Impact of socio-economic factors on stroke prevalence among urban and rural residents in Mainland China

Fei Xu · Lap Ah Tse · Xiao-Mei Yin · Ignatius Tak-sun Yu · Sian Meryl Griffiths

37 citations0/0 files storedBMC Public Health

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Health disparities and outcomes Acute Ischemic Stroke Management Cardiovascular Health and Risk Factors

Abstract

BACKGROUND: An inverse relationship between better socioeconomic status (total household income, education or occupation) and stroke has been established in developed communities, but family size has generally not been considered in the use of socioeconomic status indices. We explored the utility of Family Average Income (FAI) as a single index of socioeconomic status to examine the association with stroke prevalence in a region of China, and we also compared its performance as a single index of socioeconomic status with that of education and occupation. METHODS: A population-based cross-sectional study was conducted in Nanjing municipality of China during the period between October 2000 and March 2001. A total of 45 administrative villages were randomly selected using a multi-stage sampling approach and all regular local residents aged 35 years or above were included. Descriptive statistics and logistic regression models were used in analysis. RESULTS: The overall prevalence of diagnosed stroke was 1.54% in all 29,340 eligible participants. An elevated prevalence of stroke was associated with increasing levels of FAI. After adjustment for basic demographic variables (age, urban/rural area and gender) and a group of defined conventional risk factors, this gradient still remained significant, with participants in the highest (OR = 1.94, 95% CI = 1.40, 2.70) and middle (OR = 1.43, 95% CI = 1.01, 2.02) categories of FAI having higher risks compared with the lowest category. A significantly elevated OR of stroke prevalence was found in white collar workers compared to blue collar workers, while no significant relationship was observed with education. CONCLUSION: Our study consistently revealed that the prevalence of stroke was associated with increasing levels of all SES indices, including FAI, education, and occupation. However, a significant gradient was only observed with FAI after controlling for important confounding factors. The findings suggested that, compared with occupation and education, FAI could be used as a more sensitive index of socio-economic status for public health studies in China.

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1993The Relationship between Socioeconomic Status and Health: A Review of the Literature 1997The black report and beyond what are the issues?2006Socioeconomic status and stroke 2001Socioeconomic status and type 2 diabetes in African American and non-Hispanic white women and men: evidence from the Third National Health and Nutrition Examination Survey 2006Socioeconomic Status and Stroke Incidence in the US Elderly 2005Socioeconomic Position in Childhood and Early Adult Life and Risk of Mortality: A Prospective Study of the Mothers of the 1958 British Birth Cohort 2006The Socioeconomic Gradient in the Incidence of Stroke 1998Socioeconomic Inequalities in Stroke Mortality Among Middle-Aged Men

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