Association between socioeconomic status and post-stroke functional outcome in deprived rural southern China: a population-based study.
Association between socioeconomic status and post-stroke functional outcome in deprived rural southern China: a population-based study.
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中国南部贫困农村的社会经济地位与势后功能结果之间的关联：一项基于人群的研究。
DOI：
10.1186/s12883-018-1017-4
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发表时间：
2018-01-25
期刊：
影响因子：
2.6
通讯作者：
Zeng J
中科院分区：
文献类型：
--
作者：
Ouyang F;Wang Y;Huang W;Chen Y;Zhao Y;Dang G;Zhang C;Lin Y;Zeng J
发展中国家缺乏社会经济地位与脑卒中后功能结局之间关系的数据。我们的目的是评估中国南方贫困农村中风幸存者的相关性。2014年8月至2015年3月，我们通过非政府发起的登记，对广东省五个农村四级地区的脑卒中幸存者进行了上门访谈和结构化问卷调查。描述性统计用于提供所选人群的人口学、社会经济和临床特征的信息。采用单变量和多变量逻辑回归来检验以自我报告的平均家庭收入为指标的社会经济地位与功能障碍之间的关系，功能障碍定义为3至5的修正Rankin量表。在425名中风幸存者中，52.7%的人生活在当地政府设定的贫困线以下。约50%的患者患有功能障碍，在日常生活中需要帮助。与富裕人群相比，收入较低的中风幸存者更有可能出现功能障碍（OR 2.85, 95% CI 1.93-4.23）。在调整了可能的混杂因素后，效应量增加且仍然显著（OR 3.17, 95% CI 2.04-4.91）。较贫穷的患者往往卒中后功能预后较差。因此，中国迫切需要针对欠发达地区贫困人口的一级和二级战略。本文的在线版本（10.1186/s12883-018-1017-4）包含补充资料，仅供授权用户使用。
Data on the association between socioeconomic status and post-stroke functional outcome in developing countries is lacking. We aimed to evaluate the association in stroke survivors in deprived rural Southern China. We conducted door-to-door interviews and collected data using a structured questionnaire in stroke survivors from five fourth-class rural areas of Guangdong Province through a non-government initiated registry from August 2014 to March 2015. Descriptive statistics were used to provide information on the demographic, socioeconomic and clinical characteristics of the selected population. Univariate and multivariate logistic regression were used to examine the relationship of socioeconomic status indexed by self-reported average family income and functional impairment defined as a modified Rankin Scale of 3 to 5. Among the 425 stroke survivors, 52.7% lived below the poverty line set by the local government. About 50% of patients suffered from functional impairment and required assistance in their daily life. Compared with their wealthier counterpart, stroke survivors with lower income were more likely to have functional impairment (OR 2.85, 95% CI 1.93—4.23). The effect size increased and remained significant after adjusting for possible confounding factors (OR 3.17, 95% CI 2.04—4.91). Poorer patients tend to have poorer post-stroke functional outcome. Primary and secondary strategies targeting underprivileged populations in less-developed areas are thus urgently needed in China. The online version of this article (10.1186/s12883-018-1017-4) contains supplementary material, which is available to authorized users.
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