Free

Factors Influencing Health Seeking Behaviors of African Americans experiencing Stroke Symptoms A Systematic Review - Research Paper Example

Comments (0) Cite this document
Summary
Delayed admission time is considered one of the most important factors why African Americans do not receive thrombolytic therapy for their strokes (Lisabeth and Kleindorfer, 2009). Stroke literacy is identified as individual's awareness of stroke risk factors and symptoms (Lisabeth and Kleindorfer, 2009)…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER98.9% of users find it useful
Factors Influencing Health Seeking Behaviors of African Americans experiencing Stroke Symptoms A Systematic Review
Read TextPreview

Extract of sample "Factors Influencing Health Seeking Behaviors of African Americans experiencing Stroke Symptoms A Systematic Review"

Factors Influencing Health Seeking Behaviors of African Americans experiencing Stroke Symptoms Delayed admission time is considered one of the most important factors why African Americans do not receive thrombolytic therapy for their strokes (Lisabeth and Kleindorfer, 2009). Stroke literacy is identified as individual's awareness of stroke risk factors and symptoms (Lisabeth and Kleindorfer, 2009). There is a pressing need to improve stroke prevention and provide an access to acute stroke therapy for minorities groups, particularly African American (Lisabeth and Kleindorfer, 2009).
Wiley et al (2009) in their study surveyed with Stroke Knowledge questionnaire African American participants (n=672), which comprised 65.7% of the survey cohort. According to Wiley (2009), only 56.3% of African American respondents identified brain as the organ where stroke occurs. Among stroke symptoms, hemiparesis, speech disturbance, headache and blurred vision were the best recognized. Primary risk factors for stroke were correctly identified and included hypertension, family history of stroke, obesity, smoking and cocaine abuse. From the perspective on study results, Wiley et al (2009) found significant deficiencies in stroke literacy among African American study sample. Because of poor stroke literacy in Wiley's et al study (2009), participants were not likely to activate EMS. Consequently, poor literacy on stroke symptoms among African American population jeopardizes the effectiveness of early prevention therapy.
King et al (2001) in their study aimed to determine whether African American individuals suffered from stroke (n=103) presented for treatment within the first 3 hours, a critical period needed for effective treatment with recombinant tissue plasminogen activator (rt-PA). Through Stroke Survey Tool, King et al (2001) determined that an average time needed for African American victims to present for treatment constituted 24.68 hours. Percentage analysis revealed that 49% of stroke victims were admitted within first 3 hours, 54% presented within 12 hours and 83% sought medical help within 24 hours. Most common reasons for delay or not presenting for treatment at all were identified misunderstanding of symptoms, confusing them with diabetes manifestation, sleeping in awkward position, elevated sugar, etc. King et al (2001) indicated that as a result of late admission for treatment 97% of participants did not receive thrombolytic therapy. King et al (2001) stressed that the patients' knowledge on stroke symptoms and their attempts to seek medical assistance are detrimental in stroke successful treatment.
The similar statement was emphasized in the study conducted by Kleindorfer and colleagues (2008). They revealed that educational strategies aimed to inform African American individuals (women, n=383) on stroke are effective methods to increase stroke awareness and seek medical assistance once symptoms occur. After 5 months of educational intervention, participants improved significantly in knowledge on stroke (50% increase from baseline) and the importance of seeking medical assistance early.
Zerwic and Hwang (2007) interviewed patients (n=38) suffered from an ischemic stroke in order to determine participants' knowledge on symptoms, causes of stroke as well as patterns of symptoms recognition and seeking medical assistance. Zerwic and Hwang (2007) found that 55.3% of respondents were able to correctly identify at least one stroke symptom, while ten patients (26.3%) were not aware of any of stroke symptoms. Research identified a mean delay in admission to emergency department to be 16 hours. The main reasons for delay in presentation for treatment were race, no history of stroke, lack of information on stroke symptoms, awoke with manifested symptoms, and did not use 911. Zerwic and Hwang (2007) identified the lack of general information on stroke and its symptoms as the most contributing factor causing the delay in ED admission.
Kothari et al (1999) conducted a study identifying factors associated with admission to emergency department within 3 hours of stroke symptoms onset, time window for thrombolytic therapy eligibility. The data collection has been conducted through EMS runsheets, ED records and interview with participants (n=151, 41% African American). According to Kothari et al (1999), one third of participants were admitted to ED within 3 hours of stroke symptoms onset, qualifying patients for thrombolytic therapy. Kothari et al (1999) found an association between race of patients and their ED arrival time. After stroke symptoms onset African American patients were found to contact 911 later, and thus they were admitted to the ED significantly later than whites. Kothari et al (1999) explained this finding with several factors, particularly blacks living alone, being uninformed on stroke symptoms, being resistant to seek medical attention, and transformation difficulties.















