Culture Related Risk Factors In Stroke Development: A Paradigm From Greek Thrace

Dimitrios Nikiforidis; Vassilios Papadopoulos; Alexandros G. Rigas; Eleni Mystakidi; Georgios Baltatzidis

摘要

Objectives: Detection of any possible differences in types, relative frequency, incidence rates, age of onset, outcome and subsequent risk factors of stroke in the mixed Christian/Muslim population of Xanthi region, Thrace, Greece.Subjects: 220 unselected patients, 157 Christians and 63 Muslims, who had been attacked by stroke.Methods: Statistical analysis for all objectives were carried out between 4 population subgroups formed according to sex and religion.Results: Muslims when compared with Christians (i) suffer from stroke at a younger age, (ii) tend to present haemorrhagic strokes more often, (iii) show a significantly lower incidence rate concerning ischemic strokes and (iv) present similar mortality.Conclusions: Analysis of all known risk factors for stroke between the population subgroups revealed that Muslims, and especially women, are prone to hypertension, diabetes and hypercholesterolemia, which overwhelm their physical way of life. Appropriate preventive medicine programs, focusing mainly on the above risk factors, should be applied. Introduction The present literature concludes that stroke attacks women at an older age and at a lower rate mainly due to the prophylactic effect of estrogens on the cardiovascular system [1,2]. As far as the type of stroke is concerned, ischemic or haemorrhagic, there is no statistically proven difference between men and women. Apart from the use of contraceptives, no other known risk factor for stroke may seem to apply differently to women and men. Known risk factors for stroke are hypertension, diabetes, obesity, hypercholesterolemia, smoking, alcohol abuse, previous myocardial infarction, heart failure, chronic or paroxysmal atrial fibrillation, sick sinus syndrome, obstructive carotid angiopathy, peripheral vascular angiopathy, medical record of previous stroke and family history positive for stroke [3,4,5,6,7,8,9]. A number of other potent risk factors such as pulmonary embolism, endocarditis, myocarditis, use of contraceptives, secondary polycytaemia, medical record of migraine etc. are considered to play a role albeit unclear in the pathogenesis of stroke.Minority population groups tend to present significant barriers concerning both acute stroke treatment and stroke prevention [10]. The former is explained in some minority groups by the existing linguistic deficiencies concerning mainly older people, which inhibits case history documentation, whereas the latter by the different application of risk factors [11].The aim of this study is to detect any possible differences between population subgroups, based on sex and cultural habitants, as reflected in religion, in the Perfecture of Xanthi, Thrace, Greece, concerning the types and the frequency of stroke, as well as the final outcome. These data would be useful for evaluation of the present health care status and for suggesting further action. Similar studies, analyzing stroke incidence and mortality, have been carried out in other population subgroups [12,13,14]. Material and Methods This study was performed in the province of Thrace, Perfecture of Xanthi, an area with a mixture of Christian (52,81%) and Muslim (47,19%) population of 99,607 in size (estimation of the mean true population for the period of the study) presenting a 49,54%/50,46% men/women ratio [15,16].The study was based on 220 patients who had suffered from stroke and were still alive on arrival at the Emergency Unit of our Hospital between 9.2.1998 and 8.2.2000. Practically every single case of stroke reaches our hospital, which is the only one in the region, alive or deceased (for medical certification of the cause of death). All patients were hospitalized under the responsibility of the Internal Medicine Department under the close care of a neurologist.All data concerning sex, age and religion were collated.Medical records were drawn up including: Tobacco, alcohol and nutritional habits (presence or absence of Western-type diet) Hypertension, diabetes, hyper

机译：目的：检测希腊色雷斯（Thrace）的Xanthi地区基督徒/穆斯林混合人群的类型，相对频率，发病率，发病年龄，结局和随后的中风危险因素的任何可能差异。受试者：220名未选患者，157名基督徒方法：对根据性别和宗教形成的4个人口分组进行了所有目标的统计分析。结果：与基督徒（i）相比，穆斯林在年轻时患有中风，（ii）出现出血性中风的频率更高，（iii）缺血性中风的发病率显着降低，并且（iv）死亡率相似。尤其是女性，容易患高血压，糖尿病和高胆固醇血症，这压倒了她们的身体生活方式。应采用主要针对上述危险因素的适当预防医学方案。引言目前的文献得出的结论是，中风发作的妇女年龄较大且发病率较低，这主要是由于雌激素对心血管系统的预防作用[1,2]。至于中风的类型，缺血性或出血性，男女之间没有统计学上的证明差异。除了使用避孕药具，其他已知的中风危险因素似乎对男女均适用。中风的已知危险因素是高血压，糖尿病，肥胖症，高胆固醇血症，吸烟，酗酒，先前的心肌梗塞，心力衰竭，慢性或阵发性房颤，病态窦房结综合征，阻塞性颈动脉血管病，周围血管血管病，先前中风的医疗记录和中风阳性的家族史[3,4,5,6,7,8,9]。尽管尚不清楚中风的发病机理，但许多其他潜在的危险因素，例如肺栓塞，心内膜炎，心肌炎，避孕药具的使用，继发性多细胞血症，偏头痛的医学记录等也被认为发挥了作用。急性中风治疗和中风预防的障碍[10]。前者在某些少数族裔群体中被解释为主要针对老年人的现有语言缺陷，从而抑制了病历记录，而后者则通过风险因素的不同应用[11]进行了研究。本研究的目的是发现两者之间可能存在的差异。宗教中反映的基于性别和文化居民的人口子群，在希腊色雷斯的Xanthi地带，涉及中风的类型和发生频率以及最终结果。这些数据将有助于评估当前的卫生保健状况并建议采取进一步行动。在其他人群亚组中也进行了类似的研究，以分析中风的发生率和死亡率[12,13,14]。材料和方法这项研究是在Xanthi的色雷斯（Thrace）省进行的，该地区基督教徒（52,81％）和穆斯林（47,19％）的混合人口为99,607（平均真实人口估计）在研究期间）的男性/女性比例为49.54％/ 50,46％[15,16]。该研究基于220名中风患者，并在到达急诊室时仍然活着在9.2.1998至8.2.2000之间实际上，每例中风病例都会到达我们的医院，这是该地区唯一一个存活或死亡的医院（用于死因医学证明）。所有患者均在神经内科医生的密切监护下由内科负责住院治疗，整理了有关性别，年龄和宗教信仰的所有数据，并收集了医疗记录，包括：烟草，酒精和营养习惯（有无西方饮食）型饮食）高血压，糖尿病，高血压

Culture Related Risk Factors In Stroke Development: A Paradigm From Greek Thrace

摘要

著录项

相似文献

相关主题

期刊订阅