Key result
Only ~10% of Kezhou high school students fully recognize rapid stroke identification methods.
Why the study?
Stroke awareness among high school students in Kezhou, a multiethnic region with limited healthcare resources, was not well evaluated to guide targeted education.
Cross-Sectional (n=2,525)
Cluster random sampling (for school selection)
Yes
High school students in the multiethnic Kezhou region of China have a severe lack of stroke recognition and emergency management knowledge, underscoring the urgent need for school-based, culturally tailored stroke education campaigns.
Supports school-based education in multiethnic regions; leaves open whether awareness gains improve emergency response or outcomes.
Objective To evaluate stroke awareness among high school students in Kezhou—a multiethnic region with limited healthcare resources—and to provide evidence for targeted stroke prevention and treatment education. Methods This cross‐sectional study utilized a self‐designed questionnaire to assess stroke‐related knowledge among high school students. Differences in stroke knowledge across demographic subgroups were analyzed, with a statistical significance set at p < 0.05. Result A total of 2525 questionnaires were collected. Full awareness rates for stroke emergency maps, the “stroke 1‐2‐0” rapid identification method, stroke classification, and intravenous thrombolytic therapy for ischemic stroke were 1.90%, 9.98%, 16.79%, and 20.00%, respectively. The lowest awareness rates for stroke risk factors were smoking (10.65%), unhealthy diet (12.75%), and obesity (22.34%), whereas the least recognized warning symptoms included personality changes (11.92%), dizziness/gait instability (17.23%), and blurred/double vision (22.30%). Correct response rates for stroke visit time, thrombolysis time window, and emergency management were 72.95%, 41.11%, and 21.50%, respectively. Students with stroke‐affected relatives, urban residents, and those exposed to stroke education demonstrated significantly higher knowledge levels ( p < 0.05). Kirgiz students showed poorer emergency response knowledge compared with other ethnic groups ( p < 0.05). Preferred educational channels included social media (66.61%), bulletin boards (57.50%), and medical professionals′ lectures (54.77%). Conclusion Kezhou high school students exhibited low stroke awareness, particularly regarding risk factors, the “stroke 1‐2‐0” identification method, emergency maps, and crisis management. It is recommended that stroke education be integrated into ethnic cultural activities, and that social media and posters on campuses and lectures by medical personnel be used to disseminate the “stroke 1‐2‐0” recognition method and improve regional stroke prevention and treatment capabilities.
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Zhu et al. (2026) conducted a cross-sectional in Stroke knowledge and awareness (n=2,525). Demographic factors and prior stroke education vs. Unexposed/reference groups (e.g., rural residence, no prior stroke education) was evaluated on Full awareness rate of the 'stroke 1-2-0' rapid identification method. Kezhou high school students exhibited low stroke awareness, with only 9.98% fully understanding the 'stroke 1-2-0' rapid identification method and 1.90% familiar with stroke emergency maps.
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