title: Perceived risk for developing stroke among older adults.
abstract: BACKGROUND
  Persons who perceive their risk for stroke accurately may be more likely to engage in prevention practices to reduce their risk.
  
  
  METHODS
  In 2004, 800 adults aged 45 years and older in two counties participated in a telephone survey to assess their perceived risk for stroke and their history of stroke risk factors.
  
  
  RESULTS
  Overall, 39% of respondents perceived themselves to be at risk for having a stroke. In the multivariate analyses, younger age, current smoking, and a history of diabetes, high blood pressure, high cholesterol, heart disease, and stroke/TIA were independently associated with perceived risk for stroke. Respondents with atrial fibrillation were no more likely to report being at risk for stroke compared to respondents without atrial fibrillation. Perceived risk for stroke increased as the number of risk factors increased. However, 46% of respondents with three or more risk factors did not perceive themselves to be at risk.
  
  
  CONCLUSIONS
  Many adults with multiple risk factors do not perceive themselves to be at risk for stroke. Clinical and public health efforts are needed to increase awareness of the risk for stroke.
authors.affiliation: Montana Department of Public Health and Human Services, Cogswell Building, C-317, PO Box 202951, Helena, Montana 59620-2951, USA. tharwell@mt.gov
authors.forename: Todd S
authors.initials: TS
authors.lastname: Harwell
authors.forename: Lynda L
authors.initials: LL
authors.lastname: Blades
authors.forename: Carrie S
authors.initials: CS
authors.lastname: Oser
authors.forename: Dennis W
authors.initials: DW
authors.lastname: Dietrich
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Okon
authors.forename: Daniel V
authors.initials: DV
authors.lastname: Rodriguez
authors.forename: Anne M
authors.initials: AM
authors.lastname: Burnett
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Russell
authors.forename: Martha J
authors.initials: MJ
authors.lastname: Allen
authors.forename: Crystelle C
authors.initials: CC
authors.lastname: Fogle
authors.forename: Steven D
authors.initials: SD
authors.lastname: Helgerson
authors.forename: Dorothy
authors.initials: D
authors.lastname: Gohdes
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009009:Montana; D018570:Risk Assessment; D020521:Stroke