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首页> 外文期刊>International Journal of Gerontology >Disparities in Ischemic Stroke Subtypes and Risk Factors between Taiwanese Aborigines and Han Chinese in Taitung, Taiwan
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Disparities in Ischemic Stroke Subtypes and Risk Factors between Taiwanese Aborigines and Han Chinese in Taitung, Taiwan

机译：台湾台东原住民与汉族人之间缺血性卒中亚型的差异和危险因素

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Background: There are two major ethnic categories in Taiwan, i.e., the Han Chinese (98%) and the Taiwanese Aborigines (2%). The interethnic disparities in ischemic stroke etiological subtypes, conventional and behavioral vascular risk factors were unknown. Methods: From June 2007 to May 2009, a prospective stroke registry was conducted by a referral hospital in Taitung, Taiwan. Using the database, the interethnic disparities were examined by univariate analyses, followed by multivariate analysis of the ischemic stroke subtype [by TOAST (Trial of Org 10172 in Acute Stroke Treatment) classification] with significant difference between the two ethnicities. Results: We included 433 acute ischemic stroke patients, comprising 302 Han Chinese (70%) and 131 Aborigines (30%). The Taiwanese Aborigines are more likely to be illiterate and living in rural areas (both p < 0.001); they are also more likely to have atrial fibrillation (p = 0.018), and to engage in alcohol drinking (p = 0.046) and areca nut chewing (p < 0.001), but less likely to have diabetes mellitus (p = 0.022). Univariate analysis shows higher prevalence of cardioembolism among the Taiwanese Aborigines. However, ethnicity is not one of the independent variables of cardioembolism, which include atrial fibrillation [odds ratio (OR) = 28.04; 95% confidence interval (CI), 13.39-58.72)], hyperlipidemia (OR = 0.46; 95% CI, 0.23-0.95), and areca nut chewing (OR = 2.85; 95% CI, 1.21-6.72). Conclusion: Risk factors differ between the Han Chinese and the Taiwanese Aborigines, and areca nut chewing correlates with cardioembolic stroke. Future measures for stroke prevention should take these factors into consideration.
机译：背景：台湾有两个主要的种族类别，即汉族（98％）和台湾原住民（2％）。缺血性中风病因亚型，常规和行为性血管危险因素之间的种族差异尚不清楚。方法：2007年6月至2009年5月，由台湾台东一家转诊医院进行了前瞻性中风登记。使用该数据库，通过单因素分析检查了种族差异，然后对缺血性卒中亚型进行了多变量分析（通过TOAST（急性卒中治疗中的组织10172试验）分类），两种种族之间存在显着差异。结果：我们纳入了433名急性缺血性中风患者，其中包括302名汉人（70％）和131名原住民（30％）。台湾原住民更可能是文盲，生活在农村地区（均p <0.001）;他们也更有可能发生房颤（p = 0.018），饮酒（p = 0.046）和槟榔咀嚼（p <0.001），但患糖尿病的可能性较小（p = 0.022）。单因素分析显示台湾原住民中心脏栓塞的患病率较高。但是，种族并不是心脏栓塞的独立变量之一，包括房颤[几率（OR）= 28.04; 95％置信区间（CI），13.39-58.72），高脂血症（OR = 0.46; 95％CI，0.23-0.95）和槟榔咀嚼（OR = 2.85; 95％CI，1.21-6.72）。结论：汉族和台湾原住民的危险因素不同，槟榔的咀嚼与心脏栓塞性中风有关。未来预防中风的措施应考虑这些因素。

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