Rural-urban differences in stroke risk.
Rural-urban differences in stroke risk.
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DOI：
10.1016/j.ypmed.2021.106661
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发表时间：
2021-11
影响因子：
5.1
通讯作者：
Howard G
中科院分区：
文献类型：
--
作者：
Howard G
Rural-urban health disparities in life expectancy are large and increasing, with the rural-urban disparity stroke mortality serving as a potential contributor. Data from Vital Statistics (referenced through the CDC WONDER system) shows an unexplained temporal pattern in the rural-urban disparity in stroke-specific mortality, with the magnitude of the disparity increasing from 15% to 25% between 1999 and 2010, but subsequently decreasing to 8% by 2019. This recent decrease in the magnitude of the rural-urban disparity in stroke mortality appears to be driven by a previously unreported plateauing of stroke mortality in urban areas and a continued decline of stroke mortality in rural areas. There is also a need to better understand the contributors to the higher stroke mortality in rural areas; however, a general lack of temporal data implies that this can only be examined cross-sectionally. A higher stroke incidence in rural areas appears to be a contributor to the higher rural stroke mortality, and there is clear evidence of a higher prevalence of stroke risk factors in rural areas potentially contributing to this higher incidence. Conversely, studies of rural-urban disparities in stroke case fatality show smaller and inconsistent associations. To the extent that disparities in case fatality do exist, there are many studies showing rural-urban disparities in stroke care could be contributing. While these data offer insights to the overall rural-urban disparities in stroke mortality, additional data are needed to help understand temporal changes in the magnitude of the rural-urban stroke mortality disparity.
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影响因子：
8.3
作者：
Meschia JF;Bushnell C;Boden-Albala B;Braun LT;Bravata DM;Chaturvedi S;Creager MA;Eckel RH;Elkind MS;Fornage M;Goldstein LB;Greenberg SM;Horvath SE;Iadecola C;Jauch EC;Moore WS;Wilson JA;American Heart Association Stroke Council;Council on Cardiovascular and Stroke Nursing;Council on Clinical Cardiology;Council on Functional Genomics and Translational Biology;Council on Hypertension
通讯作者：
Council on Hypertension
DOI：
10.1161/circoutcomes.118.004973
发表时间：
2019-02-01
影响因子：
6.9
作者：
Kapral, Moira K.;Austin, Peter C.;Tu, Jack, V
通讯作者：
Tu, Jack, V
影响因子：
5.5
作者：
Singh, Gopal K.;Siahpush, Mohammad
通讯作者：
Siahpush, Mohammad
影响因子：
8.3
作者：
Hammond, Gmerice;Luke, Alina A.;Joynt Maddox, Karen E.
通讯作者：
Joynt Maddox, Karen E.
影响因子：
4.4
作者：
Mainous, AG;King, DE;Pearson, WS
通讯作者：
Pearson, WS