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芬兰成年人群脑出血发病率、死亡率及预后的社会经济差异。芬兰莫尼卡心血管病注册研究。

Socioeconomic differences in the incidence, mortality and prognosis of intracerebral hemorrhage in Finnish Adult Population. The FINMONICA Stroke Register.

作者信息

Jakovljevic D, Sarti C, Sivenius J, Torppa J, Mähönen M, Immonen-Räihä P, Kaarsalo E, Alhainen K, Tuomilehto J, Puska P, Salomaa V

机构信息

Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland.

出版信息

Neuroepidemiology. 2001 May;20(2):85-90. doi: 10.1159/000054765.

Abstract

We examined the association of socioeconomic status (SES) with the incidence, mortality and case fatality of intracerebral hemorrhage (ICH). During 1982-1992, 909 ICH events were registered among persons aged 25-74 years. Taxable income was used as an indicator of SES. It was stratified into three categories: low, middle and high. The age-standardized incidence and mortality of ICH were significantly higher in the low- than in the high-income group in both genders. Among men aged 25-59 years, the adjusted odds ratio (OR) of ICH death within 1 year after the onset of the event was twice as high in the low-income group as in the high-income group (OR = 2.12, 95% confidence interval 1.02-4.40). In conclusion, marked socioeconomic differences were found in the incidence and mortality of ICH, in particular among working aged men.

摘要

我们研究了社会经济地位(SES)与脑出血(ICH)的发病率、死亡率及病死率之间的关联。在1982年至1992年期间,年龄在25至74岁的人群中登记了909例ICH事件。应税收入被用作SES的指标。它被分为三类:低、中、高。在两个性别中,ICH的年龄标准化发病率和死亡率在低收入组均显著高于高收入组。在25至59岁的男性中,事件发生后1年内ICH死亡的校正比值比(OR)在低收入组是高收入组的两倍(OR = 2.12,95%置信区间1.02至4.40)。总之,在ICH的发病率和死亡率方面发现了显著的社会经济差异,尤其是在工作年龄的男性中。

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