Independent and combined effect of income and education attainment on the incidence of stroke events: a large-scale cohort study from rural communities in China

危险系数 冲程(发动机) 医学 人口学 学历 队列 比例危险模型 置信区间 队列研究 家庭收入 入射(几何) 低风险 老年学 内科学 经济 地理 经济增长 社会学 工程类 物理 考古 光学 机械工程
作者
Ze Ma,Ya Zhang,Zhou Chen,Dong Liu,Shujun Gu,Hui Zuo
出处
期刊:Neurological Research [Taylor & Francis]
卷期号:45 (7): 627-633 被引量:1
标识
DOI:10.1080/01616412.2023.2176630
摘要

Few studies have longitudinally evaluated income and education, and their combined effect on incident of stroke in China.The present study was based on a cohort with a baseline survey in China. A total of 15,913 participants were finally included. Hazard ratios (HRs) and their 95% confidence intervals (CIs) were calculated to evaluate the association of income, education, and their combination with stroke risk by Cox proportional hazard model.Lower income and less years of education was significantly associated with an increased risk of total stroke [income: adjusted HR: 1.54 (95% CI: 1.22-1.95); education: adjusted HR: 1.59 (95% CI: 1.11-2.28)]. Notably, the highest risk for total stroke was seen among those with lower income and higher education (adjusted HR: 2.46, 95% CI: 1.36-4.47). Sensitivity analysis by excluding the first year of follow-up showed similar findings with the primary analysis.Lower income and education attainment were associated with an increased risk of stroke in Chinese countrysides. A joint effect of income and education existed on the risk of developing stroke. Special attention should be paid for rural community residents, especially for people with low income levels.
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