Background: This article reports the findings from a population-based survey conducted to determine baseline knowledge regarding the signs, symptoms and risk factors of stroke. Methods: Data were collected in Northern Ireland from 892 adults using a self-completed questionnaire. Results: In general, the results indicate that respondents appeared knowledgeable about the risk factors of stroke but their recognition of the warning signs was poor. In addition, approximately half of those surveyed would not contact the ambulance service in the case of a suspected stroke but instead would make initial contact with their general practitioner (41.5%) or family/relatives (2.3%). Conclusions: Given the importance of early hospital presentation for effective stroke rehabilitation, these findings are of particular concern in a community where the death rate from stroke is one of the highest in Europe. Future health education campaigns should provide accurate and appropriate information regarding the warning signs of stroke and highlight the importance of early hospital presentation.

Rodgers A, MacMahon S, Gamble G, Slattery J, Sandercock P, Warlow C: Blood pressure and risk of stroke in patients with cerebrovascular disease. BMJ 1996;313:147.
The Stroke Association: Agenda for Change. London, The Stroke Association, 2001.
The Northern Ireland Chest Heart and Stroke Association: Stroke – What Is It? Belfast, The Northern Ireland Chest Heart and Stroke Association, 2001.
Department of Health and Social Services: Health and Well Being into the Next Millennium. Belfast, Department of Health and Social Services, 1997.
Rastenytė D, Tuomilehto J, Sarti C: Genetics of stroke: A review. J Neurol Sci 1998;153:132–145.
Joseph L, Babikian VL, Allen N, Winter M: Risk factor modification in stroke prevention: The experience of a stroke clinic. Stroke 1999;30:16–20.
Yoon S, Heller R, Levi C, Wiggers J, Fitzgerald P: Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke 2001;32:1926–1930.
Kim S, Yoon S: Perspectives of stroke in persons living in Seoul, South Korea: A survey of 1,000 subjects. Stroke 1997;28:1165–1169.
Davalos A, Castillo J, Martinez-Vila E: Delay in neurological attention and stroke outcome. Cerebrovascular Diseases Study Group of the Spanish Society of Neurology. Stroke 1995;26:2233–2237.
Harraf F, Sharma AK, Brown MM, Lees KR, Vass RI, Kalra L: A multicentre observational study of presentation and early assessment of acute stroke. BMJ 2002;325:17–20.
Kothari R, Sauerbeck L, Jauch E, Broderick J, Brott T, Khoury J, Liu T: Patients’ awareness of stroke signs, symptoms, and risk factors. Stroke 1997;28:1871–1875.
Rausch M, Turkoski B: Developing realistic treatment standards in today’s economic climate: Stroke survivor education. J Adv Nurs 1999;30:329–334.
Penney J, Hahn J: Stroke and heart attack prevention education. Medsurg Nurs 1994;3:459–464.
The Social Disadvantage Research Centre: Measures of Deprivation in Northern Ireland. Oxford, The Social Disadvantage Research Centre, University of Oxford, 2001.
Sans S, Kesteloot H, Kromhout D: The burden of cardiovascular diseases mortality in Europe. Task Force of the European Society of Cardiology on Cardiovascular Mortality and Morbidity Statistics in Europe. Eur Heart J 1997;18:1231–1248.
NILT. Northern Ireland Life and Times Survey 2000 (
Williams L, Bruno A, Rouch D, Marriott D: Stroke patients’ knowledge of stroke: Influence on time to presentation. Stroke 1997;28:912–915.
Chernoff R: Nutrition and health promotion in older adults. J Gerontol A Biol Sci Med Sci 2001;56:47–53.
Alberts M, Perry A, Dawson D, Bertels C: Effects of public and professional education on reducing the delay in presentation and referral of stroke patients. Stroke 1992;23:352–356.
Samsa G, Cohen S, Goldstein L, Bonito A, Duncan P, Enarson C, DeFreise G, Horner R, Matchar D: Knowledge of risk among patients at increased risk for stroke. Stroke 1997;28:916–921.
Cheung R, Li L, Mak W, Tsang K, Lauder I, Chan K, Fong G: Knowledge of stroke in Hong Kong. Cerebrovasc Dis 1999;9:119–123.
Jorgensen H, Nakayama H, Reith J, Raaschou H, Olsen T: Factors delaying hospital admission in acute stroke: The Copenhagen Stroke Study. Neurology 1996;47:383–387.
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