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We evaluated the impact of a national stroke campaign on knowledge of stroke, and symptom recognition, in relation to educational level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Six cross-sectional post-campaign surveys were conducted (2019\u20132022) using a Danish responder panel (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092000 first survey,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091000 each of the following) after the launch of a stroke awareness campaign. Using logistic regression analysis we tested associations between campaign recall and each of the three parameters: knowledge of stroke, symptom recognition, and knowledge of correct call-to-action. Analyses were stratified by educational level.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 7001 individuals (56.7% women) 44.8% recalled the campaign during the period, and knowledge of stroke, symptom recognition and correct call-to-action increased over time. Campaign recall was associated with increased knowledge of stroke (OR: 1.57, 95% CI: 1.42\u20131.74) and symptom recognition (OR: 2.11, 95% CI: 1.89\u20132.36). The stratified analyses showed that individuals with a master\u2019s degree had higher OR for symptom recognition (OR: 2.59 95% Cl: 1.95\u20133.44) compared to individuals with vocational education (OR 1.93, 95% Cl: 1.59\u20132.35).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Initiation of a national stroke campaign was associated with improved knowledge of stroke and symptom recognition. Among individuals with lower educational level the association between campaign recall and recognition of stroke symptoms appeared weaker. The impact of educational levels may be considered in the design of future stroke campaigns. Whether stroke recognition and knowledge of correct call-to-action translate into appropriate responses remains to be fully evaluated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-025-25852-w","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T04:47:25Z","timestamp":1764996445000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Educational inequalities in stroke knowledge and symptom recognition following a national Danish stroke campaign: a cross-sectional study"],"prefix":"10.1186","volume":"26","author":[{"given":"Hannah","family":"Andersen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi Shil","family":"Eddelien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malini","family":"Sagar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stine","family":"Strandkjaer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Else","family":"Foverskov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Kruuse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,6]]},"reference":[{"issue":"4","key":"25852_CR1","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.1016\/j.apnr.2014.05.004","volume":"27","author":"I Hartigan","year":"2014","unstructured":"Hartigan I, O\u2019Connell E, O\u2019Brien S, Weathers E, Cornally N, Kilonzo B, et al. 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We used data from YouGov\u2019s online research panel, where YouGov acted as the sole data controller, ensuring full compliance with the General Data Protection Regulation (GDPR) [\n                      \n                      ,\n                      \n                      ]. The research team did not have access to any personally identifiable information about the participants and was therefore not subject to GDPR obligations regarding data handling. YouGov\u2019s proprietary methodologies ensured appropriate participant selection and adherence to data security and privacy standards [\n                      \n                      ,\n                      \n                      ]. According to Danish law [\n                      \n                      ], questionnaire-based survey studies that do not involve human biological material are exempt from ethical approval by the regional or national research ethics committees. Therefore, ethical approval was not required for this study [\n                      \n                      ]. However, all participants provided informed consent prior to participation when joining YouGov\u2019s online research panel and explicitly agreed to take part in the present survey.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"148"}}