{ "abstract": "Background: Stroke health literacy refers to the ability of non-medical individuals to recognize stroke symptoms and make timely decisions, which is critical for improving outcomes. However, data on stroke knowledge and intended care-seeking behavior in Bogotá, Colombia, remain limited. Objective: To assess stroke symptom knowledge and intended care-seeking behavior among adults with hypertension and type 2 diabetes and to identify sociodemographic predictors of limited knowledge and suboptimal response. Methods: A cross-sectional study was conducted between October 2023 and April 2024 in Bogotá, Colombia. A structured questionnaire was administered to 5,402 adults with hypertension and/or type 2 diabetes. Participants were recruited using a non-probabilistic sampling strategy, primarily from individuals under routine follow-up within the Bogotá public health network, and were identified through multiple recruitment strategies, including institutional databases. Surveys were conducted either by telephone or in person. Continuous variables were summarized using descriptive statistics, differences in categorical variables were assessed using chi-square tests, and binomial logistic regression models were applied to evaluate adjusted associations. Results: Of 6,050 respondents, 5,402 met inclusion criteria (median age 67 years; 46.3% male). Although most participants recognized that ischemic stroke can cause disability (89.6%) and death (91.1%), 32.5% reported no knowledge of stroke symptoms. Limited symptom knowledge was independently associated with male sex (OR 1.26, 95% CI 1.12–1.42), low educational attainment (OR 1.59, 95% CI 1.38–1.82), and low socioeconomic status (OR 2.20, 95% CI 1.85–2.60). Regarding intended response, 26.6% would not activate emergency medical services, and 52% reported they would schedule an outpatient appointment instead. Lower educational attainment was associated with greater likelihood of reporting non-emergency responses (all p < 0.001). Conclusions: Despite high awareness that stroke can cause disability and death, substantial gaps in symptom recognition and intended response persist, particularly among socioeconomically disadvantaged individuals. These findings highlight the need for targeted strategies to improve stroke literacy in high-risk populations.", "abstract_shown": true, "affiliations": [ "Department of Neurology, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York, United States of America", "Grupo de Investigación de Neuroepidemiología, Subred Integrada de Servicios de Salud del Norte E.S.E., Bogotá, Colombia", "Department of Neurology, Hospital Simón Bolívar, Subred Integrada de Servicios de Salud del Norte E.S.E, Bogotá, Colombia", "Department of Neurology, McGovern Medical School, UTHealth Houston, McGovern Medical School, Houston, Texas, United States of America", "Department of Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, ON, Canada", "Departamento de Neurología, Fundación Santa Fe de Bogotá, Bogotá, Colombia", "School of Medicine, Universidad de los Andes Bogotá, Bogotá, Colombia" ], "article_type": "Research Article", "arxiv": null, "author_total": 9, "authors": [ { "affs": [ 0, 1 ], "name": "Luisa Fernanda Alviz", "orcid": "0009-0008-5476-8425" }, { "affs": [ 1, 2 ], "name": "Juan Diego Oyola", "orcid": "0009-0006-1747-2903" }, { "affs": [ 3 ], "name": "Juan Diego Martinez-Lemus", "orcid": "0000-0002-3042-7633" }, { "affs": [ 1 ], "name": "Javier Alexander Perez-Lopez" }, { "affs": [ 1, 2 ], "name": "Mariana Medina-Soler" }, { "affs": [ 4, 5 ], "name": "Jaime Eduardo Rodriguez" }, { "affs": [ 3 ], "name": "John Benavides" }, { "affs": [ 5, 6 ], "name": "Carlos Martinez" }, { "affs": [ 2 ], "name": "Claudio Jimenez" } ], "bibtex": "https://research.draconitic.com/paper/a2spq1mpsjgk4.bib", "cited_by": 0, "doi": "10.1371/journal.pone.0335001", "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13712739/", "id": "a2spq1mpsjgk4", "issns": [ "1932-6203" ], "landing_url": "https://doi.org/10.1371/journal.pone.0335001", "language": "en", "licence": "CC-BY-4.0", "licence_label": "CC BY 4.0", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by/4.0/", "metadata_licence": null, "native_subjects": [ [ "heading", "Cerebrovascular Diseases" ], [ "heading", "Colombia" ], [ "heading", "Critical Care and Emergency Medicine" ], [ "heading", "Diabetes Mellitus" ], [ "heading", "Endocrine Disorders" ], [ "heading", "Endocrinology" ], [ "heading", "Epidemiology" ], [ "heading", "Geographical locations" ], [ "heading", "Health Care" ], [ "heading", "Health Education and Awareness" ], [ "heading", "Ischemic Stroke" ], [ "heading", "Medical Conditions" ], [ "heading", "Medical Risk Factors" ], [ "heading", "Medicine and Health Sciences" ], [ "heading", "Metabolic Disorders" ], [ "heading", "Neurology" ], [ "heading", "People and places" ], [ "heading", "Public and Occupational Health" ], [ "heading", "Research Article" ], [ "heading", "Socioeconomic Aspects of Health" ], [ "heading", "South America" ], [ "heading", "Stroke" ], [ "heading", "Type 2 Diabetes" ], [ "heading", "Vascular Medicine" ], [ "openalex", "2713|Acute Ischemic Stroke Management" ], [ "plos", "/Medicine and health sciences/Critical care and emergency medicine" ], [ "plos", "/Medicine and health sciences/Endocrinology/Endocrine disorders/Diabetes mellitus/Type 2 diabetes" ], [ "plos", "/Medicine and health sciences/Epidemiology/Medical risk factors" ], [ "plos", "/Medicine and health sciences/Health care/Health education and awareness" ], [ "plos", "/Medicine and health sciences/Health care/Socioeconomic aspects of health" ], [ "plos", "/Medicine and health sciences/Medical conditions/Cerebrovascular diseases/Stroke" ], [ "plos", "/Medicine and health sciences/Medical conditions/Cerebrovascular diseases/Stroke/Ischemic stroke" ], [ "plos", "/Medicine and health sciences/Medical conditions/Metabolic disorders/Diabetes mellitus/Type 2 diabetes" ], [ "plos", "/Medicine and health sciences/Neurology/Cerebrovascular diseases/Stroke" ], [ "plos", "/Medicine and health sciences/Neurology/Cerebrovascular diseases/Stroke/Ischemic stroke" ], [ "plos", "/Medicine and health sciences/Public and occupational health/Socioeconomic aspects of health" ], [ "plos", "/Medicine and health sciences/Vascular medicine/Stroke" ], [ "plos", "/Medicine and health sciences/Vascular medicine/Stroke/Ischemic stroke" ], [ "plos", "/People and places/Geographical locations/South America/Colombia" ] ], "openalex": "W7223911889", "pdf_url": "https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0335001&type=printable", "pmcid": "PMC13712739", "pmid": "42945364", "published": "2026-10-27", "publisher": "Public Library of Science", "ris": "https://research.draconitic.com/paper/a2spq1mpsjgk4.ris", "sources": [ { "first_seen": "2026-10-30T12:17:17Z", "native_id": "10.1371/journal.pone.0335001", "source": "plos", "url": "https://doi.org/10.1371/journal.pone.0335001" }, { "first_seen": "2026-10-31T12:23:15Z", "native_id": "PMC13712739", "source": "pmc", "url": "https://doi.org/10.1371/journal.pone.0335001" } ], "subjects": [ { "field": "medicine", "origin": "plos:endocrinology", "subfield": "endocrinology-metabolism" }, { "field": "medicine", "origin": "plos:epidemiology", "subfield": "epidemiology-public-health" }, { "field": "medicine", "origin": "plos:neurology", "subfield": "neurology" } ], "title": "Stroke knowledge and intended care-seeking behavior among adults with hypertension and type 2 diabetes: A cross-sectional study", "title_text": "Stroke knowledge and intended care-seeking behavior among adults with hypertension and type 2 diabetes: A cross-sectional study", "type": "peer-reviewed", "updated_at": "2026-10-31T12:23:15Z", "url": "https://research.draconitic.com/paper/a2spq1mpsjgk4", "venue": "PLOS One", "versions": [] }