Health Policy Manag.  2020 Sep;30(3):386-398. 10.4332/KJHPA.2020.30.3.386.

Awareness of Early Symptoms and Emergency Responses to Myocardial Infarction and Stroke in People with Diabetes Mellitus Compared to Non-diabetic Population in the Community: A Propensity Score-Matched Analysis

Affiliations
  • 1Department of Nursing, Graduate School, Chonnam National University, Gwangju, Korea
  • 2Department of Preventive Medicine, Wonkwang University School of Medicine, Iksan, Korea
  • 3Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Korea
  • 4Division of Cardiology, Department of Internal Medicine, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea

Abstract

Background
We determined the differences in awareness of myocardial infarction and stroke according to the presence or absence of diabetes mellitus in the community.
Methods
The 2018 Community Health Survey identified 20,812 people with diabetes mellitus aged 40–79 years. Using 1:1 matching by propensity score, 20,812 people without diabetes mellitus but with similar sociodemographic characteristics were selected as a comparison. Outcome variables were awareness of early symptoms of myocardial infarction and stroke and awareness of coping strategies in case of occurrence.
Results
There was no significant difference between nondiabetic and diabetic people in terms of recognizing all early symptoms of myocardial infarction (nondiabetic, 42.7%; diabetic, 43.0%; p=0.43) and stroke (nondiabetic, 49.4%; diabetic, 49.4%; p=0.91). In addition, no significant difference was found between nondiabetic and diabetic people in the proportion of knowing correct emergency response to myocardial infarction (nondiabetic, 84.6%; diabetic, 84.4%; p=0.56) and stroke (nondiabetic, 81.3%; diabetic, 81.4%; p=0.77).
Conclusion
Since people with diabetes are at greater risk of cardiovascular disease than the general public, it is important to lower the risk of disability and death by improving their awareness of early symptoms and correct emergency response to myocardial infarction and stroke.

Keyword

Diabetes mellitus; Myocardial infarction; Stroke; Awareness; Symptoms
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