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Socioeconomic status and ischemic stroke : The FINMONICA Stroke register
It has been shown that low socioeconomic status is associated with death from stroke. More-detailed data have, however, remained scanty. The purpose of the present study was to examine the association of socioeconomic status with ischemic stroke. Besides mortality, we analyzed the incidence, case-fa...
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Published in: | Stroke (1970) 2001-07, Vol.32 (7), p.1492-1498 |
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container_issue | 7 |
container_start_page | 1492 |
container_title | Stroke (1970) |
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creator | JAKOVLJEVIC, Dimitrije SARTI, Cinzia PUSKA, Pekka SALOMAA, Veikko SIVENIUS, Juhani TORPPA, Jorma MÄHÖNEN, Markku IMMONEN-RÄIHÄ, Pirjo KAARSALO, Esko ALHAINEN, Kari KUULASMAA, Kari TUOMILEHTO, Jaakko |
description | It has been shown that low socioeconomic status is associated with death from stroke. More-detailed data have, however, remained scanty. The purpose of the present study was to examine the association of socioeconomic status with ischemic stroke. Besides mortality, we analyzed the incidence, case-fatality ratio, and prognosis of ischemic stroke events.
Our population-based study included 6903 first stroke events registered by the FINMONICA Stroke Register in 3 areas of Finland during 1983 to 1992. Indicators of socioeconomic status, such as taxable income and education, were obtained by record linkage of the stroke register data with files of Statistics Finland.
Incidence, case-fatality ratio, and mortality rates for ischemic stroke were all inversely related to income. Furthermore, 28 days after the onset of symptoms, a greater proportion of patients with low income than of those with high income was still in institutionalized care and/or in need of help for their activities of daily living. Population-attributable risk of the incidence of first ischemic stroke due to low socioeconomic status was 36% for both sexes. For the death from first ischemic stroke, it was 56% for both sexes.
Persons with low socioeconomic status have considerable excess rates of morbidity and mortality from ischemic stroke in Finland. A reduction in this excess could markedly decrease the burden of ischemic stroke to the society and thus constitute an important public health improvement. |
doi_str_mv | 10.1161/01.STR.32.7.1492 |
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Our population-based study included 6903 first stroke events registered by the FINMONICA Stroke Register in 3 areas of Finland during 1983 to 1992. Indicators of socioeconomic status, such as taxable income and education, were obtained by record linkage of the stroke register data with files of Statistics Finland.
Incidence, case-fatality ratio, and mortality rates for ischemic stroke were all inversely related to income. Furthermore, 28 days after the onset of symptoms, a greater proportion of patients with low income than of those with high income was still in institutionalized care and/or in need of help for their activities of daily living. Population-attributable risk of the incidence of first ischemic stroke due to low socioeconomic status was 36% for both sexes. For the death from first ischemic stroke, it was 56% for both sexes.
Persons with low socioeconomic status have considerable excess rates of morbidity and mortality from ischemic stroke in Finland. A reduction in this excess could markedly decrease the burden of ischemic stroke to the society and thus constitute an important public health improvement.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.32.7.1492</identifier><identifier>PMID: 11441191</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Brain Ischemia - epidemiology ; Brain Ischemia - mortality ; Brain Ischemia - therapy ; Female ; Finland - epidemiology ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Neurology ; Population Surveillance ; Prognosis ; Proportional Hazards Models ; Registries ; Social Class ; Stroke - epidemiology ; Stroke - mortality ; Stroke - therapy ; Survival Rate ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Stroke (1970), 2001-07, Vol.32 (7), p.1492-1498</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Jul 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c372t-b09e7186c55b444d8045aa4f07315ceb046f0ec2e5b3e9430b0e6aebe580fb0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1053442$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11441191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JAKOVLJEVIC, Dimitrije</creatorcontrib><creatorcontrib>SARTI, Cinzia</creatorcontrib><creatorcontrib>PUSKA, Pekka</creatorcontrib><creatorcontrib>SALOMAA, Veikko</creatorcontrib><creatorcontrib>SIVENIUS, Juhani</creatorcontrib><creatorcontrib>TORPPA, Jorma</creatorcontrib><creatorcontrib>MÄHÖNEN, Markku</creatorcontrib><creatorcontrib>IMMONEN-RÄIHÄ, Pirjo</creatorcontrib><creatorcontrib>KAARSALO, Esko</creatorcontrib><creatorcontrib>ALHAINEN, Kari</creatorcontrib><creatorcontrib>KUULASMAA, Kari</creatorcontrib><creatorcontrib>TUOMILEHTO, Jaakko</creatorcontrib><title>Socioeconomic status and ischemic stroke : The FINMONICA Stroke register</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>It has been shown that low socioeconomic status is associated with death from stroke. More-detailed data have, however, remained scanty. The purpose of the present study was to examine the association of socioeconomic status with ischemic stroke. Besides mortality, we analyzed the incidence, case-fatality ratio, and prognosis of ischemic stroke events.
