Prevalence of stroke and related burden among older people living in Latin America, India and China
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/34077 http://dx.doi.org/10.1136/jnnp.2010.234153 |
Resumo: | Objectives Despite the growing importance of stroke in developing countries, little is known of stroke burden in survivors. the authors investigated the prevalence of self-reported stroke, stroke-related disability, dependence and care-giver strain in Latin America (LA), China and India.Methods Cross-sectional surveys were conducted on individuals aged 65+ (n=15 022) living in specified catchment areas. Self-reported stroke diagnosis, disability, care needs and care giver burden were assessed using a standardised protocol. for those reporting stroke, the correlates of disability, dependence and care-giver burden were estimated at each site using Poisson or linear regression, and combined meta-analytically.Results the prevalence of self-reported stroke ranged between 6% and 9% across most LA sites and urban China, but was much lower in urban India (1.9%), and in rural sites in India (1.1%), China (1.6%) and Peru (2.7%). the proportion of stroke survivors needing care varied between 20% and 39% in LA sites but was higher in rural China (44%), urban China (54%) and rural India (73%). Comorbid dementia and depression were the main correlates of disability and dependence.Conclusion the prevalence of stroke in urban LA and Chinese sites is nearly as high as in industrialised countries. High levels of disability and dependence in the other mainly rural and less-developed sites suggest underascertainment of less severe cases as one likely explanation for the lower prevalence in those settings. As the health transition proceeds, a further increase in numbers of older stroke survivors is to be anticipated. in addition to prevention, stroke rehabilitation and long-term care needs should be addressed. |
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Ferri, Cleusa P.Schoenborn, ClaudiaKalra, LalitAcosta, DaisyGuerra, MariellaHuang, YueqinJacob, K. S.Llibre Rodriguez, Juan J.Salas, AquilesLuisa Sosa, AnaWilliams, Joseph D.Liu, ZhaoruiMoriyama, Tais [UNIFESP]Valhuerdi, AdolfoPrince, Martin J.Kings Coll LondonUniv Nacl Pedro Henriquez UrenaUniv Peruana Cayetano HerediaPeking UnivChristian Med Coll & HospMed Univ HavanaCaracas Univ HospNatl Inst Neurol & Neurosurg MexicoVHSUniversidade Federal de São Paulo (UNIFESP)Univ Ciencias Med Matanzas2016-01-24T14:17:15Z2016-01-24T14:17:15Z2011-10-01Journal of Neurology Neurosurgery and Psychiatry. London: B M J Publishing Group, v. 82, n. 10, p. 1074-1082, 2011.0022-3050http://repositorio.unifesp.br/handle/11600/34077http://dx.doi.org/10.1136/jnnp.2010.234153WOS000294733400005.pdf10.1136/jnnp.2010.234153WOS:000294733400005Objectives Despite the growing importance of stroke in developing countries, little is known of stroke burden in survivors. the authors investigated the prevalence of self-reported stroke, stroke-related disability, dependence and care-giver strain in Latin America (LA), China and India.Methods Cross-sectional surveys were conducted on individuals aged 65+ (n=15 022) living in specified catchment areas. Self-reported stroke diagnosis, disability, care needs and care giver burden were assessed using a standardised protocol. for those reporting stroke, the correlates of disability, dependence and care-giver burden were estimated at each site using Poisson or linear regression, and combined meta-analytically.Results the prevalence of self-reported stroke ranged between 6% and 9% across most LA sites and urban China, but was much lower in urban India (1.9%), and in rural sites in India (1.1%), China (1.6%) and Peru (2.7%). the proportion of stroke survivors needing care varied between 20% and 39% in LA sites but was higher in rural China (44%), urban China (54%) and rural India (73%). Comorbid dementia and depression were the main correlates of disability and dependence.Conclusion the prevalence of stroke in urban LA and Chinese sites is nearly as high as in industrialised countries. High levels of disability and dependence in the other mainly rural and less-developed sites suggest underascertainment of less severe cases as one likely explanation for the lower prevalence in those settings. As the health transition proceeds, a further increase in numbers of older stroke survivors is to be anticipated. in addition to prevention, stroke rehabilitation and long-term care needs should be addressed.Wellcome TrustWorld Health Organization (India, Dominican Republic and China)US Alzheimer's AssociationFONACIT/ CDCH/ UCV (Venezuela)Kings Coll London, Inst Psychiat, Epidemiol Sect, Hlth Serv, London SE5 8AF, EnglandKings Coll London, Inst Psychiat, Clin Neurosci Div, London SE5 8AF, EnglandUniv Nacl Pedro Henriquez Urena, Geriatr Sect, Santo Domingo, Dominican RepUniv Peruana Cayetano Heredia, Lima, PeruPeking Univ, Inst Mental Hlth, Div Social Psychiat & Behav Med, Beijing 100871, Peoples R ChinaChristian Med Coll & Hosp, Vellore, Tamil Nadu, IndiaMed Univ Havana, Dept Clin Sci, Havana, CubaCaracas Univ Hosp, Dept Med, Caracas, VenezuelaNatl Inst Neurol & Neurosurg Mexico, Mexico City, DF, MexicoVHS, Dept Community Hlth, Chennai, Tamil Nadu, IndiaUniversidade Federal de São Paulo, Dept Psychiat, São Paulo, BrazilUniv Ciencias Med Matanzas, Dept Internal Med, Matanzas, CubaKings Coll London, Inst Psychiat, Epidemiol Sect, Populat Res Dept, London SE5 8AF, EnglandUniversidade Federal de São Paulo, Dept Psychiat, São Paulo, BrazilWellcome Trust: