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Knowledge, attitudes, and practices of patients with hyperlipidemia towards stroke: a cross-sectional study
Shanshan Zuo1, Linlin Liu2, Wentao Li3
1Neurosurgery Intensive Care Unit, the First Hospital of Hebei Medical University, Shijiazhuang, China.
Insights
Patients with hyperlipidemia show a knowledge gap regarding stroke prevention, despite positive attitudes. Improving knowledge is key to enhancing their proactive practices for stroke risk reduction.
Area of Science:
- Cardiology
- Neurology
- Public Health
Background:
- Stroke incidence and mortality are rising globally.
- Hyperlipidemia is a significant risk factor for stroke.
- Understanding patient knowledge, attitudes, and practices (KAP) is vital for stroke prevention strategies.
Purpose of the Study:
- To investigate the knowledge, attitudes, and practices (KAP) of hyperlipidemia patients concerning stroke.
- To identify factors associated with proactive stroke prevention practices in this population.
Main Methods:
- A cross-sectional study involving 385 hyperlipidemia patients.
- Data collected via questionnaire on demographics and KAP scores.
- Multivariate and mediation analyses performed to assess associations and pathways.
Main Results:
- Age (≥55 years) and positive attitude scores were independently associated with proactive practice.
- Knowledge directly influenced attitude, and attitude directly influenced practice.
- Knowledge indirectly impacted practice through attitude, with a direct effect on practice being non-significant.
Conclusions:
- Patients with hyperlipidemia demonstrate a significant knowledge deficit regarding stroke.
- Positive attitudes are present but not fully translated into optimal preventive practices.
- Interventions should focus on enhancing stroke knowledge, leveraging positive attitudes to improve practices.
Objective:
With the rising incidence and mortality rates of stroke, understanding the knowledge, attitudes, and practices (KAP) of patients with hyperlipidemia towards stroke is crucial for improving their health management and preventing stroke. This study aimed to investigate the KAP of patients with hyperlipidemia towards stroke.
Methods:
A cross-sectional study was conducted at the First Hospital of Hebei Medical University between November 2, 2023, and December 31, 2023. Demographic information and KAP scores of the participants were collected via questionnaire administration.
Results:
In this study, a total of 385 patients diagnosed with hyperlipidemia were included. Among them, 211 (54.8%) were male, and 214 (55.6%) had been dealing with hyperlipidemia for less than one year. Multivariate analyses showed that age greater than or equal to 55 years (OR = 4.016, 95% CI: [2.128,7.579], p < .001) and attitude score greater than or equal to 21 (OR = 5.673, 95% CI: [3.432,9.376], p < .001) were independently associated with proactive practice. Mediation analysis showed that knowledge directly affected the attitude (β = 0.637, p = .010) and attitude directly affected the practice (β = 0.721, p = .010). Meanwhile, the direct effect of knowledge on practice was not significant (β = -0.059, p = .438), however, knowledge was found to indirectly affected practice through attitude (β = 0.459, p = .010).
Conclusion:
Our study reveals that patients with hyperlipidemia exhibit a concerning gap in their understanding of stroke, despite holding positive attitudes and displaying suboptimal preventive practices.
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