Prevalence of self-reported epilepsy in a multiracial and multiethnic community in New York City
Prevalence of self-reported epilepsy in a multiracial and multiethnic community in New York City
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DOI：
10.1016/j.eplepsyres.2007.09.012
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发表时间：
2007-12-01
影响因子：
2.2
通讯作者：
Hauser, W. Allen.
中科院分区：
文献类型：
--
作者：
Kelvin, Elizabeth A.;Hesdorffer, Dale C.;Hauser, W. Allen.
目的：评估纽约市不同种族社区癫痫的患病率。方法：我们采用随机数字拨号法确定有癫痫病史的人群。我们估计了活动性癫痫和终生癫痫的患病率。结果：活动性癫痫的年龄校正患病率为5.0/1000，终生癫痫的年龄校正患病率为5.9/1000。西班牙裔美国人的患病率（活跃患病率：每1 000人6.3人;终生患病率：每1 000人7.5人）似乎高于非西班牙裔美国人（活跃患病率：每1 000人4.1人;终生患病率：每1 000人4.7人）。黑人的活动性癫痫患病率（5.2/1000）似乎低于白人（5.9/1000），但终生患病率较高（7.5/1000 vs. 5.9/1000）。种族和种族的差异，在获得癫痫护理是显而易见的，无论是在药物治疗和使用急诊科care.Conclusions：癫痫的患病率在这个主要是少数民族的城市社区是类似的，在其他当代研究报告。与白色受访者相比，黑人和西班牙裔受访者获得医疗保健的机会较少，可能影响了自我报告的活动性癫痫患病率估计，因为定义包括近期使用抗癫痫药物。(c)2007 Elsevier B. V.保留所有权利。
Purpose: To estimate the prevalence of epilepsy in a racially and ethnically diverse neighborhood in New York City.Methods: We used random-digit dialing to identify people with a history of epilepsy. We estimated the prevalence of active epilepsy and lifetime epilepsy.Results: The age-adjusted prevalence of active epilepsy was 5.0 per 1000, and that of lifetime epilepsy was 5.9 per 1000. Prevalence appeared higher in Hispanics (active prevalence: 6.3 per 1000; lifetime prevalence: 7.5 per 1000) than in non-Hispanics (active prevalence: 4.1 per 1000; lifetime prevalence: 4.7 per 1000). Blacks appeared to have a lower prevalence of active epilepsy (5.2 per 1000) than whites (5.9 per 1000), but a higher lifetime prevalence (7.5 per 1000 vs. 5.9 per 1000). Ethnic and racial differences in access to epilepsy care were evident both in terms of drug treatment and use of emergency departments for care.Conclusions: The prevalence of epilepsy in this predominantly minority urban community is similar to that reported in other contemporary studies. Less access to health care for black and Hispanic respondents, compared with white respondents, may have influenced self -reported active epilepsy prevalence estimates since the definition includes recent use of antiseizure medication. (c) 2007 Elsevier B.V. All rights reserved.