REFERENCES
King DF, Trouth AJ, Adams AO. Factors preventing African Americans from seeking early
intervention in the treatment of ischemic strokes. Journal of National Medical Association. 2001 Feb; 93(2):43-6.
Kleindorfer D, Miller Rosie, Sailor-Smith Sharion, Moomaw Charles, Khoury J, Frankel M.
The Challenges of Community Based Research. The beauty shop stroke education project. Stroke 2008; 39: 2331-2335.
Kothari R, Jauch E, Broderick J, Brott T, Sauerbeck L, Khoury J, et al. Acute stroke: delays to
presentation and emergency department evaluation. Annals of Emergency Medicine. 1999 Jan;33(1):3-8
Lisabeth LD, Kleindorfer D. Stroke literacy in high-risk populations: A call for action. Neurology. 2009; 73(23):1940-1.
Wiley Joshua, William O, Boden-Albala, B. Neurology 2009; 73: 1950-1956.
Zerwic J, Hwang Seon- Young. Interpretation of symptoms and delay in seeking treatment by
patients who have had a stroke: Exploratory study. Heart and Lung. 2007;36(1): 25-34 Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Factors Influencing Health Seeking Behaviors of African Americans Research Paper”, n.d.)
Factors Influencing Health Seeking Behaviors of African Americans Research Paper. Retrieved from https://studentshare.org/miscellaneous/1510948-factors-influencing-health-seeking-behaviors-of-african-americans-experiencing-stroke-symptoms-a-systematic-review
(Factors Influencing Health Seeking Behaviors of African Americans Research Paper)
Factors Influencing Health Seeking Behaviors of African Americans Research Paper. https://studentshare.org/miscellaneous/1510948-factors-influencing-health-seeking-behaviors-of-african-americans-experiencing-stroke-symptoms-a-systematic-review.
“Factors Influencing Health Seeking Behaviors of African Americans Research Paper”, n.d. https://studentshare.org/miscellaneous/1510948-factors-influencing-health-seeking-behaviors-of-african-americans-experiencing-stroke-symptoms-a-systematic-review.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Factors Influencing Health Seeking Behaviors of African Americans experiencing Stroke Symptoms A Systematic Review

Social influencing factors

.... 198-211. Eszter, T., 2008. The Role of Reference Group Influence in Consumer Behavior. Theses of Doctoral Dissertation, pp. 3-24. Goi, C. L., 2009. A Review of Marketing Mix: 4Ps or More? International Journal of Marketing Studies, Vol. 1, Iss. 1, pp. 2-15. Hoyer, W. D., & Maclnnis, D. J., 2008. Consumer Behaviour. Cengage Learning. Kotler, P., 2000. Marketing Management. Prentice Hall. Kotler, P., 2003. Marketing Management. Prentice Hall. Kotler, P. & Armstrong, G., 1991. Principles of Marketing. Prentice-Hall. Mariana, C. L. & et. al., 2009. Culture-Major Determinant of the European Consumer Behavior. Annales Universitatis Series Apulensis Oeconomica, Vol. 11, Iss....
10 Pages(2500 words)Essay

Palliative & Hospice Care: A Systematic Review of Factors Influencing Decision to Admit

...by nearly 8% (62% to 50%), while the percentage of home deaths went up by 7% (from 16% to 23%). At the same time, the observations also revealed that nursing homes deaths were likely to rise by 4% (from 19% to around 23%) (Center for gerontology and health care research, 2004). In a systematic observational review, a number of factors that influence the choice of death site for people with terminal illnesses were distinguished (Gruneir & Mor, 2007),dThese included socio-demographic aspects (both community-based and individual oriented), clinical issues, availability of medical faculties, and state/local policies of medical reimbursement. It was...
50 Pages(12500 words)Thesis

