ArticleJournal of epidemiology2015
Impact of neighborhood socioeconomic conditions on the risk of stroke in Japan.
Article in Journal of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Psychosocial stress and risk of first-ever stroke: a systematic review and meta-analysis.BMC neurology · 2026Pooled it
- Pooled it
- Association of municipal rurality and area deprivation with cause-specific mortality in Japan: a nationwide ecological study.BMJ public health · 2026Article
- Association of substance use with stroke in heart failure by community socioeconomic distress.Drug and alcohol dependence · 2025Article
- Article
- Differential effects of lifestyle activities on disability incidence based on neighborhood amenities.BMC geriatrics · 2023Observational
- Article
- The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.Neurological research and practice · 2023Article
- Eating Behaviors, Lifestyle, and Ischemic Stroke: A Lebanese Case-Control Study.International journal of environmental research and public health · 2023Review
- Access to mechanical thrombectomy and ischemic stroke mortality in Japan: a spatial ecological study.Frontiers in neurology · 2023Article
- Life-Course Neighborhood Socioeconomic Status and Cardiovascular Events in Black and White Adults in the Atherosclerosis Risk in Communities Study.American journal of epidemiology · 2022Article
- Difference in the prevalence of hypertension and its risk factors depending on area-level deprivation in Japan.BMC research notes · 2022Article
- The association between the socioeconomic deprivation level and ischemic heart disease mortality in Japan: an analysis using municipality-specific data.Epidemiology and health · 2022Article
- An analysis of health inequalities depending on educational level using nationally representative survey data in Japan, 2019.BMC public health · 2021Article
- A cohort study on the relationship between education level and high-risk population of stroke.Ibrain · 2021Article
- Social and physical environmental factors in daily stepping activity in those with chronic stroke.Topics in stroke rehabilitation · 2021Article
- How does area-level deprivation depress an individual's self-rated health and life satisfaction? Evidence from a nationwide population-based survey in Japan.BMC public health · 2021Article
- Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999-2019.International journal of environmental research and public health · 2020Article
- Association between neighborhood disadvantage and fulfillment of desired postpartum sterilization.BMC public health · 2020Article
- Association of Neighborhood-Level Disadvantage With Cerebral and Hippocampal Volume.JAMA neurology · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeighborhood deprivation has been shown in many studies to be an influential factor in cardiovascular disease risk. However, no previous studies have examined the effect of neighborhood socioeconomic conditions on the risk of stroke in Asian countries.
methodsThis study investigated whether neighborhood deprivation was associated with the risk of stroke and stroke death using data from the Japan Public Health Center-based Prospective Study. We calculated the adjusted hazard ratios of stroke mortality (mean follow-up, 16.4 years) and stroke incidence (mean follow-up, 15.4 years) according to the area deprivation index (ADI) among 90 843 Japanese men and women aged 40-69 years. A Cox proportional-hazard regression model using a shared frailty model was applied.
resultsThe adjusted hazard ratios of stroke incidence, in order of increasing deprivation with reference to the least deprived area, were 1.16 (95% CI, 1.04-1.29), 1.12 (95% CI, 1.00-1.26), 1.18 (95% CI, 1.02-1.35), and 1.19 (95% CI, 1.01-1.41), after adjustment for individual socioeconomic conditions. Behavioral and psychosocial factors attenuated the association, but the association remained significant. The associations were explained by adjusting for biological cardiovascular risk factors. No significant association with stroke mortality was identified.
conclusionsOur results indicate that the neighborhood deprivation level influences stroke incidence in Japan, suggesting that area socioeconomic conditions could be a potential target for public health intervention to reduce the risk of stroke.
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