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dc.contributor.authorSmeeton, N.C.
dc.contributor.authorHeuschmann, P.U.
dc.contributor.authorRudd, A.G.
dc.contributor.authorMcEvoy, A.W.
dc.contributor.authorKitchen, N.D.
dc.contributor.authorSarker, S.J.
dc.contributor.authorWolfe, C.D.A.
dc.date.accessioned2014-03-26T09:00:10Z
dc.date.available2014-03-26T09:00:10Z
dc.date.issued2007
dc.identifier.citationSmeeton , N C , Heuschmann , P U , Rudd , A G , McEvoy , A W , Kitchen , N D , Sarker , S J & Wolfe , C D A 2007 , ' Incidence of hemorrhagic stroke in Black Caribbean, Black African, and White Populations : The South London Stroke Register, 1995-2004 ' , Stroke , vol. 38 , no. 12 , pp. 3133-3138 . https://doi.org/10.1161/STROKEAHA.107.487082
dc.identifier.issn0039-2499
dc.identifier.otherPURE: 2889168
dc.identifier.otherPURE UUID: db7303c3-4090-4067-a60e-c8860fd2b065
dc.identifier.otherScopus: 36448975297
dc.identifier.otherORCID: /0000-0001-9460-5411/work/32622263
dc.identifier.urihttp://hdl.handle.net/2299/13203
dc.description.abstractBackground and Purpose—Data are lacking on the differences in hemorrhagic stroke incidence between black Caribbean (BC), black African (BA), and white ethnic groups. We estimated the incidence for primary intracerebral hemorrhage (PICH) and subarachnoid hemorrhage (SAH) and the associated risk factors for BCs, BAs, and whites. Methods—First-ever stroke patients were drawn from a prospective community stroke register based in a multi-ethnic population in South London with 9% BCs, 15% BAs, and 63% whites. Incidence rates were standardized to European and world populations and adjusted for age and sex. Incidence rate ratios (IRRs) relative to whites were calculated by Poisson regression. Results—Between 1995 and 2004, 566 incident stroke patients were registered: 395 PICHs and 171 SAHs. For PICH, age and sex-adjusted IRRs were higher in BAs (IRR, 2.80; 95% CI, 2.00 to 3.91) than in BCs (IRR, 1.46; 95% CI, 1.07 to 1.99) and were particularly pronounced for patients age 0 to 64 years: IRR3.95 (95% CI, 2.65 to 5.87) in BAs and 2.38 (95% CI, 1.50 to 3.80) in BCs. For those 65 years, prestroke hypertension was more prevalent in BAs and BCs (P=0.049). For SAH, the IRR was higher in BCs (IRR; 1.62; 95% CI, 1.05 to 2.48) than in BAs (IRR, 0.80; 95% CI, 0.43 to 1.46). Conclusions—The higher incidence of PICH observed in BCs and BAs could be explained by prestroke hypertension being more common among young blacks. The different incidences of SAH in BCs and BAs suggest that the baseline risk of stroke for distinct black ethnic groups is not homogeneous.en
dc.language.isoeng
dc.relation.ispartofStroke
dc.subjectethnicity
dc.subjecthemorrhage
dc.subjectincidence
dc.subjectregistries
dc.titleIncidence of hemorrhagic stroke in Black Caribbean, Black African, and White Populations : The South London Stroke Register, 1995-2004en
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.description.statusPeer reviewed
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1161/STROKEAHA.107.487082
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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