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Engaging social activities prevent stroke and myocardial infraction by raising awareness of warning symptoms: A cross-sectional survey study

 Gahyeon Kim  ;  Hyeokjoo Jang  ;  Sebin Kwon  ;  Bumyeol Lee  ;  Suk-Yong Jang  ;  Wonjeong Chae  ;  Sung-In Jang 
 FRONTIERS IN PUBLIC HEALTH, Vol.10 : 1043875, 2023-01 
Journal Title
Issue Date
Awareness ; Cross-Sectional Studies ; Health Knowledge, Attitudes, Practice ; Humans ; Myocardial Infarction* / prevention & control ; Stroke* / prevention & control ; Surveys and Questionnaires
cardiovascular disease ; myocardial infarction ; prevention ; self-awareness ; social activity ; stroke
Background: Stroke and myocardial infarction (MI) are medical emergencies, and early treatment within the golden hour is crucial for good prognosis. Adequate knowledge about the warning symptoms can shorten the onset-to-door time. Various factors affect the level of awareness, including social activity. This study aimed to determine if engaging in social activity is associated with the awareness of the warning symptoms of stroke and MI.

Methods: This cross-sectional study analyzed 451,793 participants from the 2017 and 2019 Korea Community Health Survey. Based on five questions for each of stroke and MI symptoms, participants were divided into an awareness group (replied "Yes" to all five questions) and unawareness group. Engagement in social activities (i.e., religious, friendship, leisure, and volunteer activity) was evaluated through a questionnaire. Multiple logistic regression analysis was performed to evaluate the relation between social activity and awareness of warning symptoms.

Results: Overall, 52.6% participants were aware of the warning symptoms of stroke, and 45.8% of MI. Regular engagement in at least one social activity, particularly friendship or volunteer activity, was associated with better awareness of the warning symptoms, both stroke (OR: 1.21, 95% CI: 1.20-1.23) and MI (OR: 1.22, 95% CI: 1.20-1.24). Additionally, more diverse types of social activities were associated with higher levels of awareness. Relationship between social activity and awareness showed positive association with participants older than 60 years, rural residents, or with low socioeconomic status.

Conclusion: Engagement in social activity was significantly associated with better knowledge about the warning symptoms of stroke and MI. For early hospital treatment after symptom onset, participation in social activities could be beneficial.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Jang, Suk Yong(장석용)
Jang, Sung In(장성인) ORCID logo https://orcid.org/0000-0002-0760-2878
Chae, Wonjeong(채원정)
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