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The European Journal of Public Health Advance Access published online on June 7, 2005
The European Journal of Public Health, doi:10.1093/eurpub/cki086
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© The Author 2005. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved

Article

Public understanding of the causes of high stroke risk in northeast Bulgaria

Klara G. Dokova 1*, Krassimira J. Stoeva 1, Philip I. Kirov 2, Nevjana G. Feschieva 1, Stefka P. Petrova 3, and John W. Powles 4

1 1 Varna Diet and Stroke Study, Department of Social Medicine, Medical University of Varna, Bulgaria
2 2 Clinic of Neurology, Acute Stroke Unit, University Hospital, Varna, Bulgaria
3 3 National Centre for Hygiene, Medical Ecology and Nutrition, Sofia, Bulgaria
4 4 Department of Public Health and Primary Care, Institute of Public Health, Cambridge, UK

* To whom correspondence should be addressed.
Klara G. Dokova, E-mail: alpha{at}varna.net


  Abstract

Background: Knowledge of stroke risk factors is undocumented in Bulgaria. Methods: 188 subjects in 2000 and 447 in 2003 were asked: ‘Why do you think stroke is so common in this region?’ Results: Stress and poverty accounted for 69% of the first mentions in 2000 and 59% in 2003. There were no mentions of high blood pressure and no first mentions of smoking in 2000. High blood pressure appears only 10 times and smoking 12 times among 745 answers in 2003. Conclusion: Health education on the established causes of stroke is an urgent priority in Bulgaria.

Keywords: open-ended questionnaire; primary prevention; public awareness/knowledge; stroke risk factors.
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