{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:06:38Z","timestamp":1791227198421,"version":"4.1.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose\u2014<\/jats:title>\n            <jats:p>The incidence of stroke in Malawi is unknown but major risk factors, including hypertension, obesity, and diabetes mellitus, are highly prevalent. We sought to understand community-level knowledge about stroke.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods\u2014<\/jats:title>\n            <jats:p>A population-based cross-sectional study was conducted in rural Malawi (2016\u20132017). Adults aged \u226515 years were randomly selected and interviewed about their knowledge and perceptions of stroke symptoms, risk factors, and prevention. Logistic regression was used to investigate sociodemographic factors associated with stroke knowledge.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results\u2014<\/jats:title>\n            <jats:p>Of 812 selected, 739 (91% response rate) were seen and consented; 57% were female, and the median age was 52.0 years. Knowledge of stroke was poor: 71% knew no (correct) risk factors. Witchcraft (20.6%) was mentioned as frequently as hypertension (19.8%) as a cause. Knowledge of stroke was greatest in the most educated and wealthy and lowest in men, the never married, and the youngest age group. HIV-positive individuals had higher knowledge of prevention (odds ratio, 2.91; 95% CI, 1.21\u20137.03) than HIV negative individuals.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>Knowledge about stroke is very low in this community, particularly among the least educated and poor. Programs to support prevention, early recognition, and timely hospital presentation after a stroke are needed.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/strokeaha.119.025105","type":"journal-article","created":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T09:00:30Z","timestamp":1559725230000},"page":"1846-1849","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Community-Level Knowledge and Perceptions of Stroke in Rural Malawi"],"prefix":"10.1161","volume":"50","author":[{"given":"Hazzie","family":"Mvula","sequence":"first","affiliation":[{"name":"From the Malawi Epidemiology and Intervention Research Unit, Lilongwe and Karonga (H.M., C.C., V.N., S.G., A.C.C., M.N., A.J.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Chisambo","sequence":"additional","affiliation":[{"name":"From the Malawi Epidemiology and Intervention Research Unit, Lilongwe and Karonga (H.M., C.C., V.N., S.G., A.C.C., M.N., A.J.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitumbiko","family":"Nyirenda","sequence":"additional","affiliation":[{"name":"From the Malawi Epidemiology and Intervention Research Unit, Lilongwe and Karonga (H.M., C.C., V.N., S.G., A.C.C., M.N., A.J.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Geis","sequence":"additional","affiliation":[{"name":"From the Malawi Epidemiology and Intervention Research Unit, Lilongwe and Karonga (H.M., C.C., V.N., S.G., A.C.C., M.N., A.J.P.)"},{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom (S.G., J.R.G., A.C.C., M.N., L.S., A.J.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith R.","family":"Glynn","sequence":"additional","affiliation":[{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom (S.G., J.R.G., A.C.C., M.N., L.S., A.J.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia C.","family":"Crampin","sequence":"additional","affiliation":[{"name":"From the Malawi Epidemiology and Intervention Research Unit, Lilongwe and Karonga (H.M., C.C., V.N., S.G., A.C.C., M.N., A.J.P.)"},{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom (S.G., J.R.G., A.C.C., M.N., L.S., A.J.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moffat","family":"Nyirenda","sequence":"additional","affiliation":[{"name":"From the Malawi Epidemiology and Intervention Research Unit, Lilongwe and Karonga (H.M., C.C., V.N., S.G., A.C.C., M.N., A.J.P.)"},{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom (S.G., J.R.G., A.C.C., M.N., L.S., 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bottlenecks along the cascade of care for HIV\/AIDS in Eastern and Southern Africa.","volume":"93","author":"Moshabela M","year":"2017","unstructured":"Moshabela, M, Bukenya, D, Darong, G, Wamoyi, J, McLean, E, Skovdal, M, et al. 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