Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China
BACKGROUND: As health behavior varies with increasing age, we aimed to examine the potential barriers in calling emergency medical services (EMS) after recognizing a stroke among 40-74- and 75-99-year-old adults.
METHODS: Data were obtained from a cross-sectional community-based study (FAST-RIGHT) that was conducted from January 2017 to May 2017 and involved adults (age ≥ 40 years) across 69 administrative areas in China. A subgroup of residents (153675) who recognized stroke symptoms was analyzed. Multivariable logistic regression models were performed in the 40-74 and 75-99 age groups, separately, to determine the factors associated with wait-and-see behaviors at the onset of a stroke.
RESULTS: In the 40-74 and 75-99 age groups, the rates of participants who chose "Self-observation at home" were 3.0% (3912) and 3.5% (738), respectively; the rates of "Wait for family, then go to hospital" were 31.7% (42071) and 33.1% (6957), respectively. Rural residence, living with one's spouse, low income (< 731 US $ per annum), having a single avenue to learn about stroke, and having friends with stroke were factors associated with waiting for one's family in both groups. However, unlike in the 40-74 age group, sex, number of children, family history, and stroke history did not influence the behaviors at stroke onset in the 75-99 age group.
CONCLUSIONS: Different barriers from recognizing stroke and calling an ambulance exist in the 40-74 and 75-99 age groups in this specific population. Different strategies that mainly focus on changing the "Wait for family" behavior and emphasize on immediately calling EMS are recommended for both age groups.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
BMC neurology - 19(2019), 1 vom: 12. Nov., Seite 283 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Li, Shengde [VerfasserIn] |
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| Links: |
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| Themen: |
Aging |
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| Anmerkungen: |
Date Completed 27.01.2020 Date Revised 19.10.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12883-019-1480-6 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM303221704 |
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| 100 | 1 | |a Li, Shengde |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China |
| 264 | 1 | |c 2019 | |
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| 500 | |a Date Revised 19.10.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: As health behavior varies with increasing age, we aimed to examine the potential barriers in calling emergency medical services (EMS) after recognizing a stroke among 40-74- and 75-99-year-old adults | ||
| 520 | |a METHODS: Data were obtained from a cross-sectional community-based study (FAST-RIGHT) that was conducted from January 2017 to May 2017 and involved adults (age ≥ 40 years) across 69 administrative areas in China. A subgroup of residents (153675) who recognized stroke symptoms was analyzed. Multivariable logistic regression models were performed in the 40-74 and 75-99 age groups, separately, to determine the factors associated with wait-and-see behaviors at the onset of a stroke | ||
| 520 | |a RESULTS: In the 40-74 and 75-99 age groups, the rates of participants who chose "Self-observation at home" were 3.0% (3912) and 3.5% (738), respectively; the rates of "Wait for family, then go to hospital" were 31.7% (42071) and 33.1% (6957), respectively. Rural residence, living with one's spouse, low income (< 731 US $ per annum), having a single avenue to learn about stroke, and having friends with stroke were factors associated with waiting for one's family in both groups. However, unlike in the 40-74 age group, sex, number of children, family history, and stroke history did not influence the behaviors at stroke onset in the 75-99 age group | ||
| 520 | |a CONCLUSIONS: Different barriers from recognizing stroke and calling an ambulance exist in the 40-74 and 75-99 age groups in this specific population. Different strategies that mainly focus on changing the "Wait for family" behavior and emphasize on immediately calling EMS are recommended for both age groups | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Aging | |
| 650 | 4 | |a Awareness | |
| 650 | 4 | |a Emergency medical services | |
| 650 | 4 | |a Family | |
| 650 | 4 | |a Health education | |
| 650 | 4 | |a Healthy behaviors | |
| 650 | 4 | |a Risk factors | |
| 650 | 4 | |a Stroke | |
| 700 | 1 | |a Cui, Li-Ying |e verfasserin |4 aut | |
| 700 | 1 | |a Anderson, Craig |e verfasserin |4 aut | |
| 700 | 1 | |a Gao, Chunpeng |e verfasserin |4 aut | |
| 700 | 1 | |a Yu, Chengdong |e verfasserin |4 aut | |
| 700 | 1 | |a Shan, Guangliang |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Longde |e verfasserin |4 aut | |
| 700 | 1 | |a Peng, Bin |e verfasserin |4 aut | |
| 700 | 0 | |a FAST-RIGHT Investigators and Coordinators |e verfasserin |4 aut | |
| 700 | 1 | |a Chao, Baohua |e investigator |4 oth | |
| 700 | 1 | |a Cao, Lei |e investigator |4 oth | |
| 700 | 1 | |a Wang, Lingxiao |e investigator |4 oth | |
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