Stroke is a major public health problem, particularly in sub-Saharan Africa, where the incidence and mortality related to this pathology are increasing. This analytical cross-sectional study, conducted in Lubumbashi, Democratic Republic of Congo (DRC), aimed to assess the knowledge, attitudes, and perceptions of stroke among the local population. A sample of 454 participants, selected by stratified probability sampling, were interviewed using a standardized questionnaire. The results reveal a significant deficit in knowledge on risk factors and signs of stroke, with only 33.5% of participants able to identify the critical elements. Preventive attitudes are influenced by cultural and religious beliefs, and although 81.1% of participants report seeking medical help in case of suspected stroke, nearly 19% opt for alternative practices. Misperceptions of the causes of stroke, such as “God’s will” or “bad luck”, are widespread, highlighting the need for awareness campaigns tailored to the local context. Multivariate analysis of factors associated with stroke knowledge reveals that direct family experience with stroke, perception of personal risk and exposure to stroke information are important determinants of better knowledge and hand-job relationships. Factors associated with increased knowledge of stroke include direct family experience, perception of personal risk, and exposure to information about stroke. This study highlights the urgent need to strengthen public education and community interventions to improve stroke prevention and management in the region.
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