Sherin Akhtar, Ul-Haq Zia, Fazid Sheraz, Shah Basharat Hussain, Khattak Maria Ishaq, Nabi Fazal
Akhtar Sherin Khyber Medical University, Institute of Medical Sciences, DHQ Hospital Kohat, Pakistan. Khyber Medical University, Institute of Public Health & Social Sciences, Peshawar, Pakistan.
Zia Ul-Haq, Vice Chancellor/ Professor & Dean, Institute of Public Health. Visiting Professor Institute of Health & Well-being, University of Glasgow, UK. Khyber Medical University, Institute of Public Health & Social Sciences, Peshawar, Pakistan.
Pak J Med Sci. 2020 Nov-Dec;36(7):1435-1440. doi: 10.12669/pjms.36.7.2824.
To study the prevalence of stroke and associated risk factors in Khyber Pakhtunkhwa (KP) province of Pakistan.
This study was a part of cross-sectional KP Integrated Population Health Survey 2016-17 conducted on population aging ≥18 years at 24 districts of KP. Primary (n=1061) and secondary sampling units (n=15724) were developed, based on urban/rural and socio-economic status. Each primary-unit comprised of 250-300 households. Sample was selected through a multi-staged stratified systematic cluster sampling technique by taking every 16 household per rural and every 12 household per urban-unit. A validated " for identification of stroke patients in community was used along with demographics and potential risk factors.
Among the 15724 randomly selected households, 22500 participants (51.4% females; 74.6% rural areas, mean age 42±12.6 years) were interviewed. Stroke was identified in 271 cases (137 males, 134 females; Mean age=43.39±0.85 years) and prevalence of stroke was 1.2% (1200 per 100,000 population). Obesity/overweight (38.8%), hypertension (21.8%), smoking (6.6%) and known diabetes mellitus (5.9%) were the common associated risk factors of stroke. Age groups >60 years (adjusted OR=1.68; 95% CI: 1.05-2.68); urban area (adjusted OR=1.68; 95% CI: 1.29-2.19); unemployment (adjusted OR=3.78; 95% CI: 2.49-5.73) and lower formal (primary) education (adjusted OR 2.18; 95% CI: 1.30-3.64) were significantly associated with stroke (p <0.05).
Prevalence of stroke is 1.2% in the province of KP. Obesity, hypertension, smoking and Diabetes Mellitus are the common associated risk factors of stroke. Higher age, urban area, unemployment and lower formal education are significantly associated with stroke.
研究巴基斯坦开伯尔-普赫图赫瓦省（KP）中风的患病率及相关危险因素。
本研究是2016 - 17年KP综合人口健康调查的一部分，该调查针对KP省24个地区年龄≥18岁的人群开展。根据城乡和社会经济状况确定了一级抽样单位（n = 1061）和二级抽样单位（n = 15724）。每个一级单位由250 - 300户家庭组成。通过多阶段分层系统整群抽样技术进行抽样，农村地区每16户抽取1户，城市地区每12户抽取1户。使用经过验证的用于社区中风患者识别的工具，同时收集人口统计学和潜在危险因素信息。
在随机抽取的15724户家庭中，对22500名参与者（51.4%为女性；74.6%来自农村地区，平均年龄42±12.6岁）进行了访谈。共识别出271例中风患者（137例男性，134例女性；平均年龄 = 43.39±0.85岁），中风患病率为1.2%（每10万人中有1200例）。肥胖/超重（38.8%）、高血压（21.8%）、吸烟（6.6%）和已知糖尿病（5.9%）是中风常见的相关危险因素。年龄>60岁的人群（调整后OR = 1.68；95% CI：1.05 - 2.68）；城市地区（调整后OR = 1.68；95% CI：1.29 - 2.19）；失业（调整后OR = 3.78；95% CI：2.49 - 5.73）以及较低的正规（小学）教育程度（调整后OR = 2.18；95% CI：1.30 - 3.64）与中风显著相关（p <0.05）。
KP省中风患病率为1.2%。肥胖、高血压、吸烟和糖尿病是中风常见的相关危险因素。较高年龄、城市地区、失业和较低的正规教育程度与中风显著相关。
