{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:56:11Z","timestamp":1791186971725,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Stroke is a leading cause of death and disability worldwide, and hypertension is its strongest modifiable risk factor. The protection that treatment offers, however, depends on whether patients recognize their own risk and sustain preventive behavior. This has not been examined in Addis Ababa, where patients have comparatively good access to specialist follow\u2010up. We assessed knowledge and practice regarding stroke prevention at two public hospitals in the city, and the characteristics associated with each.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An institution\u2010based cross\u2010sectional study was conducted from 1 February to 20 August 2022 among 283 hypertensive adults attending cardiac follow\u2010up at two federal teaching hospitals. Knowledge was measured with the 32\u2010item Stroke Prevention Knowledge Questionnaire and dichotomized at \u2265\u200960% correct; practice was measured with the 52\u2010item Health\u2010Promoting Lifestyle Profile II (HPLP\u2010II) and analyzed as a continuous score. Binary logistic and multivariable linear regression were used respectively; all tests were two\u2010sided with\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy\u2010seven participants (27.2%) had good overall knowledge; 137 (48.4%), 101 (35.7%) and 59 (20.8%) reached the domain thresholds for prevention measures, warning signs and risk factors, and 110 (38.9%) named no warning sign. Educational attainment (above Grade 12 vs. no formal schooling\u2014adjusted odds ratio: 50.43, 95% confidence interval [CI]: 10.98\u2013231.53), religion and family history of stroke were independently associated with good knowledge. The mean HPLP\u2010II score was 136.97\u2009\u00b1\u200926.71, within the \u201cgood\u201d band, but physical activity scored lowest. Educational attainment, widowhood and good knowledge (adjusted mean difference: 13.20, 95% CI: 6.81\u201319.60) were independently associated with practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Knowledge of stroke prevention was poor despite favorable lifestyle scores, and educational attainment was associated with both. Attendance at a specialist clinic is not evidence that a patient understands their risk; counseling should verify comprehension rather than assume it.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73268","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:47:09Z","timestamp":1789706829000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and Practice Regarding Stroke Prevention and Associated Factors Among Hypertensive Patients at Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6993-0558","authenticated-orcid":false,"given":"Hana Shafi","family":"Amde","sequence":"first","affiliation":[{"name":"Addis Continental Institute of Public Health Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8716-8687","authenticated-orcid":false,"given":"Alfoalem Araba","family":"Abiye","sequence":"additional","affiliation":[{"name":"Department of Pharmacology and Clinical Pharmacy School of Pharmacy, College of Health Sciences, Addis Ababa University Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6338-4222","authenticated-orcid":false,"given":"Negalign Getahun","family":"Dinegde","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1008-7851","authenticated-orcid":false,"given":"Emebet Berhane","family":"Woldemariam","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41582-023-00921-z"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpmed.2020.06.002"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.024154"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/08037051.2017.1292456"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00252-0"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01330-1"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/CON.0000000000000831"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.124.040119"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.3171\/2023.2.JNS222807"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41440-022-00908-1"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.3988\/jcn.2016.12.2.137"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-025-04905-3"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0259244"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2017.11.001"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S324960"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.86484"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S303876"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/8570428"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-089159"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.839879"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S333394"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2018.29.63.13252"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.09.006"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14640"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198703000-00002"},{"key":"e_1_2_14_28_1","unstructured":"S. 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