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Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2017

Open Access 01-12-2017 | Regular Article

Prevalence of stroke and associated risk factors among middle-aged and older farmers in western China

Authors: Song Zhang, Zheng Liu, Yong-Liang Liu, Yu-Ling Wang, Tao Liu, Xiang-Bin Cui

Published in: Environmental Health and Preventive Medicine | Issue 1/2017

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Abstract

Objectives

China has the world’s largest population and the stroke has become the leading cause of death in recent years. The purpose of this study was to explore the associations between hypertension, family history of stroke, diabetes mellitus, obesity and stroke among middle-aged and older farmers of western China. A population-based study was conducted from June 2014 to April 2015 in Shaanxi and Sichuan provinces.

Methods

Twenty thousand five hundred twenty-five Chinese middle-aged and older farmers (≥40 years) were recruited to the Qinling-Daba Mountains Region Stroke Study. A structured-questionnaire was used to collect data through face-to-face interviews. Demographic characteristics, risk factors, medical history, and other clinical characteristics were recorded for all participants. The association between hypertension, family history of stroke, diabetes mellitus, obesity and stroke were analyzed by using univariate and multivariate logistic regression analysis.

Results

The stoke prevalence rate was 1380/100,000 in middle-aged and older farmers of western China. The difference in hypertension, diabetes mellitus, obesity and family history between different age groups had statistical significance (p < 0.05). The prevalence rate of hypertension and family history of stroke were higher in male population than in the female population. The difference was statistically significant (p < 0.05). Univariate logistic regression analysis demonstrated age, gender, hypertension, obesity and family history of stroke were stroke risk factors (p < 0.05). Multivariate logistic regression analysis revealed that the odds ratios of family history of stroke, obesity and hypertension were 7.177, 4.389 and 3.647 respectively.

