A small step towards empowering communities: assessing and educating stroke symptoms, risk factors and treatment access: a cross-sectional study in two villages of South India

Authors

  • Apeksha Pokalkar Department of SPM, Malla Reddy Institute of Medical Sciences, Suraram, Hyderabad, Telangana, India
  • Ayushi Pokalkar Department of SPM, Malla Reddy Institute of Medical Sciences, Suraram, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20254385

Keywords:

Acute stroke, Diabetes-mellitus, Hyperlipidaemia, Thrombolysis, Stroke awareness, Limb weakness, Facial weakness, Speech disturbance, Risk factors

Abstract

Background: Stroke is a major preventable cause for disability and death. It has a host of modifiable risk factors. Management of stroke is getting revolutionised. The benefits of these recent advances are not passed to the public more so to the rural folks because there is lack of awareness of stroke symptoms and therapeutic options available for them.

Methods: In a door-to-door survey, subjects were randomly selected to take a questionnaire based on the stroke awareness questionnaire published in the literature. Measures were taken to prevent group answering. Subsequently all subjects in small groups were explained details of stroke symptoms, related risk factors and the various treatment options available to them in the vicinity. The data so acquired was tabulated and analysed statistically.

Results: Most of the subjects were aware of stroke symptoms and risk factors associated with it. But they preferred local native medicines and were not aware of recent treatment modalities.

Conclusions: Most of subjects in the rural area were unaware of recent treatment modalities for stroke in spite of being aware of its manifestations and associated risk factors. There is strong need to educate rural population about stroke treatment.

Metrics

Metrics Loading ...

References

Feigin VL, Brainin M, Norrving B, Martins SO, Pandian J, Lindsay P, et al. World Stroke Organization: Global Stroke Fact Sheet 2025. Int J Stroke. 2025;20(2):132‑44. DOI: https://doi.org/10.1177/17474930241308142

GBD 2023 Cancer Collaborators. The global, regional, and national burden of cancer, 1990-2023, with forecasts to 2050: a systematic analysis for the Global Burden of Disease Study 2023. Lancet. 2025;406(10512):1565-86. DOI: https://doi.org/10.2139/ssrn.5533924

Khurana S, Gourie DM, Shweta S, Suman K. Burden of Stroke in India During 1960 to 2018: A Systematic Review and Meta-Analysis of Community Based Surveys. Neurol India. 2021:69(3):547-59. DOI: https://doi.org/10.4103/0028-3886.317240

Jones SP, Baqai K, Clegg A, Georgiou R, Harris C, Holland EJ, et al. Stroke in India: A systematic review of the incidence, prevalence, and case fatality. Int J Stroke. 202;17(2):132-40. DOI: https://doi.org/10.1177/17474930211027834

Rangamani S, Huliyappa D, Kulothungan V, Saravanan S, Murugan PK, Mahadevan R, et al. Stroke incidence, mortality, and subtypes in rural and urban populations in five geographic areas of India (2018-2019): results from the National Stroke Registry Programme. Stroke. 2024;55(11):3124‑35. DOI: https://doi.org/10.1016/j.lansea.2023.100308

Krishnamurthi RV, Ikeda T, Feigin VL. Global, regional and country-specific burden of ischaemic stroke, intracerebral haemorrhage and subarachnoid haemorrhage: a systematic analysis of the global burden of disease study 2017. Neuroepidemiology. 2020;54(2):171-9. DOI: https://doi.org/10.1159/000506396

O’Donnell MJ, Chin SL, Rangarajan S, Xavier D, Liu L, Zhang H, et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. Lancet. 2016;388(10046):761-75. DOI: https://doi.org/10.1016/S0140-6736(16)30506-2

Sharma R, Lee K. Advances in treatments for acute ischemic stroke. BMJ. 2025;389:076161. DOI: https://doi.org/10.1136/bmj-2023-076161

Rehani B, Ammanuel SG, Zhang Y, Smith W, Cooke DL, Hetts SW, et al. A new era of extended time window acute stroke interventions guided by imaging. Neurohospitalist. 2020;10(1):29-37. DOI: https://doi.org/10.1177/1941874419870701

Deepti S, Anoop K, RamMohan K, SriKumar B. Public awareness of stroke recognition, risk factors and access to appropriate treatment: a hospital-based cross-sectional survey from a tertiary referral centre in Southern India. J Clin and Diag Res. 2022;16(7) 9-13. DOI: https://doi.org/10.7860/JCDR/2022/51505.16599

Verma A, Jaiswal S, Haldar M, Khanna P, Chaterjee S. Community awareness regarding stroke: a survey-based study involving family of patients presenting to an Indian emergency medicine department. Natl J Emerg Med. 2023;2(4):45-52.

Gupta S, Yeole U. Awareness regarding risk factors, signs and symptoms and treatment of stroke: a cross-sectional study in Pune, India. Int J Futur Med Res. 2024;2(2):17432.

Sirisha S, Jala S, Vooturi S, Yada PK, Kaul S. Awareness, Recognition, and Response to Stroke among the General Public-An Observational Study. J Neurosci Rural Pract. 2021;12(4):704-10. DOI: https://doi.org/10.1055/s-0041-1735822

Hickey A, Holly D, McGee H, Conroy R, Shelley E. Knowledge of stroke risk factors and warning signs in ireland: development and application of the stroke awareness questionnaire (SAQ). Int J Stroke. 2012;7(4):298-306. DOI: https://doi.org/10.1111/j.1747-4949.2011.00698.x

Chhabra M, Gudi SK, Rashid M, Rohit, Sharma P, Sharma S, et al. Assessment of knowledge on risk factors, warning signs, and early treatment approaches of stroke among community adults in North India: a telephone interview survey. J Neurosci Rural Pract. 2019;10(3):417-22. DOI: https://doi.org/10.1055/s-0039-1697561

Lawrence MR, Wilson R. Awareness of stroke warning signs, risk factors and response to stroke: a hospital based survey. Int J Res Med Sci. 2023;11(7):2550-3. DOI: https://doi.org/10.18203/2320-6012.ijrms20232098

Puneet Y, Simerleen S, Kumar V, Joshua A, Krishnan S, Kumar S. Survey of knowledge and awareness about cerebro-vascular stroke, its risk factors, warning signs and immediate treatment among mangalore urban population-a cross-sectional study. Int J Health and Rehab Sci. 2013;2(2):116-22.

18. Kurmi S, Mathews E, Kodali PB and Thankappan KR. Awareness of stroke warning symptoms, risk factors, and response to acute stroke in Biswanath District, Assam, India. J Stroke Med. 2020;3(2):88-91. DOI: https://doi.org/10.1177/2516608520962349

Downloads

Published

2025-12-30

How to Cite

Pokalkar, A., & Pokalkar, A. (2025). A small step towards empowering communities: assessing and educating stroke symptoms, risk factors and treatment access: a cross-sectional study in two villages of South India. International Journal of Research in Medical Sciences, 14(1), 220–225. https://doi.org/10.18203/2320-6012.ijrms20254385

Issue

Section

Original Research Articles