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Journal of Urban Health

Erschienen in:

01.07.2007

Urbanization and Stroke Prevalence in Taiwan: Analysis of a Nationwide Survey

verfasst von: Herng-Ching Lin, Yen-Ju Lin, Tsai-Ching Liu, Chin-Shyan Chen, Wen-Ta Chiu

Erschienen in: Journal of Urban Health | Ausgabe 4/2007

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Abstract

This study aims to explore the prevalence of strokes among individuals and the association with urbanization levels. A total sample of 9,794 individuals was obtained from a nationwide survey on Taiwan for subsequent analysis in this study. After adjusting for gender, age, other risk factors for stroke and individual socioeconomic status, a multivariate logistic regression model was employed to investigate the relationships existing between the prevalence of strokes and the level of urbanization. This study finds that those living in areas at the highest level of urbanization (level 1) had the highest prevalence of strokes (2.49%). With decreasing urbanization level, there was a general decline in stroke prevalence. After adjusting for other factors, the multivariate logistic regression analyses showed that compared to participants living in the highest urbanization level, the respective odds ratios of suffering a stroke for those living in areas at the lowest levels of urbanization (levels 7 and 8), were 0.43 and 0.30. We conclude that after adjusting for other stroke risk factors, the level of urbanization is an important contributory factor to the overall prevalence of strokes in Taiwan.

Berger K, Schulte H, Stogbauer F, Assmann G. Incidence and risk factors for stroke in an occupational cohort: The PROCAM study. Stroke. 1998;29:1562–1566.PubMed

Caroline TM, Hendrike M, Monique MB, Grobbee DE, Mackenbach JP. Socioeconomic differences in stroke among Dutch elderly women: The Rotterdam study. Stroke. 1999;30:357–362.

Cinzia S, Daiva R, Zygimantas C, Jaakko T. Internal trends in mortality from stroke, 1968 to 1994. Stroke. 2000;31:1588–1601.

Cox AM, McKevitt C, Rudd AG, Wolfe CDA. Socioeconomic status and stroke. Lancet Neurol. 2006;5:181–188.PubMedCrossRef

Wolf PA, D’Agostino RB, Belanger AJ, Kannel WB. Probability of stroke: a risk profile from the Framingham study. Stroke. 1991;22:312–318.PubMed

Hart CL, Hole D, Smith GD. The contribution of risk factors to smoke differentials, by socioeconomic position in adulthood: The Renfrew/Paisley study. Am J Public Health. 2000;90:1788–1791.PubMed

Jakovljevic D, Sarti C, Sivenius J, et al. Socioeconomic status and ischemic stroke: The FINMONICA stroke register. Stroke. 2001;32:1492–1498.PubMed

World Health Qrganization. World health report 2004 changing history. Geneva:World Health Qrganization; 2004 (Statistical Annex).

Boysen G, Nyboe J, Appleyard M, et al. Stroke Incidence and risk factors for stroke in Copenhagen, Denmark. Stroke. 1988;19:1345–1353.PubMed

10.

Diez-Roux AV, Link B, Northridge ME. A multilevel analysis of income inequality and cardiovascular disease risk factors. Soc Sci Med. 2000;50:673–687.PubMedCrossRef

11.

Mensah GA, Mokdad AH, Ford ES, Greenlund KJ, Croft JB. State of disparities in cardiovascular health in the United States. Circulation. 2005;111:1233–1241.PubMedCrossRef

12.

Duncan GJ, Daly MC, McDonough P, Williams DR. Optimal indicators of socioeconomic status for health research. Am J Public Health. 2002;92:1151–1157.PubMedCrossRef

13.

Gillum RF, Mussolino ME. Education, poverty, and stroke incidence in whites and blacks: The NHANES I epidemiologic follow-up study. J Clin Epidemiol. 2003;56:188–195.PubMedCrossRef

14.

Grundy E, Holt G. The socioeconomic status of older adults: How should we measure it in studies of health inequalities? J Epidemiol Community Health. 2001;55:895–904.PubMedCrossRef

15.

Jakovljevic D, Sarti C, Sivenius J, et al. Socioeconomic differences in the incidence, mortality and prognosis of intracerebral hemorrhage in Finnish adult population: The FINMONICA stroke register. Neuroepidemiology. 2001;20:85–90.PubMedCrossRef

16.

Jakovljevic D, Sarti C, Sivenius J, et al. Socioeconomic inequalities in the incidence, mortality and prognosis of subarachnoid hemorrhage: The FINMONICA stroke register. Cerebrovasc Dis. 2001;12:7–13.PubMedCrossRef

17.

Krieger N, Williams DR, Moss NE. Measuring social class in U.S. public health research: concepts, methodologies, and guidelines. Annu Rev Public Health. 1997;18:341–378.PubMedCrossRef

18.

Brown P, Guy M, Broad J. Individual socio-economic status, community socio-economic status and stroke in New Zealand: a case control study. Soc Sci Med. 2005;61:1174–1188.PubMedCrossRef

19.

