Income level is associated with differences in primary and secondary stroke prevention in China
Introduction The aim of this study was to assess differences in the effects of income level on the primary and secondary prevention of stroke in the Chinese population. Material and methods This was a population-based study using data from a China Kadoorie Biobank survey that began in 2004 in 10 ge...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2024-10-01
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| Series: | Archives of Medical Science |
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| Online Access: | https://www.archivesofmedicalscience.com/Income-level-is-associated-with-differences-in-primary-and-secondary-stroke-prevention,178269,0,2.html |
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| author | Huiming Ren Junrong Ma Xu Guo Ruijie Zhang Liyuan Pu Tian Zhao Fangfang Zeng Chang Shu Liyuan Han Yunzhi Wang Qiang Li Xiaojie Wang |
| author_facet | Huiming Ren Junrong Ma Xu Guo Ruijie Zhang Liyuan Pu Tian Zhao Fangfang Zeng Chang Shu Liyuan Han Yunzhi Wang Qiang Li Xiaojie Wang |
| author_sort | Huiming Ren |
| collection | DOAJ |
| description | Introduction
The aim of this study was to assess differences in the effects of income level on the primary and secondary prevention of stroke in the Chinese population.
Material and methods
This was a population-based study using data from a China Kadoorie Biobank survey that began in 2004 in 10 geographical regions. Community residents (n = 512,715) aged 30–79 years were recruited. Stroke was determined by the self-reporting of a doctor’s diagnosis, and participants with a high risk of stroke were identified using the model developed in the Prediction for ASCVD Risk in China study.
Results
The final numbers of people included in this study were 8,884 with stroke and 218,972 with a high risk of stroke. The participants’ income level was positively associated with high levels of physical activity and the consumption of a healthy diet, but negatively associated with the control of alcohol consumption (all p < 0.05). In addition, positive associations were observed between the control of smoking and the use of antiplatelet and antihypertensive medication for primary prevention (all p < 0.05), but there was a negative association with the control of blood pressure (p < 0.001).
Conclusions
Low-income individuals were less likely to control smoking and their diet and use preventive medications, while high-income individuals were less likely to control their alcohol consumption and blood pressure. Moreover, medication use was low for both primary and secondary prevention in high-income individuals. |
| format | Article |
| id | doaj-art-f78fbadae5bb40ffa897d8882ff9ca0c |
| institution | Kabale University |
| issn | 1734-1922 1896-9151 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj-art-f78fbadae5bb40ffa897d8882ff9ca0c2025-01-27T10:44:31ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512024-10-012051472148310.5114/aoms/178269178269Income level is associated with differences in primary and secondary stroke prevention in ChinaHuiming Ren0https://orcid.org/0009-0009-3997-0892Junrong Ma1https://orcid.org/0000-0002-7631-0166Xu Guo2https://orcid.org/0000-0001-8171-335XRuijie Zhang3https://orcid.org/0000-0003-0778-3194Liyuan Pu4https://orcid.org/0000-0002-2874-4613Tian Zhao5https://orcid.org/0000-0003-4725-4932Fangfang Zeng6https://orcid.org/0000-0001-8650-0927Chang Shu7https://orcid.org/0000-0001-5619-0294Liyuan Han8https://orcid.org/0000-0002-3329-3212Yunzhi Wang9https://orcid.org/0009-0008-3090-674XQiang Li10https://orcid.org/0009-0009-2164-4343Xiaojie Wang11https://orcid.org/0000-0001-6740-4120Department of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou City, Guangdong Province, ChinaDepartment of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, ChinaDepartment of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, ChinaDepartment of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, ChinaDepartment of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou City, Guangdong Province, ChinaTianjin Cerebral Vascular and Neural Degenerative Disease Key Laboratory, Tianjin Neurosurgery Institute, Tianjin Huanhu Hospital, Tianjin, ChinaDepartment of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, ChinaUniversity of Sydney School of Health Sciences, AustraliaDepartment of Global Health, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo City, Zhejiang Province, ChinaDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen City, Guangdong Province, ChinaIntroduction The aim of this study was to assess differences in the effects of income level on the primary and secondary prevention of stroke in the Chinese population. Material and methods This was a population-based study using data from a China Kadoorie Biobank survey that began in 2004 in 10 geographical regions. Community residents (n = 512,715) aged 30–79 years were recruited. Stroke was determined by the self-reporting of a doctor’s diagnosis, and participants with a high risk of stroke were identified using the model developed in the Prediction for ASCVD Risk in China study. Results The final numbers of people included in this study were 8,884 with stroke and 218,972 with a high risk of stroke. The participants’ income level was positively associated with high levels of physical activity and the consumption of a healthy diet, but negatively associated with the control of alcohol consumption (all p < 0.05). In addition, positive associations were observed between the control of smoking and the use of antiplatelet and antihypertensive medication for primary prevention (all p < 0.05), but there was a negative association with the control of blood pressure (p < 0.001). Conclusions Low-income individuals were less likely to control smoking and their diet and use preventive medications, while high-income individuals were less likely to control their alcohol consumption and blood pressure. Moreover, medication use was low for both primary and secondary prevention in high-income individuals.https://www.archivesofmedicalscience.com/Income-level-is-associated-with-differences-in-primary-and-secondary-stroke-prevention,178269,0,2.htmlchina kadoorie biobankincome levelpreventionstrokedifferences |
| spellingShingle | Huiming Ren Junrong Ma Xu Guo Ruijie Zhang Liyuan Pu Tian Zhao Fangfang Zeng Chang Shu Liyuan Han Yunzhi Wang Qiang Li Xiaojie Wang Income level is associated with differences in primary and secondary stroke prevention in China Archives of Medical Science china kadoorie biobank income level prevention stroke differences |
| title | Income level is associated with differences in primary and secondary stroke prevention in China |
| title_full | Income level is associated with differences in primary and secondary stroke prevention in China |
| title_fullStr | Income level is associated with differences in primary and secondary stroke prevention in China |
| title_full_unstemmed | Income level is associated with differences in primary and secondary stroke prevention in China |
| title_short | Income level is associated with differences in primary and secondary stroke prevention in China |
| title_sort | income level is associated with differences in primary and secondary stroke prevention in china |
| topic | china kadoorie biobank income level prevention stroke differences |
| url | https://www.archivesofmedicalscience.com/Income-level-is-associated-with-differences-in-primary-and-secondary-stroke-prevention,178269,0,2.html |
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