ArticleInternational journal of stroke : official journal of the International Stroke Society2015
Neighborhood socioeconomic status and the prevalence of stroke and coronary heart disease in rural China: a population-based study.
Article in International journal of stroke : official journal of the International Stroke Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 29 citations in OpenAlex.
- Social Determinants of Health, Blood Pressure Classification, and Incident Stroke Among Chinese Adults.JAMA network open · 2024Article
- Article
- Neurologic Complications of Poverty: the Associations Between Poverty as a Social Determinant of Health and Adverse Neurologic Outcomes.Current neurology and neuroscience reports · 2021Review
- Relative Deprivation, Income Inequality, and Cardiovascular Health: Observational and Mendelian Randomization Studies in Hong Kong Chinese.Frontiers in public health · 2021Observational
- Risk of coronary heart disease in the rural population in Xinjiang: A nested case-control study in China.PloS one · 2020Article
- Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017.BMC medicine · 2019Article
- Prevalence and Influencing Factors of Coronary Heart Disease and Stroke in Chinese Rural Adults: The Henan Rural Cohort Study.Frontiers in public health · 2019Article
- Association between socioeconomic status and post-stroke functional outcome in deprived rural southern China: a population-based study.BMC neurology · 2018Article
- Neighborhood socioeconomic status at the age of 40 years and ischemic stroke before the age of 50 years: A nationwide cohort study from Sweden.International journal of stroke : official journal of the International Stroke Society · 2017Article
- Prevalence of stroke and associated risk factors among middle-aged and older farmers in western China.Environmental health and preventive medicine · 2017Article
- Perceived Neighborhood Safety Better Predicts Risk of Mortality for Whites than Blacks.Journal of racial and ethnic health disparities · 2016Article
- Review
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14 authors at 6 institutions in 2 countries.
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Abstract
backgroundLower neighborhood-level socioeconomic status (SES) is associated with an increased risk of vascular disease in developed countries.
aimsThis study aims to identify village- and individual-level determinants of stroke and coronary heart disease (CHD) in a rural Chinese population.
methodsWe analyzed data from a population-based survey of 14,424 rural Chinese adults aged over 40 years from 54 villages. Primary outcomes were stroke and coronary heart disease (CHD) prevalence. Village-level SES was determined from the Chinese government's official statistical yearbook. Individual-level characteristics were obtained by in-person interviews. Prevalence rate ratios (RRs) and 95% confidence intervals (95% CIs) were calculated using generalized linear mixed models with log-link function to explore associations of village-level SES and individual social, demographic, and cardiovascular risk factors with stroke or CHD. Variance was expressed using the median rate ratio (MRR) and interval rate ratio (IRR).
resultsVillage accounted for significant variability in the prevalence of stroke (MRR = 1.70; 95% CI: 1.42-1.94; P < 0.05) and CHD (MRR = 1.59; 95% CI: 1.35-1.78, P < 0.05), with village-level income alone accounting for 10% and 13.5% of between-village variation in stroke and CHD, respectively. High-income villages were at higher risk of both stroke (RR = 1.69, 95% CI: 1.09-2.62) and CHD (RR = 1.63, 95% CI: 1.13-2.34) than lower-income villages. Among individual-level risk factors, hypertension was associated with a higher prevalence of stroke (RR = 2.33, 95% CI: 1.93-2.80) than CHD (RR = 1.58, 95% CI: 1.38-1.82), whereas obesity was only associated with CHD (RR = 1.43, 95% CI: 1.23-1.66). In addition, there was an interaction between age and income; residents of higher-income villages below age 60 had a higher prevalence of CHD (RR = 1.58, 95% CI: 1.15-2.18) but not stroke.
conclusionsThere were differences in vascular risk across rural villages in China, with higher lifetime stroke and CHD prevalence in higher-income villages. For CHD, neighborhood effects were stronger among younger residents of high-income villages. The results may have implications for public health interventions targeting populations at risk.
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