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Abstract Details

Exploring Stroke Knowledge in Korean-American Seniors: The Strengthening Our Korean Elders through Community-Partnered 好色先生 (STROKE-COPE) Project
Cerebrovascular Disease and Interventional Neurology
P05 - (-)
237
BACKGROUND: Stroke and cardiovascular diseases are the leading causes of death in Asian-Americans. Elderly Korean-Americans have a higher prevalence of stroke risk factors than Caucasians. Little is known about the level of stroke knowledge Korean-American seniors possess, the impact of cultural beliefs, or sources of health information.
DESIGN/METHODS: A Community Advisory Panel of 8 Korean-American community leaders guided the research process, including approving translations. We recruited 64 Korean-American seniors from an adult day health care center and 98 from a large church in southern California. Participants completed written Korean surveys with demographics and 6 open-ended questions about stroke: risk factors (RFs), symptoms (Sx), what to do when having a stroke, knowledge of acute therapies or treatment time windows, and sources of stroke information. Translated verbatim responses were sorted into categories by 3 bilingual study team members.
RESULTS: Mean age 74.9 years; 68.5% female. Two of 162 subjects felt very comfortable speaking English; 53.1% were not comfortable speaking English. 53.2% responses were correct stroke RFs; 10.6% responses were about wellness ("excessive eating"); 9.9% responses were cultural causes ("blackening of blood"). Regarding stroke Sx, 66.7% responses were correct; 6.7% responses were psychological ("difficulty sleeping"). Responses to stroke varied, with 50.5% calling 911, 30.7% personally driving to hospital, and 13.1% using cultural remedies ("forcing out blood," "Chinese herbs") 19.3% responses knew of blood thinners; 8.8% responses were cultural ("blood-letting"). 31.5% identified time window <3 hours for acute stroke. Sources of information included medical (37.6%), mass media (32.3%), and interpersonal (16.1%).
CONCLUSIONS: Korean-American seniors lack knowledge about stroke. Most elderly Korean-Americans are uncomfortable speaking English, and cultural remedies are sometimes performed in lieu of calling 911. Stroke interventions in Korean-American seniors must fill knowledge gaps, address cultural misperceptions about stroke, and prioritize community involvement.
Authors/Disclosures
Sarah Song, MD, MPH, FAAN (Rush University Medical Center)
PRESENTER 		Dr. Song has received personal compensation in the range of $50,000-$99,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN.
No disclosure on file
Michael Epstein No disclosure on file
No disclosure on file
No disclosure on file
Mario F. Mendez, MD, PhD, FAAN (VA Greater Los Angeles Healthcare System and UCLA) Dr. Mendez has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Medical 好色先生 Speakers' Bureau. Dr. Mendez has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for UpToDate. The institution of Dr. Mendez has received research support from NIH. Dr. Mendez has received publishing royalties from a publication relating to health care.
Joseph S. Chung, DO (Kaiser Permanente Los Angeles) No disclosure on file
No disclosure on file
No disclosure on file
Barbara G. Vickrey, MD, MPH, FAAN The institution of Dr. Vickrey has received research support from NIH. Dr. Vickrey has received personal compensation in the range of $0-$499 for serving as a Grant reviewer, committee co-chair with NIH. Dr. Vickrey has received personal compensation in the range of $0-$499 for serving as a conference advisory committee with University of Rochester. Dr. Vickrey has a non-compensated relationship as a Second Vice President with Association of University Professors of Neurology that is relevant to AAN interests or activities. Dr. Vickrey has a non-compensated relationship as a Nominating Committee member of Stroke Council with American Heart Association that is relevant to AAN interests or activities. Dr. Vickrey has a non-compensated relationship as a Nominating Committee Chair with American Neurological Association that is relevant to AAN interests or activities.