Factors Influencing Health Seeking African Americans during a Stroke

...Factors Influencing Health Seeking African Americans during a Stroke This paper intends to present a brief discussion on what are the major factors that cause delay among the African American patients to seek medical help. They are found to have longer delay in timings in the case of serious stroke bouts which needs immediate attention and assistance. Stroke, a cerebrovascular deadly disease, is a disorder that causes termination of blood flow to certain parts of the brain. The most popular drug used against the...
2 Pages(500 words)Essay

African Americans

...Native Americans Test What was your score? Why do you think you did—or did not—do well on this quiz? My score was 5 – I got half of the questions correct. I did well on those questions which required greater historical knowledge, but on the later questions dealing with the living conditions of contemporary Native Americans, I was more likely to choose a wrong answer. I think this was partly because the figures given were so surprising. For example, I suggested that 1 in 20 Native American young people might have tried to commit suicide by the end of High School, which I considered to be an incredibly high, and worrying statistic. The correct answer was even more worrying. The fact that I...
1 Pages(250 words)Assignment

African Americans

...African Americans: Questions What are the primary cultural characteristics of African Americans? African Americans represent American citizens whose ancestry can be traced to be of African origin (Hall, 2005). African Americans form a significant part of the American population and are a significant part of American history (Anderson & Stewart, 2007). Many African Americans today come from families that were originally brought to the Americas as slaves, and as a result are part of a group that defines...
2 Pages(500 words)Essay

Asian Americans V.S. African Americans

...Causes and Consequences of Racial Conflict between Asian Americans and African Americans Introduction The needfor cheap labor forced the Americans to venture into both Asia and Africa in search of persons to work in their plantations. The immigration of both groups into America generated new inhabitants who are considered as outsiders. After landing in America, these outsiders reproduced, and the land became populated thus created a division between themselves and with the real American residents (Min 68). Furthermore, scarcity of jobs, houses and other important resources increased competition among these two immigrants. The groups had to compete to get...
3 Pages(750 words)Essay

Systematic Review

...Management Systematic Review Question What is the general area in which you wish to conduct research? Research Question: How does ethical leadership influence employee voice in non-profit organizations in America? Structure a) Context/ The employees: Employees in non-profit organizations in America who are under the supervision of the manager. b) The Interventions: Ethical leadership style compared with other styles of leadership in non-profit organizations in America. c) Study Mechanisms: Comparative studies of any study mechanisms examining if leaders in different non-profit organizations in America behave in an ethical manner and their influence on employee freedom. d) The outcome: Employee creativity is an outcome of employees... as...
1 Pages(250 words)Article

African Americans

...are highlighted, from assimilation into antagonist cultures, to African American concerns, which are often misunderstood as cultural stereotypes. The story and its main character are actually based on exploring African Americans and their lives. It also aims to understand major concerns like why minorities have been misunderstood and why their lives are rife with endless personal struggles. Whites certainly appear to be more privileged than African Americans which creates resentful feelings in Dina and causes her to blurt a revenge seeking answer later. Dina says in the story, “until that moment I’d been good in all the...
5 Pages(1250 words)Essay

African Americans

...African Americans s al Affiliation Introduction African Americans have endured a lot throughout the centuries of 1800s to the 20th century. So we have lost a lot of great leaders during their quench for freedom. The great leaders of the movement have paved way for us to be proud of the color of our skin and be able to do things that we were not able to do before. There are many men and women to talk about; however, we are going to highlight a few of them. They include Martin Luther King, Rosa Parks, Malcolm X and Harriet Tubman (Philip, n.d). These African Americans believed in something no one else did which is freedom and equal opportunity. Harriet Tubman absconded slavery Harriet Tubman was a strong African-American woman born... contact...
4 Pages(1000 words)Term Paper

African Americans

...States included the great second migration. Although it started in 1941, it was a significant all through 1945 to 1970. Africans moved into states like California, where job opportunities were being offered in the defense industry. This movement was in search of employment opportunities and better living conditions. The second event that took place in the United States was the Urban Settlement, where most Africans settled in major cities and towns in the United States. Primary References (2014, April). African American History. History Matters. (2015, January). Secondary References King, G. (2012). Devil in the grove: Thurgood Marshall, the Groveland Boys, and the dawn...
1 Pages(250 words)Thesis
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Research Paper on topic Factors Influencing Health Seeking Behaviors of African Americans experiencing Stroke Symptoms A Systematic Review for FREE!

Contact Us