Analysis on the prevalence and risk factors of stroke in residents of Hanzhong community in Wuhan city, Hubei province
10.3760/cma.j.cn341190-20231030-00365
- VernacularTitle:湖北省武汉市汉中社区居民脑卒中患病率及危险因素分析
- Author:
Chenyi ZHU
1
;
Danqing HAN
;
Xiaoxiang PENG
Author Information
1. 江汉大学医学部临床医学神经内科，武汉 430030
- Keywords:
Stroke;
Epidemiology;
Prevalence;
Risk factors;
Community health services;
Smoking;
Hypertension;
Obesity;
Cysteine
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(9):1327-1332
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence and risk factors of stroke in residents of Hanzhong community, Wuhan city, Hubei province, and develop subsequent prevention and treatment measures.Methods:A questionnaire survey, physical examination, and laboratory tests were conducted from May 1 to July 31, 2023, among a population of 801 residents aged 40 years and older in Hanzhong community, Wuhan city, Hubei province, using multi-stage whole cluster random sampling.Results:Among the 801 residents surveyed, 28 were found to have suffered from stroke, yielding a prevalence rate of 3.5%. Additionally, there were 255 individuals identified as high-risk, accounting for 31.8% of the population. The risk factors for stroke, ranked from highest to lowest in prevalence, were as follows: hypertension (24.3%), dyslipidemia (23.6%), lack of exercise (17.6%), smoking (13.1%), diabetes (12.0%), family history of stroke (9.0%), obesity or overweight (8.6%), and atrial fibrillation or valvular heart disease (3.0%). The prevalence of stroke is higher in men than in women, and it continues to increase with advancing age (χ 2 = 33.95, P < 0.001). Homocysteine is likely to contribute to the occurrence of stroke through its association with hypertension (χ2 = 42.63, P < 0.001). Additionally, homocysteine levels have emerged as another significant risk factor for stroke among individuals who are at high risk (χ2 = 5.74, P < 0.05). Conclusion:In Hanzhong community, Wuhan city, Hubei province, smoking, hypertension, overweight, and obesity are the major risk factors for stroke among residents aged 40 years and older. Homocysteinemia is closely related to these high-risk factors for stroke. Therefore, screening and prevention of elevated homocysteine levels will be one of the critical indicators for the subsequent screening and prevention of stroke.
