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Health Indicator Report of Stroke Awareness and Willingness to Call 911

Stroke is the fifth leading cause of death and disability in Utah and in the U.S. Stroke disability and deaths can be reduced if stroke signs and symptoms are recognized and the Emergency Medical Services (EMS) system is activated as quickly as possible. Early recognition and rapid response are important because early treatment of stroke may decrease brain damage and subsequent disability. The stroke warning signs are: *Sudden confusion or trouble speaking *Sudden numbness in the face, arm, or leg, especially on one side *Sudden trouble seeing in one or both eyes *Sudden trouble walking, dizziness, or loss of balance *Sudden severe headache with no known cause [[br]] The Utah Department of Health Health Heart Disease and Stroke Prevention Program (HDSPP) was consolidated into the Healthy Living through Environment, Policy and Improved Clinical Care (EPICC) program was formed in 2012. EPICC has worked with partners to improve public awareness of the signs and symptoms of stroke and the importance of calling 911.

Percentage of Adults Who Could Correctly Identify the Major Symptoms of Stroke and Would Call 911 by Year, Utah and U.S., 2003-2011


Data are age-adjusted to the U.S. 2000 standard population. This view is provided to assist with comparing stroke awareness in Utah and in other states. However, the number of states included in the U.S. rate varies from year to year. 2003: 16 states; 2005: 14 states; 2007: 12 states; Utah was not included in the 2009 U.S. rate, which included 19 states.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services

Data Interpretation Issues

Data are age-adjusted to the U.S. 2000 standard population. The confidence bounds are asymmetric.


Percent of Utah adults who could identify 5 stroke warning signs and would call 911 if they thought someone was having a stroke.


All survey respondents aged 18 and over who correctly identified all 5 signs and symptoms of stroke and reported that they would call 911 if they thought someone was having a stroke.


All survey respondents aged 18 and over, except those whose answers were missing or refused.

Healthy People Objective HDS-17.1:

Increase the proportion of adults who are aware of the early warning symptoms and signs of a stroke and the importance of accessing rapid emergency care by calling 911 or another emergency number
U.S. Target: 56.4 percent

Other Objectives

Heart attacks are an important cause of cardiovascular deaths in Utah. EPICC has worked to increase awareness of signs and symptoms of heart attack and stroke and willingness to call 911.

How Are We Doing?

Utah's rate of stroke awareness increased significantly from 33.4% in 2003 to 54.3% in 2011. Recognition of sudden confusion/trouble speaking, sudden trouble seeing, and sudden severe headache as signs of stroke improved between 2008 and 2009. Stroke awareness is positively associated with education and income levels and marked disparities exist by gender, race, and ethnicity.

How Do We Compare With the U.S.?

Utah's rate of stroke awareness is similar to that of the U.S.

What Is Being Done?

The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was formed in 2013, consolidating three Utah Department of Health programs (Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition, and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes. EPICC aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. The program is organized around four domains: *Domain 1: Epidemiology and Surveillance--gather, analyze, and disseminate data and information and conduct evaluation to inform, prioritize, deliver, and monitor programs and population health. *Domain 2: Policy and Environment--environmental approaches the promote health and support and reinforce healthful behaviors (statewide in schools and childcare, worksites, and communities). *Domain 3: Health Systems--Health system interventions to improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and manage complications. *Domain 4: Community Clinical Linkages--Strategies to improve community-clinical linkages ensuring that communities support and clinics refer patients to programs that improve management of chronic conditions.[[br]] [[br]] The primary program strategies include: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments in worksites *Improving awareness of prediabetes and hypertension for Utahns *Improving the quality of medical care for people with diabetes and hypertension *Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension *Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity *Improving care and management of students with chronic conditions in Utah schools

Health Program Information

In 2012, the Utah Department of Health published a statistical report titled ''The Impact of Heart Disease and Stroke in Utah''. This report describes overall patterns in cardiovascular disease and risk factors at the state and national levels and among Utah sub-populations (age group, sex, race, ethnicity, and Utah Small Area). To download the full report, please visit [].
Page Content Updated On 05/18/2017, Published on 05/26/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 01 December 2021 15:06:34 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: ".

Content updated: Thu, 20 Jun 2019 13:03:28 MDT