Conclusions

Family history is the strongest stroke risk factor in middle-aged and older farmers of western China.
Literature
1.
Liu LP, Wang D, Wong KSL, Wang YJ. Stroke and stroke care in china: huge burden, significant workload, and a national priority. Stroke. 2011;42:3651–4.CrossRefPubMed
2.
Wang CC, Cheng XM, Li SC, Wang WZ, Wu SP, Wang KJ. Epidemiological survey of neurological disorders in six urban areas of Peoples Republic of China. Chin J Neurosurg. 1985;1:2–8.
3.
Li ZS, Yang QD, Su QK, Chen SM, Shu Q, Fu YG. Epidemiological survey of cerebrovascular disease in rural areas of China. Chin J Neurosurg. 1989;5:7–11.
4.
5.
Woo KS, Chook P, Raitakari OT, McQuillan B, Feng JZ, Celermajer DS. Westernization of Chinese adults and increased subclinical atherosclerosis. Arterioscler Thromb Vasc Biol. 1999;19:2487–93.CrossRefPubMed
6.
He L, Tang X, Song Y, Li N, Li J, Zhang Z, Liu J, et al. Prevalence of cardiovascular disease and risk factors in a rural district of Beijing, China: a population-based survey of 58,308 residents. BMC Public Health. 2012;12:34.CrossRefPubMedPubMedCentral
7.
Bray F, Guilloux A, Sankila R, Parkin DM. Practical implications of imposing a new world standard population. Cancer Causes Control. 2002;13:175–82.CrossRefPubMed
8.
Tang X, Laskowitz DT, He L, Østbye T, Bettger JP, Cao Y, et al. Neighborhood socioeconomic status and the prevalence of stroke and coronary heart disease in rural China: a population-based study. Int J Stroke. 2015;10:388–95.CrossRefPubMed
9.
Cheng XM, Ziegler DK, Lai YH, Li SC, Jiang GX, Du XL, et al. Stroke in China, 1986 through 1990. Stroke. 1995;26:1990–4.CrossRefPubMed
10.
Xue GB, Yu BX, Wang XZ, Wang GQ, Wang ZY. Stroke in urban and rural areas of China. Chin Med J (Engl). 1991;104:697–704.
11.
Zhou Z, Hu D. An epidemiological study on the prevalence of atrial fibrillation in the Chinese population of mainland China. J Epidemiol. 2008;18:209–16.CrossRefPubMedPubMedCentral
12.
Guo H, Sun F, Dong L, Chang H, Gu X, Zhang H, et al. The association of four-limb blood pressure with history of stroke in Chinese adults: a cross-sectional study. PLoS One. 2015;10:e0139925.CrossRefPubMedPubMedCentral
13.
Wang J, Ning X, Yang L, Tu J, Gu H, Zhan C, et al. Sex differences in trends of incidence and mortality of first-ever stroke in rural Tianjin, China, from 1992 to 2012. Stroke. 2014;45:1626–31.CrossRefPubMed
14.
Jia Q, Liu L, Wang Y. Risk factors and prevention of stroke in the Chinese population. J Stroke Cerebrovasc Dis. 2011;20:395–400.CrossRefPubMed
15.
Dong Y, Gao W, Nan H, Yu H, Li F, Duan W, et al. Prevalence of Type 2 diabetes in urban and rural Chinese populations in Qingdao, China. Diabet Med. 2005;22:1427–33.CrossRefPubMed
16.
Wong KS, Huang YN, Yang HB, Gao S, Li H, Liu JY, et al. A door-to-door survey of intracranial atherosclerosis in Liangbei County, China. Neurology. 2007;68:2031–4.CrossRefPubMed
17.
Liu X, Xu G, Wu W, Zhang R, Yin Q, Zhu W. Subtypes and one-year survival of first-ever stroke in Chinese patients: the Nanjing Stroke Registry. Cerebrovasc Dis. 2006;22:130–6.CrossRefPubMed
18.
Yang ZJ, Liu J, Ge JP, Chen L, Zhao ZG, Yang WY, et al. Prevalence of cardiovascular disease risk factor in the Chinese population: the 2007–2008 China National Diabetes and Metabolic Disorders Study. Eur Heart J. 2012;33:213–20.CrossRefPubMed
19.
Uemura H, Katsuura-Kamano S, Yamaguchi M, Nakamoto M, Hiyoshi M, Arisawa K. Family history of stroke is potentially associated with arterial stiffness in the Japanese population. Arch Cardiovasc Dis. 2014;107:654–63.CrossRefPubMed
20.
Okamoto K, Horisawa R, Kawamura T, Asai A, Ogino M, Takagi T, et al. Family history and risk of subarachnoid hemorrhage: a case-control study in Nagoya, Japan. Stroke. 2003;34:422–6.CrossRefPubMed
21.
Suka M, Miwa Y, Ono Y, Yanagisawa H. BMI, waist circumference, and clustering of cardiovascular risk factors in Japanese adults. Environ Health Prev Med. 2011;16:90–6.CrossRefPubMed
22.
Del Brutto OH, Mera RM, Zambrano M, Del Brutto VJ, Castillo PR. Association between sleep quality and cardiovascular health: a door-to-door survey in rural Ecuador. Environ Health Prev Med. 2014;19:234–7.CrossRefPubMedPubMedCentral
23.
Zhang XF, Attia J, D’Este C, Yu XH. Prevalence and magnitude of classical risk factors for stroke in a cohort of 5092 Chinese steelworkers over 13.5 years of follow-up. Stroke. 2004;35:1052–6.CrossRefPubMed
24.
Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ. Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007;6:456–64.CrossRefPubMed
25.
Bazzano LA, Gu D, Whelton MR, Wu X, Chen CS, Duan X, et al. Body mass index and risk of stroke among Chinese men and women. Ann Neurol. 2010;67:11–20.CrossRefPubMedPubMedCentral
26.
Chan R, Leung J, Woo J. A prospective cohort study examining the associations of dietary calcium intake with all-cause and cardiovascular mortality in older Chinese community-dwelling people. PLoS One. 2013;8:e80895.CrossRefPubMedPubMedCentral
27.
Sun Z, Zheng L, Detrano R, Zhang X, Li J, Hu D, et al. An epidemiological survey of stroke among rural Chinese adults results from the Liaoning province. Int J Stroke. 2013;8:701–6.CrossRefPubMed
Metadata
Title
Prevalence of stroke and associated risk factors among middle-aged and older farmers in western China
Authors
Song Zhang
Zheng Liu
Yong-Liang Liu
Yu-Ling Wang
Tao Liu
Xiang-Bin Cui
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2017
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-017-0621-z

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