缺血性中风风险因素中的性别差异:中国东部的一个纵向队列研究
Xinping Bai1, Zifeng Li1, Zhuo Cai2
1Department of Neurology, Fuyang People's Hospital, Anhui, 236000, People's Republic of China.
BMC neurology
|May 23, 2024
概括
这项研究显示,中国东部的中风患病率很高,尤其是女性中. 管理高血压和脂质失调等危险因素对于预防中风至关重要,要注意性别特异性差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心血管疾病研究研究
背景情况:
- 脑卒中仍然是一个重大的公共卫生问题,需要对其流行率和风险因素进行研究.
- 了解中风的性别特异性模式对于有针对性的预防策略至关重要.
研究的目的:
- 调查目前的中风的性别特异性流行率.
- 确定相关的风险因素及其与中风发病率的关系.
主要方法:
- 一项涉及中国东部7394名居民的横截面研究 (2020年6月至2021年11月).
- 通过结构化问卷收集的数据;统计分析包括千平方,克鲁斯卡尔-瓦利斯和多变量逻辑回归.
- 使用接收器操作特征 (ROC) 分析来评估中风风险模型的准确性.
主要成果:
- 整体中风患病率为2.53%,女性占参与者的61.82%.
- 有意义的中风预测因素包括居住状态,高血糖血症 (HCY),以前的过渡性缺血性发作 (TIA),高血压和脂质失调.
- 在风险因素中观察到性别差异,女性的负担更高. 脑卒中风险模型表现出很好的准确性 (AUC为0.79-0.796).
结论:
- 在中国东部40岁以上的成年人中,中风的发病率特别高.
- 有效的中风预防取决于管理已识别的风险因素.
- 解决中风风险因素的性别差异对于全面的公共卫生倡议至关重要.
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