Modan B, Wagener DK. Some epidemiological aspects of stroke: mortality/morbidity trends, age, sex, race, socioeconomic status. Stroke. 1992;23:1230–1236.PubMed

20.

Engstrom G, Jerntorp I, Pessah-Rasmussen H, et al. Geographic distribution of stroke incidence within an urban population: relations to socioeconomic circumstances and prevalence of cardiovascular risk factors. Stroke. 2001;32:1098–1103.PubMed

21.

Jiang B, Wang WZ, Chen HL, et al. Incidence and trends of stroke and its subtypes in China: results from three large cities. Stroke. 2006;37:63–68.PubMedCrossRef

22.

Health Statistics [in Chinese]. Executive Yuan, Taipei, Taiwan: Department of Health. Available at: http://www.doh.gov.tw. Taiwan.

23.

Shih YT, Chang HY, Le KH [in Chinese]: Introduction to the National Health Interview Survey (NHIS). Vol 1. NHIS Brief Communication. 2002.

24.

Tzeng GH, Wu TY. Characteristics of urbanization level in Taiwan districts. Geographical Res. 1986;12:287–323.

25.

Lin HC, Kao S, Tang CH, Chang WY. Using a population-based database to explore the inter-specialty differences in physician practice incomes in Taiwan. Health Policy. 2005;73:253–262.PubMedCrossRef

26.

Lin HC, Chen CS, Liu TC, Lee HC. Differences in practice income between solo and group practice physicians. Health Policy. 2006;79:296–305.PubMedCrossRef

27.

AI-Moosa S, Allin S, Jemiai N, AI-Lawati J, Mossialos E. Diabetes and urbanization in the Omani population: an analysis of national survey data. Popul Health Metr. 2006;4:1–20.CrossRef

28.

Hall SA, Kaufman JS, Millikan RC, Ricketts TC, Herman D, Savitz DA. Urbanization and breast cancer incidence in North Carolina, 1995–1999. Ann Epidemiol. 2005; 15:796–803.PubMedCrossRef

29.

Nicolaou N, Siddique N, Custovic A. Allergic disease in urban and rural populations: increasing prevalence with increasing urbanization. Allergy. 2005;60:1357–1360.PubMedCrossRef

30.

Viinanen A, Munhbayarlah S, Zevgee T, et al. Prevalence of asthma, allergic rhinoconjunctivitis and allergic sensitization in Mongolia. Allergy. 2005;60:1370–1377.PubMedCrossRef

31.

Anlar O, Tombul T, Unal O, Kayan M. Seasonal and environment temperature variation in the occurance of ischemic strokes and intracerebral hemorrhage in a Turkish adult population. Intern J Neurosci. 2002; 112:959–963.CrossRef

32.

Azevedo E, Ribeiro JA, Lopes F, Martins R, Barros H. Cold: a risk factor for stroke? J Neurol. 1995;242:217–221.PubMedCrossRef

33.

Feigin VL, Anderson CS, Anderson NE, Broad JB, Pledger MJ. Is there a temporal pattern in the occurance of subarachnoid hemorrhage in the southern hemisphere? Pooled data from 3 large, population-based incidence studies in Australia, 1981–1997. Stroke. 2001;32:613–619.PubMed

34.

Feigin VL, Anderson CS, Rodgers A, Bennett DA. Subarachnoid haemorrhage occurance exhibits a temporal pattern—evidence from meta-analysis. Eur J Neurol. 2002;9:511–516.PubMedCrossRef

35.

Hong YC, Lee JT, Kim H, Kown HJ. Air pollution: a new risk factor in ischemic stroke mortality. Stroke. 2002;33:2165–2169.PubMedCrossRef

36.

Jonas BS, Mussolino ME. Symptoms of depression as a prospective risk factor for stroke. Psychosom Med. 2000;62:463–471.PubMed

37.

Ramasubbu R, Patten SB. Effect of depression on stroke morbidity and mortality. Can J Psychiatry. 2003;48:250–257.PubMed

38.

Davis PH, Dambrosia JM, Schoenberg BS, et al. Risk factors for ischemic stroke: a prospective study in Rochester, Minnesota. Ann Neurol. 1987;22:319–327.PubMedCrossRef

39.

Gill JS, Zezulka AV, Shipley MJ, et al. Stroke and alcohol consumption. N Engl J Med. 1986;315:1041–1046.PubMedCrossRef

40.

Reynolds K, Gu D, Muntner P, et al. Alcohol consumption and risk of stroke: a meta-analysis. JAMA. 2003;289:579–588.PubMedCrossRef

Titel: Urbanization and Stroke Prevalence in Taiwan: Analysis of a Nationwide Survey
verfasst von: Herng-Ching Lin
Yen-Ju Lin
Tsai-Ching Liu
Chin-Shyan Chen
Wen-Ta Chiu
Publikationsdatum: 01.07.2007
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Journal of Urban Health / Ausgabe 4/2007
Print ISSN: 1099-3460
Elektronische ISSN: 1468-2869
DOI: https://doi.org/10.1007/s11524-007-9195-1

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