Our population-based study included 6903 first stroke events registered by the FINMONICA Stroke Register in 3 areas of Finland during 1983 to 1992. Indicators of socioeconomic status, such as taxable income and education, were obtained by record linkage of the stroke register data with files of Statistics Finland.
Incidence, case-fatality ratio, and mortality rates for ischemic stroke were all inversely related to income. Furthermore, 28 days after the onset of symptoms, a greater proportion of patients with low income than of those with high income was still in institutionalized care and/or in need of help for their activities of daily living. Population-attributable risk of the incidence of first ischemic stroke due to low socioeconomic status was 36% for both sexes. For the death from first ischemic stroke, it was 56% for both sexes.
Persons with low socioeconomic status have considerable excess rates of morbidity and mortality from ischemic stroke in Finland. A reduction in this excess could markedly decrease the burden of ischemic stroke to the society and thus constitute an important public health improvement.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Brain Ischemia - epidemiology</subject><subject>Brain Ischemia - mortality</subject><subject>Brain Ischemia - therapy</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Population Surveillance</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Registries</subject><subject>Social Class</subject><subject>Stroke - epidemiology</subject><subject>Stroke - mortality</subject><subject>Stroke - therapy</subject><subject>Survival Rate</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNp90cFrFDEUBvAgil2rd08yiOhpxveSl8nEmxRrC7UFdz2HTPaNnbo7qcnMwf_elF1QPHgKPH7vI8knxEuEBrHF94DNevO1UbIxDZKVj8QKtaSaWtk9FisAZWtJ1p6IZznfAYBUnX4qThCJEC2uxMU6hjFyiFPcj6HKs5-XXPlpW4053PJhluIPrj5Um1uuzi-vv9xcX559rNaHceLvY545PRdPBr_L_OJ4nopv5582Zxf11c3nwq_qoIyc6x4sG-zaoHVPRNsOSHtPAxiFOnAP1A7AQbLuFVtS0AO3nnvWHQw9DOpUvDvk3qf4c-E8u325Ke92fuK4ZGdaQmVVh0W-_b8Ea5QlU-Drf-BdXNJUXuHQmg6lBF0QHFBIMefEg7tP496nXw7BPZThAF0pwynpjHsoo6y8OuYu_Z63fxaOv1_AmyPwOfjdkPwUxvxXsFZEUv0G5TKPbA</recordid><startdate>20010701</startdate><enddate>20010701</enddate><creator>JAKOVLJEVIC, Dimitrije</creator><creator>SARTI, Cinzia</creator><creator>PUSKA, Pekka</creator><creator>SALOMAA, Veikko</creator><creator>SIVENIUS, Juhani</creator><creator>TORPPA, Jorma</creator><creator>MÄHÖNEN, Markku</creator><creator>IMMONEN-RÄIHÄ, Pirjo</creator><creator>KAARSALO, Esko</creator><creator>ALHAINEN, Kari</creator><creator>KUULASMAA, Kari</creator><creator>TUOMILEHTO, Jaakko</creator><general>Lippincott Williams & Wilkins</general><general>American Heart Association, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20010701</creationdate><title>Socioeconomic status and ischemic stroke : The FINMONICA Stroke register</title><author>JAKOVLJEVIC, Dimitrije ; SARTI, Cinzia ; PUSKA, Pekka ; SALOMAA, Veikko ; SIVENIUS, Juhani ; TORPPA, Jorma ; MÄHÖNEN, Markku ; IMMONEN-RÄIHÄ, Pirjo ; KAARSALO, Esko ; ALHAINEN, Kari ; KUULASMAA, Kari ; TUOMILEHTO, Jaakko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-b09e7186c55b444d8045aa4f07315ceb046f0ec2e5b3e9430b0e6aebe580fb0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Brain Ischemia - epidemiology</topic><topic>Brain Ischemia - mortality</topic><topic>Brain Ischemia - therapy</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Population Surveillance</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Registries</topic><topic>Social Class</topic><topic>Stroke - epidemiology</topic><topic>Stroke - mortality</topic><topic>Stroke - therapy</topic><topic>Survival Rate</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>JAKOVLJEVIC, Dimitrije</creatorcontrib><creatorcontrib>SARTI, Cinzia</creatorcontrib><creatorcontrib>PUSKA, Pekka</creatorcontrib><creatorcontrib>SALOMAA, Veikko</creatorcontrib><creatorcontrib>SIVENIUS, Juhani</creatorcontrib><creatorcontrib>TORPPA, Jorma</creatorcontrib><creatorcontrib>MÄHÖNEN, Markku</creatorcontrib><creatorcontrib>IMMONEN-RÄIHÄ, Pirjo</creatorcontrib><creatorcontrib>KAARSALO, Esko</creatorcontrib><creatorcontrib>ALHAINEN, Kari</creatorcontrib><creatorcontrib>KUULASMAA, Kari</creatorcontrib><creatorcontrib>TUOMILEHTO, Jaakko</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JAKOVLJEVIC, Dimitrije</au><au>SARTI, Cinzia</au><au>PUSKA, Pekka</au><au>SALOMAA, Veikko</au><au>SIVENIUS, Juhani</au><au>TORPPA, Jorma</au><au>MÄHÖNEN, Markku</au><au>IMMONEN-RÄIHÄ, Pirjo</au><au>KAARSALO, Esko</au><au>ALHAINEN, Kari</au><au>KUULASMAA, Kari</au><au>TUOMILEHTO, Jaakko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic status and ischemic stroke : The FINMONICA Stroke register</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2001-07-01</date><risdate>2001</risdate><volume>32</volume><issue>7</issue><spage>1492</spage><epage>1498</epage><pages>1492-1498</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>It has been shown that low socioeconomic status is associated with death from stroke. More-detailed data have, however, remained scanty. The purpose of the present study was to examine the association of socioeconomic status with ischemic stroke. Besides mortality, we analyzed the incidence, case-fatality ratio, and prognosis of ischemic stroke events.
Our population-based study included 6903 first stroke events registered by the FINMONICA Stroke Register in 3 areas of Finland during 1983 to 1992. Indicators of socioeconomic status, such as taxable income and education, were obtained by record linkage of the stroke register data with files of Statistics Finland.
Incidence, case-fatality ratio, and mortality rates for ischemic stroke were all inversely related to income. Furthermore, 28 days after the onset of symptoms, a greater proportion of patients with low income than of those with high income was still in institutionalized care and/or in need of help for their activities of daily living. Population-attributable risk of the incidence of first ischemic stroke due to low socioeconomic status was 36% for both sexes. For the death from first ischemic stroke, it was 56% for both sexes.
Persons with low socioeconomic status have considerable excess rates of morbidity and mortality from ischemic stroke in Finland. A reduction in this excess could markedly decrease the burden of ischemic stroke to the society and thus constitute an important public health improvement.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>11441191</pmid><doi>10.1161/01.STR.32.7.1492</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Brain Ischemia - epidemiology Brain Ischemia - mortality Brain Ischemia - therapy Female Finland - epidemiology Humans Incidence Male Medical sciences Middle Aged Neurology Population Surveillance Prognosis Proportional Hazards Models Registries Social Class Stroke - epidemiology Stroke - mortality Stroke - therapy Survival Rate Vascular diseases and vascular malformations of the nervous system |
title | Socioeconomic status and ischemic stroke : The FINMONICA Stroke register |
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