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Prevalence of stroke and related burden among older people living in Latin America, India and China
Ferri, Cleusa P.1,13; Schoenborn, Claudia1,13; Kalra, Lalit2; Acosta, Daisy3; Guerra, Mariella1,4,13; Huang, Yueqin5; Jacob, K. S.6; Llibre Rodriguez, Juan J.1,7,13; Salas, Aquiles8; Luisa Sosa, Ana1,9,13; Williams, Joseph D.10; Liu, Zhaorui5; Moriyama, Tais11; Valhuerdi, Adolfo12; Prince, Martin J.1,13
刊名JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
2011-10-01
DOI10.1136/jnnp.2010.234153
82期:10页:1074-1082
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Psychiatry ; Surgery
研究领域[WOS]Neurosciences & Neurology ; Psychiatry ; Surgery
关键词[WOS]SELF-REPORTED STROKE ; CEREBROVASCULAR-DISEASE ; POPULATION ; DISABILITY ; DEMENTIA ; CAREGIVERS ; COMMUNITY ; DIAGNOSIS ; COUNTRIES ; KOLKATA
英文摘要

Objectives Despite the growing importance of stroke in developing countries, little is known of stroke burden in survivors. The authors investigated the prevalence of self-reported stroke, stroke-related disability, dependence and care-giver strain in Latin America (LA), China and India.

Methods Cross-sectional surveys were conducted on individuals aged 65+ (n=15 022) living in specified catchment areas. Self-reported stroke diagnosis, disability, care needs and care giver burden were assessed using a standardised protocol. For those reporting stroke, the correlates of disability, dependence and care-giver burden were estimated at each site using Poisson or linear regression, and combined meta-analytically.

Results The prevalence of self-reported stroke ranged between 6% and 9% across most LA sites and urban China, but was much lower in urban India (1.9%), and in rural sites in India (1.1%), China (1.6%) and Peru (2.7%). The proportion of stroke survivors needing care varied between 20% and 39% in LA sites but was higher in rural China (44%), urban China (54%) and rural India (73%). Comorbid dementia and depression were the main correlates of disability and dependence.

Conclusion The prevalence of stroke in urban LA and Chinese sites is nearly as high as in industrialised countries. High levels of disability and dependence in the other mainly rural and less-developed sites suggest underascertainment of less severe cases as one likely explanation for the lower prevalence in those settings. As the health transition proceeds, a further increase in numbers of older stroke survivors is to be anticipated. In addition to prevention, stroke rehabilitation and long-term care needs should be addressed.

语种英语
WOS记录号WOS:000294733400005
项目编号GR066133 ; GR08002 ; IIRG-04-1286
资助机构Wellcome Trust ; World Health Organization (India, Dominican Republic and China) ; US Alzheimer&prime ; s Association ; FONACIT/ CDCH/ UCV (Venezuela)
引用统计
被引频次:64[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52967
专题北京大学精神卫生研究所
作者单位1.Univ Ciencias Med Matanzas, Dept Internal Med, Matanzas, Cuba
2.Univ Peruana Cayetano Heredia, Lima, Peru
3.Med Univ Havana, Dept Clin Sci, Havana, Cuba
4.Caracas Univ Hosp, Dept Med, Caracas, Venezuela
5.Natl Inst Neurol & Neurosurg Mexico, Mexico City, DF, Mexico
6.Kings Coll London, Inst Psychiat, Epidemiol Sect, Hlth Serv, London SE5 8AF, England
7.Kings Coll London, Inst Psychiat, Clin Neurosci Div, London SE5 8AF, England
8.Univ Nacl Pedro Henriquez Urena, Geriatr Sect, Santo Domingo, Dominican Rep
9.Peking Univ, Inst Mental Hlth, Div Social Psychiat & Behav Med, Beijing 100871, Peoples R China
10.Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
11.VHS, Dept Community Hlth, Chennai, Tamil Nadu, India
12.Univ Fed Sao Paulo, Dept Psychiat, Sao Paulo, Brazil
13.Kings Coll London, Inst Psychiat, Epidemiol Sect, Populat Res Dept, London SE5 8AF, England
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GB/T 7714
Ferri, Cleusa P.,Schoenborn, Claudia,Kalra, Lalit,et al. Prevalence of stroke and related burden among older people living in Latin America, India and China[J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY,2011,82(10):1074-1082.
APA Ferri, Cleusa P..,Schoenborn, Claudia.,Kalra, Lalit.,Acosta, Daisy.,Guerra, Mariella.,...&Prince, Martin J..(2011).Prevalence of stroke and related burden among older people living in Latin America, India and China.JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY,82(10),1074-1082.
MLA Ferri, Cleusa P.,et al."Prevalence of stroke and related burden among older people living in Latin America, India and China".JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY 82.10(2011):1074-1082.
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