Epidemiology of stroke in young adults: Race/ethnic differences

Epidemiology of stroke in young adults: Race/ethnic differences
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DOI:
10.1007/s11239-005-3201-9
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发表时间:
2005-10-01
影响因子:
4
通讯作者:
Sacco, RL
Sacco, RL
中科院分区:
医学4区
文献类型:
--
作者:
Chong, JY;Sacco, RL

文献摘要

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中风是美国第三大死亡原因,也是导致残疾的主要原因。中风发病率明显与年龄增长有关。虽然年轻人的风险较低,但由于相关的间接成本,如较长时间的生产力损失,这一人群的中风对公共卫生的影响特别大。已经有许多流行病学研究解决了总体中风发病率和死亡率的种族差异,但很少有专门研究这些差异的年轻人。有证据表明,种族和民族差异可能对年轻人中风的发病率和死亡率有更大的影响。了解这些差异可能有助于更好地确定高风险人群并重点采取预防策略。此外,分析脑卒中亚型的种族/民族差异可能有助于阐明年轻人脑卒中的机制,以及早期脑卒中危险因素的潜在种族差异。
Stroke is the third leading cause of death and the leading cause of disability in the United States. Stroke incidence is clearly associated with advancing age. Although younger adults are at lower risk, stroke in this population has a particularly high public health impact because of associated indirect costs, such as longer years of lost productivity.There have been many epidemiological studies addressing race ethnic differences in overall stroke incidence and mortality, but few specifically examining these differences in the young adult population. There is evidence that race ethnic differences may have a greater effect on stroke incidence and mortality in young adults. An understanding of these differences may help better identify high risk populations and focus preventative strategies. Furthermore, analysis of race/ethnic differences in stroke subtypes may help clarify mechanisms of stroke in young adults and potential race-ethnic differences in early stroke risk factors.