevention and care in communities.

Indexed as

Health Knowledge, Attitudes, PracticeStrokeAdultFemaleFocus GroupsHumansMaleMiddle AgedNigeriaRisk FactorsRural PopulationUrban Population

Identifiers

PMID41628157
PMCPMC12863480

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.