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Prevalence of stroke in China, 2013-2019: A population-based study

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机构: [1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China [2]Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China [3]Department of Ultrasound Vascular, Xuanwu Hospital Capital Medical University, Beijing, China [4]Department of Neurosurgery, Capital Medical University Xuanwu Hospital, Beijing, China [5]Department of Neurology, the First Bethune Hospital of Jilin University, Changchun, China [6]Department of Neurology, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China [7]Department of Neurosurgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China [8]Department of Neurology, West China Hospital of Sichuan University, Chengdu, China [9]Department of Neurology, the Affiliated Hospital of Guizhou Medical University, Guiyang, China [10]Department of Neurology, the First Affiliated Hospital of Sun Yat−sen University, Guangzhou, China [11]Department of Neurology, Beijing Tsinghua Changgung Memoria Hospital, Beijing, China [12]Department of Neurology, The General Hospital of Northern Theater Command of the Chinese People’s Liberation Army, Shenyang, China [13]Department of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China [14]Department of Interventional Radiology, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China
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关键词: Stroke Prevalence China Sociodemographic

摘要:
Background The stroke burden in China has increased during the past 40 years. The present study aimed to deter-mine the recent trends in the prevalence of stroke from 2013 to 2019 stratified by sociodemographic characteristics, including sex, age, residence, ethnicity, and province within a population-based screening project in China. Methods We made use of data generated from 2013 to 2019 in the China Stroke High-risk Population Screening Program. All living subjects with confirmed stroke at interview were considered to have prevalent stroke. All analyses of prevalence of stroke were weighted and results were presented as percentage and 95% confidence interval (CI). Findings A total of 4229,616 Chinese adults aged >= 40 years from 227 cities in the 31 provinces were finally included. The enrollment rate ranged from 58.8% (2017) to 67.8% (2013). The weighted prevalence of stroke increased annually from 2013 to 2019, being 2.28% (95% CI: 2.28-2.28%) in 2013, 2.34% (2.34-2.35%) in 2014, 2.43% (2.43-2.43%) in 2015, 2.48% (2.48-2.48%) in 2016, 2.52% (2.52-2.52%) in 2017, 2.55% (2.55-2.55%) in 2018, and 2.58% (2.58-2.58%) in 2019 (p for trend <0.001). The weighted prevalence of stroke was higher for male sex, older age, and residence in rural and northeast areas. Interpretation The prevalence of stroke in China and most provinces has continued to increase in the past 7 years (2013-2019). These findings, especially in provinces with high stroke prevalence, can help public health officials to increase province capacity for stroke and related risk factors prevention. Fundings This study was supported by grants from the National Major Public Health Service Projects. Copyright (c) 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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基金编号: Z135080000022

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大类 | 1 区 医学
小类 | 1 区 卫生保健与服务 1 区 公共卫生、环境卫生与职业卫生
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Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q1 HEALTH CARE SCIENCES & SERVICES

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China [2]Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China
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通讯机构: [1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China [*1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China No. 118, Guang'anmen Inner Street, Beijing 100053, China.
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