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Updated: Jun 6, 2026

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Published on: August 18, 2015
Trends in stroke incidence in Hong Kong differ by stroke subtype
Pui Hing Chau1, Jean Woo, William B Goggins
1Faculty of Social Sciences, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China. phchau@graduate.hku.hk
Stroke incidence in Hong Kong shows diverging trends: ischemic stroke decreased overall, while hemorrhagic stroke remained stable but increased in younger adults. Hong Kong Chinese experience higher stroke rates than many developed nations.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Hong Kong's population is predominantly Chinese with increasing Westernized lifestyles.
- Uncertainty exists regarding whether stroke trends in Hong Kong align with Chinese or Western patterns.
- This study is the first to analyze stroke trends in Hong Kong from 1999-2007.
Purpose of the Study:
- To examine trends in ischemic and hemorrhagic stroke incidence in Hong Kong.
- To provide data for stroke prevention programs and treatment resource planning.
- To investigate stroke patterns in a rapidly modernizing Chinese population.
Main Methods:
- Utilized data from the Hong Kong Hospital Authority's Clinical Management System (1999-2007).
- Examined stroke incidence rates by subtype for individuals aged 35 and above.
- Employed Poisson regression models to analyze incidence trends across different subgroups.
Main Results:
- Age-adjusted ischemic stroke incidence decreased between 1999-2007.
- Hemorrhagic stroke incidence remained relatively stable overall.
- Hemorrhagic stroke incidence increased in the younger age group (35-44 years).
- Overall stroke incidence in Hong Kong Chinese is notably higher than in many developed countries.
Conclusions:
- Distinct trends observed for hemorrhagic and ischemic stroke incidence in Hong Kong.
- Highlights the public health significance of investigating rising hemorrhagic stroke rates in younger populations.
- Emphasizes the need to understand higher overall age-adjusted stroke incidence in Hong Kong compared to international benchmarks.
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