Evidence map›Paper›PMID 25850531›Full record

ArticleInternational journal of public health2015

Living standard is related to microregional differences in stroke characteristics in Central Europe: the Budapest Districts 8-12 Project.

András Folyovich, Ildikó Vastagh, Anna Kéri, Angéla Majoros, Koppány Levente Kovács, András Ajtay, Zsuzsanna Laki, Bence Gunda, Katalin Erdei, Laura Lenti and 2 more

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Article in International journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 · Its place in the literature

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3 citing papers in PubMed.

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5 · Who and what money

Authors and funding

12 authors.

András FolyovichDepartment of Neurology and Stroke, Szent János Hospital, Budapest, Hungary.
Ildikó Vastagh
Anna Kéri
Angéla Majoros
Koppány Levente Kovács
András Ajtay
Zsuzsanna Laki
Bence Gunda
Katalin Erdei
Laura Lenti
Zsófia Dános
Dániel Bereczki

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo test whether str oke features relate to living standard within one city by comparing 2 districts.

methodsDistrict-8 (D-8) ranks the last, whereas District-12 (D-12) is the second regarding personal monthly income of the 23 districts of Budapest, Hungary. Stroke cases hospitalized in 2007 were identified by the database of the National Health Insurance Fund and postal codes for living address. Case certification was performed by personal visits to the general practitioners. Demographic data, risk factors and survival status in 2010 were analyzed using the anonymized database.

resultsThree-year case fatality was 36.6 % in D-8 and 31.5 % in D-12 (p = 0.24). Of the fatal cases, men were more than 12 years younger in D-8 than in D-12 (69.2 ± 13.3 vs. 82.4 ± 9.2 years, p < 0.001). Men died younger than women in D-8 (69.2 ± 13.3 vs. 75.2 ± 12.4; p = 0.036), but not in D-12 (82.4 ± 9.2 vs. 81.9 ± 7.3, p = 0.8). Non-treated hypertension, alcohol dependence, and smoking were significantly more prevalent in the poor district (p < 0.01 for all).

conclusionIn national stroke programs of former Eastern Block countries, primary prevention should focus especially on male populations of less wealthy regions.

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AdultAgedAged, 80 and overAge DistributionAlcohol DrinkingComorbidityFemaleHealth BehaviorHumansHungaryMaleMiddle AgedPrevalenceRisk FactorsSex DistributionSmoking

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