# Stigmatized Stroke? A Qualitative Study of Perception of Stroke Among Community Residents With Hypertension

## TL;DR

This study explores how people with hypertension in urban China perceive stroke, revealing complex attitudes and stigma that could impact prevention efforts.

## Contribution

The study provides new qualitative insights into stroke perception among hypertensive individuals, highlighting stigma and contradictory behaviors.

## Key findings

- Participants associated stroke with visible physical disability and viewed it negatively.
- There was a desire to avoid stroke, but inconsistent approaches to prevention and social interaction.
- Stigma and misconceptions were identified as barriers to effective stroke prevention.

## Abstract

Objectives: To understand the perception of stroke in the hypertensive population. Hypertension is the primary risk factor for stroke, and current approaches to stroke prevention are inadequate and often fragmented. Understanding the perception of stroke among individuals with hypertension is crucial for a targeted approach. However, empirical evidence on this perception is limited.

Methods: A qualitative design involved thematic analysis of focus groups and interview data from urban China with hypertension. Audio recordings were transcribed and subjected to thematic analysis.

Results: Three themes were identified. Hypertensive participants first identified stroke patients by their obvious physical disability, and then identified the disease as a negative thing. Finally, they wanted to stay away from stroke, but paradoxically, there is a contradictory approach to avoidance and prevention, such as being willing to prevent the disease or simply avoiding socializing with stroke patients.

Conclusion: Hypertensive patients hold complex and diverse perceptions of stroke, including a certain stigma. Future public health education should prioritize improving media promotion and fostering interaction between patients with hypertension and stroke in the community.