GR066133Wellcome Trust: GR08002US Alzheimer's Association: IIRG-04-1286Web of Science1074-1082engB M J Publishing GroupJournal of Neurology Neurosurgery and PsychiatryPrevalence of stroke and related burden among older people living in Latin America, India and Chinainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000294733400005.pdfapplication/pdf118988${dspace.ui.url}/bitstream/11600/34077/1/WOS000294733400005.pdf6197af168dd7944358703015d3cbf167MD51open accessTEXTWOS000294733400005.pdf.txtWOS000294733400005.pdf.txtExtracted texttext/plain51369${dspace.ui.url}/bitstream/11600/34077/2/WOS000294733400005.pdf.txtcc4048a5f6ced9d24ef9f7d4e3f6ca1eMD52open access11600/340772022-06-02 09:34:59.934open accessoai:repositorio.unifesp.br:11600/34077Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:16:18.738583Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
title |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
spellingShingle |
Prevalence of stroke and related burden among older people living in Latin America, India and China Ferri, Cleusa P. |
title_short |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
title_full |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
title_fullStr |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
title_full_unstemmed |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
title_sort |
Prevalence of stroke and related burden among older people living in Latin America, India and China |
author |
Ferri, Cleusa P. |
author_facet |
Ferri, Cleusa P. Schoenborn, Claudia Kalra, Lalit Acosta, Daisy Guerra, Mariella Huang, Yueqin Jacob, K. S. Llibre Rodriguez, Juan J. Salas, Aquiles Luisa Sosa, Ana Williams, Joseph D. Liu, Zhaorui Moriyama, Tais [UNIFESP] Valhuerdi, Adolfo Prince, Martin J. |
author_role |
author |
author2 |
Schoenborn, Claudia Kalra, Lalit Acosta, Daisy Guerra, Mariella Huang, Yueqin Jacob, K. S. Llibre Rodriguez, Juan J. Salas, Aquiles Luisa Sosa, Ana Williams, Joseph D. Liu, Zhaorui Moriyama, Tais [UNIFESP] Valhuerdi, Adolfo Prince, Martin J. |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.institution.none.fl_str_mv |
Kings Coll London Univ Nacl Pedro Henriquez Urena Univ Peruana Cayetano Heredia Peking Univ Christian Med Coll & Hosp Med Univ Havana Caracas Univ Hosp Natl Inst Neurol & Neurosurg Mexico VHS Universidade Federal de São Paulo (UNIFESP) Univ Ciencias Med Matanzas |
dc.contributor.author.fl_str_mv |
Ferri, Cleusa P. Schoenborn, Claudia Kalra, Lalit Acosta, Daisy Guerra, Mariella Huang, Yueqin Jacob, K. S. Llibre Rodriguez, Juan J. Salas, Aquiles Luisa Sosa, Ana Williams, Joseph D. Liu, Zhaorui Moriyama, Tais [UNIFESP] Valhuerdi, Adolfo Prince, Martin J. |
description |
Objectives Despite the growing importance of stroke in developing countries, little is known of stroke burden in survivors. the authors investigated the prevalence of self-reported stroke, stroke-related disability, dependence and care-giver strain in Latin America (LA), China and India.Methods Cross-sectional surveys were conducted on individuals aged 65+ (n=15 022) living in specified catchment areas. Self-reported stroke diagnosis, disability, care needs and care giver burden were assessed using a standardised protocol. for those reporting stroke, the correlates of disability, dependence and care-giver burden were estimated at each site using Poisson or linear regression, and combined meta-analytically.Results the prevalence of self-reported stroke ranged between 6% and 9% across most LA sites and urban China, but was much lower in urban India (1.9%), and in rural sites in India (1.1%), China (1.6%) and Peru (2.7%). the proportion of stroke survivors needing care varied between 20% and 39% in LA sites but was higher in rural China (44%), urban China (54%) and rural India (73%). Comorbid dementia and depression were the main correlates of disability and dependence.Conclusion the prevalence of stroke in urban LA and Chinese sites is nearly as high as in industrialised countries. High levels of disability and dependence in the other mainly rural and less-developed sites suggest underascertainment of less severe cases as one likely explanation for the lower prevalence in those settings. As the health transition proceeds, a further increase in numbers of older stroke survivors is to be anticipated. in addition to prevention, stroke rehabilitation and long-term care needs should be addressed. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-10-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:17:15Z |
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2016-01-24T14:17:15Z |
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info:eu-repo/semantics/publishedVersion |
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dc.identifier.citation.fl_str_mv |
Journal of Neurology Neurosurgery and Psychiatry. London: B M J Publishing Group, v. 82, n. 10, p. 1074-1082, 2011. |
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http://repositorio.unifesp.br/handle/11600/34077 http://dx.doi.org/10.1136/jnnp.2010.234153 |
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0022-3050 |
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WOS000294733400005.pdf |
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10.1136/jnnp.2010.234153 |
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Journal of Neurology Neurosurgery and Psychiatry. London: B M J Publishing Group, v. 82, n. 10, p. 1074-1082, 2011. 0022-3050 WOS000294733400005.pdf 10.1136/jnnp.2010.234153 WOS:000294733400005 |
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