Socioeconomic differences in stroke among dutch elderly women : The Rotterdam Study.
Background and Purpose-We sought to assess the association between socioeconomic status and the risk of stroke among elderly women.
Methods-The association between socioeconomic status and stroke emerged in cross-sectional and longitudinal data on 4274 female participants of the Rotterdam Study, a prospective, population-based, follow-up study in the Netherlands among older subjects.
A history of stroke was more common among women in lower socioeconomic strata.
The same trend was observed for the relationship between the lowest socioeconomic groups and the incidence of stroke.
Risk factors for stroke were not related to socioeconomic status in a consistent manner.
Smoking, history of cardiovascular diseases, and overweight were more common in lower socioeconomic groups.
However, socioeconomic differences in hypertension, antihypertensive drug use, prevalence of atrial fibrillation, and prevalence of left ventricular hypertrophy were not observed.
The complex of established risk factors could only partly explain the association between socioeconomic status and stroke.
Conclusions-There is a strong association among elderly women between socioeconomic status and stroke.
The association could only partly be explained by known risk factors.
Our findings indicate that not only the actual risk profile but also risk factors earlier in life may be of importance.
Mots-clés Pascal : Accident cérébrovasculaire, Statut socioéconomique, Pays Bas, Europe, Incidence, Prévalence, Etude comparative, Facteur risque, Epidémiologie, Personne âgée, Homme, Femelle, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Socioeconomic status, Netherlands, Europe, Incidence, Prevalence, Comparative study, Risk factor, Epidemiology, Elderly, Human, Female, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0131264
Code Inist : 002B17C. Création : 16/11/1999.