The relationship of income on stroke incidence in Finland and China.
Background Stroke incidence has continued to increase recently in most countries. The roles of individual-level income on the incidence of overall stroke and its subtypes are still unknown, especially in low- and middle-income countries and the cross-national evidence is also limited. We explored th...
| Published in: | European Journal of Public Health Vol. 33; no. 3; pp. 360 - 366 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Jun2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164082667&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164082667 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Jun2023 vid: 33 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 164082667 164082667 164082667 10.1093/eurpub/ckad035 164082667 ppf: 360 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The relationship of income on stroke incidence in Finland and China. aug: au: Yao, Honghui Junna, Liina Hu, Yaoyue Sha, Xinping Martikainen, Pekka affil: Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet , Stockholm, Sweden sug: subj: Stroke Epidemiology Stroke Epidemiology Income Finland China Human Male Female Incidence Confidence Intervals Odds Ratio Descriptive Statistics Comparative Studies Funding Source Stroke Patients Male Female ab: Background Stroke incidence has continued to increase recently in most countries. The roles of individual-level income on the incidence of overall stroke and its subtypes are still unknown, especially in low- and middle-income countries and the cross-national evidence is also limited. We explored the association between individual-level income and stroke incidence in Finland and China. Methods Changde Social Health Insurance Database (N =571 843) and Finnish population register (N =4 046 205) data were used to calculate standard stroke incidence rates, which were employed to assess the absolute incidence difference between income quintiles. Cox regression was used to compare income differences in first-ever stroke incidence. Results The highest income quintile had lower overall and subtype stroke incidence when compared to lower-income quintiles. The relative difference was more evident in hemorrhagic stroke incidence. After adjusting for age and employment status, the disparity of stroke incidence between the lowest and highest income quintiles was high among both men and women and in Finland and China. The disparity was particularly notable among men: in Finland, the hazard ratio (HR) for hemorrhagic stroke was 0.633 [95% confidence interval (95% CI) 0.576–0.696] and HR 0.572 (95% CI 0.540–0.606) for ischemic stroke. The respective figures were HR 0.452 (95% CI 0.276–0.739) and HR 0.633 (95% CI 0.406–0.708) for China. Conclusions Individual-level income is related to overall and subtype stroke incidence. Future studies should explore the causal relationship between individual-level income and stroke incidence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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