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Knowledge, attitudes and practices of West Africans on genetic studies of stroke: Evidence from the SIREN Study

Background: It is crucial to assess genomic literacy related to stroke among Africans in preparation for the ethical, legal and societal implications of the genetic revolution which has begun in Africa. Objective: To assess the knowledge, attitudes and practices (KAP) of West Africans about stroke g...

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Published: 2018
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12578
042 |a dc 
720 |a Akinyemi R. O.  |e author 
720 |a Sarfo F. S.  |e author 
720 |a Akinyemi J.  |e author 
720 |a Singh A.  |e author 
720 |a Akpa M. O.  |e author 
720 |a Akpalu A.  |e author 
720 |a Owolabi L.  |e author 
720 |a Adeoye A. M.  |e author 
720 |a Obiako R.  |e author 
720 |a Wahab K.  |e author 
720 |a Sanya E.  |e author 
720 |a Komolafe M.  |e author 
720 |a Ogbole G.  |e author 
720 |a Fawale M.  |e author 
720 |a Adebayo P.  |e author 
720 |a Osaigbovo G.  |e author 
720 |a Sunmonu T.  |e author 
720 |a Olowoyo P.  |e author 
720 |a Chukwuonye I.  |e author 
720 |a Obiabo Y.  |e author 
720 |a Adeniji O.  |e author 
720 |a Fakunle G.  |e author 
720 |a Melikam E.  |e author 
720 |a Saulson R.  |e author 
720 |a Yaria J.  |e author 
720 |a Uwanruochi K.  |e author 
260 |c 2018 
520 |a Background: It is crucial to assess genomic literacy related to stroke among Africans in preparation for the ethical, legal and societal implications of the genetic revolution which has begun in Africa. Objective: To assess the knowledge, attitudes and practices (KAP) of West Africans about stroke genetic studies. Methods: A comparative cross-sectional study was conducted among stroke patients and stroke-free controls recruited across 15 sites in Ghana and Nigeria. Participants’ knowledge of heritability of stroke, willingness to undergo genetic testing and perception of the potential benefits of stroke genetic research were assessed using interviewer-administered questionnaire. Descriptive, frequency distribution and multiple regression analyses were performed. Results: Only 49% of 2029 stroke patients and 57% of 2603 stroke-free individuals knew that stroke was a heritable disorder. Among those who knew, 90% were willing to undergo genetic testing. Knowledge of stroke heritability was associated with having at least post-secondary education (OR 1.51, 1.25–1.81) and a family history of stroke (OR 1.20, 1.03–1.39) while Islamic religion (OR¼0.82, CI: 0.72–0.94), being currently unmarried (OR ¼ 0.81, CI: 0.70–0.92), and alcohol use (OR ¼ 0.78, CI: 0.67–0.91) were associated with lower odds of awareness of stroke as a heritable disorder. Willingness to undergo genetic testing for stroke was associated with having a family history of stroke (OR 1.34, 1.03– 1.74) but inversely associated with a medical history of high blood pressure (OR ¼ 0.79, 0.65–0.96). Conclusion: To further improve knowledge of stroke heritability and willingness to embrace genetic testing for stroke, individuals with less formal education, history of high blood pressure and no family history of stroke require targeted interventions 
024 8 |a 1747-4930 
024 8 |a ui_art_akinyemi_knowledge_2018 
024 8 |a International Journal of Stroke 14(1) pp. 69-79 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12578 
653 |a African 
653 |a chronic disease 
653 |a developing countries 
653 |a genetic disorders 
653 |a stroke 
653 |a Sub-Saharan Africa 
245 0 0 |a Knowledge, attitudes and practices of West Africans on genetic studies of stroke: Evidence from the SIREN Study