Knowledge and Awareness of Stroke in Rural and Urban Communities in Indonesia

Rahmania Ambarika; Mohamed Saifulaman Mohamed Said; Novian Mahayu Adiutama; Novita Ana Anggraini; Sandeep Poddar; Bibi Florina Abdullah

doi:10.1016/j.enfcle.2024.04.004

Knowledge and Awareness of Stroke in Rural and Urban Communities in Indonesia

Enferm Clin (Engl Ed). 2024 Apr 17:S2445-1479(24)00028-6. doi: 10.1016/j.enfcle.2024.04.004. Online ahead of print.

Authors

Rahmania Ambarika¹, Mohamed Saifulaman Mohamed Said², Novian Mahayu Adiutama³, Novita Ana Anggraini⁴, Sandeep Poddar², Bibi Florina Abdullah²

Affiliations

¹ Institut Ilmu Kesehatan STRADA Indonesia, Kediri, Indonesia. Electronic address: rahmania.ambar@gmail.com.
² Lincoln University College, Wisma Lincoln, 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor, Malaysia.
³ Politeknik Negeri Subang, Kampus Ciereng Jurusan Kesehatan, Indonesia.
⁴ Institut Ilmu Kesehatan STRADA Indonesia, Kediri, Indonesia.

PMID: 38641005
DOI: 10.1016/j.enfcle.2024.04.004

Abstract

Introduction: The average stroke morbidity rate, especially in rural communities, is higher when compared to the national average.

Objective: Identify the profile of knowledge and awareness of stroke in rural and urban communities and analyze the differences between the two.

Method: Respondents who met the requirements answered a questionnaire containing a total of 41 items regarding knowledge and awareness of stroke. Characteristic data obtained includes age, gender, education, occupation, and ethnicity. Differences in characteristics were analyzed using Mann-Whitney, and the profiles of knowledge and awareness of stroke in rural and urban groups were analyzed using independent t tests to see differences between the two.

Result: Differences in the characteristics of rural and urban groups were only in education (p = 0.036) and occupation (p = 0.021). The mean score of the knowledge domain for the rural group was 72.53 (SD = 11.04), for the urban group it was 81.06 (SD = 11.12). The mean score awareness of stroke domain in the rural group was 72.18 (SD = 11.01), the urban group was 85.51 (SD = 11.67). The profile of knowledge and awareness of stroke in rural communities was significantly lower than in urban communities. The significance value was (p = 0.004) for knowledge and (p = 0.002) for awareness of stroke.

Conclusion: Based on the findings, it is reasonable to suspect that educational and occupational factors contribute to differences in the profile of knowledge and awareness of stroke in the two groups. Therefore, the stroke awareness campaign strategy for rural communities needs to be specifically designed by emphasizing/considering educational and occupational factors.

Keywords: Community Survey; Encuesta Comunitaria; Ictus; Morbidity; Morbilidad; Rural; Stroke; Urban; Urbano.