Long-Term Trends in Stroke Management and Burden Among Low-Income Women in a Rural Area From China (1992–2019): A Prospective Population-Based Study

oleh: Xiaobing Tian, Jie Liu, Jie Liu, Jie Liu, Changshen Yu, Changshen Yu, Yabing Hou, Changqing Zhan, Changqing Zhan, Qiuxing Lin, Qiuxing Lin, Qiuxing Lin, Xinyu Zhang, Xin Zhang, Dandan Guo, Qiaoxia Yang, Jun Tu, Jun Tu, Jun Tu, Yaogang Wang, Yaogang Wang, Xianjia Ning, Xianjia Ning, Xianjia Ning, Jinghua Wang, Jinghua Wang, Jinghua Wang

Format: Article
Diterbitkan: Frontiers Media S.A. 2021-10-01

Deskripsi

Although an increasing number of studies are considering sex-related differences in stroke burden, the trends in stroke burden and management among women in China, especially among low-income women, remain unclear. This study evaluated the long-term trends in stroke management and burden among low-income Chinese women during the period between 1992 and 2019. Stroke burden was assessed using the age-adjusted incidence of first-ever stroke, whereas stroke management was assessed using the rates of neuroimaging diagnoses, hospitalizations, case fatalities, and stroke recurrence. Stroke burden and management were analyzed during four study periods: 1992–1998, 1999–2004, 2005–2012, and 2013–2019. During the 193,385 person-years of surveillance in this study, 597 female stroke patients were identified. The stroke incidences per 100,000 person-years were 88.1 cases during 1992–1998, 145.4 cases during 1999–2004, 264.3 cases during 2005–2012, and 309.8 cases during 2013–2019 (P < 0.001). Between 1992 and 2019, the incidence of stroke significantly increased (6.4% annually) as did the incidence of ischemic stroke (7.8% annually; both, P < 0.001). The rates of neuroimaging diagnoses and hospitalizations significantly increased during the four periods, while the case fatality rates and 1-year recurrence rates decreased significantly for both overall strokes and ischemic strokes, especially among patients ≥45 years old (all, P < 0.001). Among low-income women in China, stroke management is gradually improving, despite the increasing stroke burden. Thus, improved healthcare coverage is needed to further reduce the stroke burden among low-income Chinese women.