Key result
Tertiary education links to ~2.4-point higher hypertension knowledge vs no education in recent stroke survivors.
Why the study?
Knowledge of hypertension as a risk factor for stroke and subsequent adverse vascular events is limited among recent stroke survivors in sub-Saharan Africa.
Cross-Sectional (n=500)
Yes
There are substantial deficiencies in hypertension knowledge among recent stroke survivors in Ghana, highlighting the need for targeted educational interventions.
Answers are grounded in this paper and cite their sources.
Highlights education needs among Ghanaian stroke survivors; leaves open whether improved knowledge reduces recurrent events.
Background Hypertension is a premier risk factor for index and recurrent strokes globally. However, knowledge of hypertension as a risk factor for stroke occurrence and subsequent adverse vascular events among recent stroke survivors in the sub-Saharan Africa is limited. Purpose To assess the level and determinants of knowledge on hypertension and risk of stroke among recent stroke survivors in Ghana Methods This is a cross-sectional survey conducted at enrollment of participants involved in the multi-center, phase III randomized trial titled Phone-based Intervention under Nurse Guidance after stroke II (PINGS-2) study. Recent stroke survivors within 1-2 months of stroke onset were recruited from 10 Ghanaian hospitals comprising of (five primary-level, two secondary-level, and three tertiary-level facilities) between 2020 and 2022. We assessed knowledge of hypertension and stroke using a validated 14-item questionnaire on hypertension and stroke. We analyzed data using univariate and multivariate analysis to determine the associations between socio-demographic variables and the knowledge on hypertension among recent stroke survivors. Results We enrolled 500 participants, mean (SD) age of 58 (12) years, 56.2% being males and 73.3% had ischemic stroke. Out of 14 questions, the mean (SD) score was 8 (3) with a range of 0 to 13. Four factors significantly associated with knowledge of hypertension with adjusted β (95%CI) were Islam religion -1.40 (-2.40 - -0.49), NIHSS score -0.15 (- 0.22 - -0.07) for each unit increase and body mass index 0.08 (0.03 – 0.13) for each kg/m 2 increase and educational attainment with primary level, secondary, and tertiary educational level 1.10 (0.02 – 2.10), 1.60 (0.52 – 2.70), 2.40 (1.20 – 3.60) compared with no education. Conclusion We found substantial deficiencies in the knowledge on hypertension among recent hypertensive stroke survivors in the Ghanaian population in this multicenter study. Educational interventions are urgently needed to address these knowledge gaps to minimize risk of adverse outcomes among stroke survivors in resource-limited settings.
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Gyamfi et al. (2026) conducted a cross-sectional in Hypertension and recent stroke (n=500). Tertiary education vs. No education was evaluated on Knowledge of hypertension and stroke (14-item questionnaire score) (adjusted β 2.40, 95% CI 1.20-3.60). Tertiary education was associated with a 2.40-point higher hypertension knowledge score compared to no education among recent stroke survivors in Ghana.
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