在美国的亚洲印度裔人群中，中风死亡率出现反常上升。
Paradoxical increase in stroke mortality among Asian Indians in the United States.
作者信息
Qureshi Adnan I, Adil Malik M, Rahim Basit, Khan Shayan, Khan Noor, Suri M Fareed K
机构信息
Zeenat Qureshi Stroke Institute, St. Cloud, MN, USA.
出版信息
J Vasc Interv Neurol. 2014 May;7(1):1-4.
OBJECTIVE
To better characterize the stroke mortality and risk factors among Asian Indians by using U.S. multiple-cause-of-death and National Health and Interview Survey data.
METHODS
Age-adjusted fatal stroke incidence, stroke rate ratio with 95% confidence interval, and average annual percentage change (APC) over 10 years were calculated.
RESULTS
The annual incidence of stroke mortality in 2000 was lowest among Asian Indians (88 per 100,000) followed by American Indians and Alaska Natives (112 per 100,000), whites (301 per 100,000) and African Americans (312 per 100,000). Significantly lower rates of hypertension and cigarette smoking in Asian Indians in 2000-2001 (compared with whites) explained the lower rates of stroke mortality. The APC increase over subsequent 10 years was 13.5%, 0.9%, -2.5%, and -2.9% for Asian Indians, American Indians and Alaska Natives, whites, and African Americans, respectively.
CONCLUSIONS
There is a paradoxical increase in stroke mortality among Asian Indians over the last 10 years in contrast to other population subsets.
目的
利用美国多死因数据和国民健康与访谈调查数据，更好地描述亚洲印度人的卒中死亡率及风险因素。
方法
计算年龄调整后的致命性卒中发病率、卒中率比及95%置信区间，以及10年间的年均变化百分比（APC）。
结果
2000年亚洲印度人的年度卒中死亡率最低（每10万人中有88例），其次是美国印第安人和阿拉斯加原住民（每10万人中有112例）、白人（每10万人中有301例）和非裔美国人（每10万人中有312例）。2000 - 2001年亚洲印度人高血压和吸烟率显著低于白人，这解释了其较低的卒中死亡率。在随后的10年中，亚洲印度人、美国印第安人和阿拉斯加原住民、白人、非裔美国人的APC增幅分别为13.5%、0.9%、-2.5%和-2.9%。
结论
与其他人群亚组相比，亚洲印度人在过去10年中卒中死亡率出现了反常的上升。
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