Stroke is a non-infectious disease that causes the first disability and second death in the world.1 Based on WHO data, stroke victims number 15 million in the world with a total of 5 million deaths and 5 million others experience permanent disabilities each year.2,3 Stroke is a cerebrovascular disease that is found not only in developed and developing countries. Stroke has get single of the greatest origins of disability in western nations. The incidence of stroke in the Netherlands ranks third as the cause of DALY's (disability adjusted life years).4

The number of stroke sufferers is greater in developing countries in Asia compared to developed countries. The incidence of stroke in China reaches 1.5–2 million people each year. Ischemic stroke is the near common case of stroke and the factors that influence it are genetic factors, environmental factors, and their relationship.5 The incidence of stroke in Indonesia reaches 500,000 people per year, including 125,000 people (2.5%) die and the rest are mildly or severely disabled. Ischemic stroke is around 80% of all stroke cases, while the incidence of hemorrhagic stroke is only about 20% of all stroke case.6,7 In Indonesia, The prevalence of stroke has expanded by 8.3/1000 population in 2007 to 12.1/1000 population in 2013.8

Increased body mass and the number of risk will increase the potential for the occurrence of stroke. Modifiable risk factors for stroke include a history of stroke, hypertension, heart disease, diabetes mellitus, asymptomatic carotid disease, transient ischemic attack, hypercholesterolemia, oral contraceptive use, narcotic use, antiphospholipid antibodies, obesity, smoking, alcoholics, hyperuricemia, increased hematocrit. While the factors that cannot be modified are age, sex, heredity, and race/ethics.9

This was a cross-sectional approach in South Sulawesi, Indonesia. This research is a quantitative analytic study designed with a cross sectional approach. The results of medical examinations in the Health Service EXPO Event South Sulawesi 2018 were used as secondary data in this study. The population in this study were employees of the municipal/district health office totaling 126 people. A total of 107 people on the health check form and fulfilling the inclusion criteria were sampled in this study. Secondary data was obtained from the results of a health examination conducted at communicable disease POSBINDU during the Health Service EXPO Event.

Data collected in this study include data on age, sex, family history of illness, history of self-illness, smoking history, physical activity, consumption of vegetables and fruit, and alcohol consumption. Data analysis conducted in this research is univariate analysis and bivariate analysis. This study used univariate analysis to specify the frequency of data processing, namely age, sex, history of stroke, family history of illness, physical activity, utilization of vegetables and fruits, alcohol consumption, and smoking habits. While the bivariate analysis was carried out to determine the relationship of two variables namely the dependent variable and the independent variable by using parametric test analysis namely Pearson correlation analysis with the SPSS program.

Results are research findings in the form of data (tables and figures) from observations. The results should be clear and concise (Table 1).

The subjects were employees in health institution. Most of the participant (22%) were in the 34–40 years age category. The major (68%) of participant are female. Most of them without family history of disease.

Based on Table 2, there is a relationship between heart disease in the family and the incidence of stroke (p=0.000). There is a related between stroke in the family and the incidence of stroke (p=0.000). For cancer (p=0.000) was significantly associated between cancer in the family and the occurrence of stroke.

According to Table 3, there is a related between smoking habits and stroke incidence (p=0.012). There is no related between lack of physical activity and the incidence of stroke (p=0.476) in health agency employees who conduct examinations at non communicable disease POSBINDU Health Service EXPO Event.

According to Table 4, there is no statistically significant difference in the lack of consumption of vegetables and fruit with the incidence of stroke (p=0.091). There is no relationship between alcohol consumption and the incidence of stroke among employees of health agencies who conduct examinations at noncommunicable disease POSBINDU Health Service EXPO Event (p=0.616).

Based on 11 independent variables studied, 4 variables were found that had a relationship significantly with stroke incidence. There is a relationship between family history (heart, stroke, cancer) with stroke incidence. Smoking habits with the incidence of stroke have a significant relationship. There is no relationship between, consumption of vegetables and fruit, physical activity, and consumption of alcohol, with the incidence of stroke.

Suggestions for similar research, which need to be improved in the measurement instrument (questionnaire). Because of the weaknesses in this study, there are several risk factors that are not in accordance with the calculation standards, such as consumption of fruits and vegetables that are not measured based on 24-h food recall and physical activity measurements that are not according to WHO standards.

The authors declare that they have no conflict of interest.