The Prevalence of Stroke Survivors in Urban Slums in Enugu, Nigeria

Ekenze, Oluchi Stella and Ezeala-Adikaibe, Birinus and Onodugo, Obinna and Chime, Peter and Orjioke, Casmir and Onodugo, Nkiru Pauline and Mbadiwe, Nkeiruka and Onyekonwu, Chinwe and Ijoma, Uchenna N. and Okoye, Julius Uwabunkeonye and Obumneme-Anyim, Ijeoma and Ekochin, Fintan Chinweike and Nwazor, Ernest and Iwuozo, Emmanuel Uzodimma (2019) The Prevalence of Stroke Survivors in Urban Slums in Enugu, Nigeria. Open Journal of Preventive Medicine, 9. pp. 51-67. ISSN 2162-2477

[img] Text
Dr EKOCHIN Article Stroke in Slums 2019.pdf
Download (350kB)

Abstract

Stroke is one of the commonest non-communicable diseases and the commonest cause of death in adult neurology wards. Stroke preva lence in sub Saharan Africa has dramatically increased over the past decades possibly due to changing life styles, poverty, poor health infrastructures which had led to increased risk factors for stroke. Poor nutrition and lack of access to standard medical care, predispose to high rates of stroke morbidity and mortality hence possible low prevalence. Little is known about the preva lence of stroke in people with low socio-economic status in Nigeria. Objec tives: The main objective of this study was to determine the prevalence of stroke in two urban slums in south east Nigeria. Materials and Methods: This was a cross sectional descriptive study carried out in two slums in Enu gu, South East Nigeria. Participants were screened using a stroke specific questionnaire and further examined by two independent neurologists for evidence of focal neurological deficits. Analysis was done by SPSS version 22. Results: A total of 1440 participants were surveyed in the study; 769 (53.4) females and 671 (46.6%) males. About 22.3% (321) screened positive for var ious neurological diseases out of which 17 (5.3%) had evidence for stroke giving an overall prevalence of 1.2% (males 9 (1.3%) vs females 8 (1%) p = 0.6). The mean age of stroke survivors was 60.1 years, similar in males and females (p = 0.6). The odds ratio for stroke from 40 years showed progress increment doubling between 60 and 70 years and tripled between 40 and 70 years. Age, lower level of education, positive history of hypertension, sickle cell disease, leg swelling and use of snuff positively are correlated with clinical diagnosis of stroke. Conclusion: The prevalence of stroke in two urban slums in Enugu metropolis was 12/1000. Hypertension, diabetes, use of snuff, and low levels of education were significant risk factors for stroke. Public health educational measures, promoting prevention and early detection of diabetes should be encouraged.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: mrs chioma hannah
Date Deposited: 14 Jul 2025 12:32
Last Modified: 14 Jul 2025 12:32
URI: http://eprints.gouni.edu.ng/id/eprint/4969

Actions (login required)

View Item View Item
GOUNI Repository is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.