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解决中风风险和管理中的性别和性别差异:世界中风组织的科学声明
Cheryl Carcel1,2, Else Charlotte Sandset3,4, Mariam Ali5
1The George Institute for Global Health, UNSW Sydney, Sydney, NSW, Australia.
概括
性别和性别显著影响中风风险,治疗和护理. 解决这些差异对于全球公平的中风预防和管理至关重要.
科学领域:
- 神经学与公共卫生
- 医学中的性别和性别.
背景情况:
- 性别和性别影响中风风险因素,雌激素提供更年期前保护和更年期后风险增加.
- 女性面临着独特的风险,包括妊娠,更年期和激素治疗的高血压疾病,以及共同的心血管决定因素,如高血压,心房动和糖尿病.
研究的目的:
- 突出性别和性别差异如何影响中风风险,治疗,护理和研究.
- 为减少不平等提供指导,并为全球中风护理制定未来的研究和政策.
主要方法:
- 综合流行病学,急性护理和二次预防的证据.
- 综述性特异性风险和在中风治疗和获取中风治疗中的差异.
- 制定关于性别响应性护理和研究包容性的建议.
主要成果:
- 女性经历性别特异性中风风险,不太可能及时接受急性治疗.
- 尽管治疗效果相似,但女性在认可和获得中风护理方面面临延迟.
- 雌激素的保护作用在绝经后减弱,增加中风风险.
结论:
- 针对性别的预防和护理途径对于公平的中风管理至关重要.
- 系统地考虑与怀孕和绝经相关的因素至关重要.
- 需要进行公共和专业教育,以改善对中风症状的识别和提高对女性的研究包容性.
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