Prevalence of stroke and related burden among older people living in Latin America, India and China
J Neurol Neurosurg Psychiatry
; 82(10): 1074-1082, Oct. 2011. tab
Artigo
em Inglês
| CUMED
| ID: cum-49483
Biblioteca responsável:
CU424.1
Localização: CU424.1
ABSTRACT
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 percent and 9 percent across most LA sites and urban China, but was much lower in urban India (1,9 percent), and in rural sites in India (1,1 percent), China (1,6 percent) and Peru (2.7 percent). The proportion of stroke survivors needing care varied between 20 percent and 39 percent in LA sites but was higher in rural China (44 percent), urban China (54 percent) and rural India (73 percent). 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(AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Cuba
Base de dados:
CUMED
Assunto principal:
Comparação Transcultural
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Cuidadores
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Efeitos Psicossociais da Doença
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Acidente Vascular Cerebral
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Países em Desenvolvimento
Tipo de estudo:
Guia de prática clínica
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Estudo de prevalência
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Fatores de risco
Aspecto:
Determinantes sociais da saúde
Limite:
Idoso
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Idoso, 80 anos ou mais
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Feminino
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Humanos
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Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
J Neurol Neurosurg Psychiatry
Ano de publicação:
2011
Tipo de documento:
Artigo
Instituição/País de afiliação:
Christian Medical College/India
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Federal University of São Paulo/Brazil
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Hospital Universitario de Caracas/Venezuela
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Institute of Mental Health/PR China
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Instituto Nacional de Neurología y Neurocirugía de México/México
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King's College London (Institute of Psychiatry)/UK
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Universidad Médica de La Habana/Cuba
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Universidad Nacional Pedro Henriquez Ureña/República Dominicana
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Universidad Peruana Cayetano Heredia/Perú
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Universidad de Ciencias Médicas de Matanzas/Cuba