Urbanization and stroke prevalence in Taiwan: Analysis of a nationwide survey

Herng Ching Lin, Yen Ju Lin, Tsai Ching Liu, Chin Shyan Chen, Wen Ta Chiu

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

This study aims to explore the prevalence of strokes among individuals and the association with urbanization levels. A total sample of 9,794 individuals was obtained from a nationwide survey on Taiwan for subsequent analysis in this study. After adjusting for gender, age, other risk factors for stroke and individual socioeconomic status, a multivariate logistic regression model was employed to investigate the relationships existing between the prevalence of strokes and the level of urbanization. This study finds that those living in areas at the highest level of urbanization (level 1) had the highest prevalence of strokes (2.49%). With decreasing urbanization level, there was a general decline in stroke prevalence. After adjusting for other factors, the multivariate logistic regression analyses showed that compared to participants living in the highest urbanization level, the respective odds ratios of suffering a stroke for those living in areas at the lowest levels of urbanization (levels 7 and 8), were 0.43 and 0.30. We conclude that after adjusting for other stroke risk factors, the level of urbanization is an important contributory factor to the overall prevalence of strokes in Taiwan.

Original languageEnglish
Pages (from-to)604-614
Number of pages11
JournalJournal of Urban Health
Volume84
Issue number4
DOIs
Publication statusPublished - Jul 2007

Fingerprint

Urbanization
stroke
Taiwan
urbanization
Stroke
Logistic Models
logistics
regression
Surveys and Questionnaires
Social Class
social status
Odds Ratio
Regression Analysis
gender

Keywords

  • Health Policy
  • Stroke
  • Urbanization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Urbanization and stroke prevalence in Taiwan : Analysis of a nationwide survey. / Lin, Herng Ching; Lin, Yen Ju; Liu, Tsai Ching; Chen, Chin Shyan; Chiu, Wen Ta.

In: Journal of Urban Health, Vol. 84, No. 4, 07.2007, p. 604-614.

Research output: Contribution to journalArticle

Lin, Herng Ching ; Lin, Yen Ju ; Liu, Tsai Ching ; Chen, Chin Shyan ; Chiu, Wen Ta. / Urbanization and stroke prevalence in Taiwan : Analysis of a nationwide survey. In: Journal of Urban Health. 2007 ; Vol. 84, No. 4. pp. 604-614.
@article{8a6e7d3211a2489fb8f9856b9bdbcc3a,
title = "Urbanization and stroke prevalence in Taiwan: Analysis of a nationwide survey",
abstract = "This study aims to explore the prevalence of strokes among individuals and the association with urbanization levels. A total sample of 9,794 individuals was obtained from a nationwide survey on Taiwan for subsequent analysis in this study. After adjusting for gender, age, other risk factors for stroke and individual socioeconomic status, a multivariate logistic regression model was employed to investigate the relationships existing between the prevalence of strokes and the level of urbanization. This study finds that those living in areas at the highest level of urbanization (level 1) had the highest prevalence of strokes (2.49{\%}). With decreasing urbanization level, there was a general decline in stroke prevalence. After adjusting for other factors, the multivariate logistic regression analyses showed that compared to participants living in the highest urbanization level, the respective odds ratios of suffering a stroke for those living in areas at the lowest levels of urbanization (levels 7 and 8), were 0.43 and 0.30. We conclude that after adjusting for other stroke risk factors, the level of urbanization is an important contributory factor to the overall prevalence of strokes in Taiwan.",
keywords = "Health Policy, Stroke, Urbanization",
author = "Lin, {Herng Ching} and Lin, {Yen Ju} and Liu, {Tsai Ching} and Chen, {Chin Shyan} and Chiu, {Wen Ta}",
year = "2007",
month = "7",
doi = "10.1007/s11524-007-9195-1",
language = "English",
volume = "84",
pages = "604--614",
journal = "Journal of Urban Health",
issn = "1099-3460",
publisher = "Springer Science and Business Media Deutschland GmbH",
number = "4",

}

TY - JOUR

T1 - Urbanization and stroke prevalence in Taiwan

T2 - Analysis of a nationwide survey

AU - Lin, Herng Ching

AU - Lin, Yen Ju

AU - Liu, Tsai Ching

AU - Chen, Chin Shyan

AU - Chiu, Wen Ta

PY - 2007/7

Y1 - 2007/7

N2 - This study aims to explore the prevalence of strokes among individuals and the association with urbanization levels. A total sample of 9,794 individuals was obtained from a nationwide survey on Taiwan for subsequent analysis in this study. After adjusting for gender, age, other risk factors for stroke and individual socioeconomic status, a multivariate logistic regression model was employed to investigate the relationships existing between the prevalence of strokes and the level of urbanization. This study finds that those living in areas at the highest level of urbanization (level 1) had the highest prevalence of strokes (2.49%). With decreasing urbanization level, there was a general decline in stroke prevalence. After adjusting for other factors, the multivariate logistic regression analyses showed that compared to participants living in the highest urbanization level, the respective odds ratios of suffering a stroke for those living in areas at the lowest levels of urbanization (levels 7 and 8), were 0.43 and 0.30. We conclude that after adjusting for other stroke risk factors, the level of urbanization is an important contributory factor to the overall prevalence of strokes in Taiwan.

AB - This study aims to explore the prevalence of strokes among individuals and the association with urbanization levels. A total sample of 9,794 individuals was obtained from a nationwide survey on Taiwan for subsequent analysis in this study. After adjusting for gender, age, other risk factors for stroke and individual socioeconomic status, a multivariate logistic regression model was employed to investigate the relationships existing between the prevalence of strokes and the level of urbanization. This study finds that those living in areas at the highest level of urbanization (level 1) had the highest prevalence of strokes (2.49%). With decreasing urbanization level, there was a general decline in stroke prevalence. After adjusting for other factors, the multivariate logistic regression analyses showed that compared to participants living in the highest urbanization level, the respective odds ratios of suffering a stroke for those living in areas at the lowest levels of urbanization (levels 7 and 8), were 0.43 and 0.30. We conclude that after adjusting for other stroke risk factors, the level of urbanization is an important contributory factor to the overall prevalence of strokes in Taiwan.

KW - Health Policy

KW - Stroke

KW - Urbanization

UR - http://www.scopus.com/inward/record.url?scp=34447498531&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34447498531&partnerID=8YFLogxK

U2 - 10.1007/s11524-007-9195-1

DO - 10.1007/s11524-007-9195-1

M3 - Article

C2 - 17492511

AN - SCOPUS:34447498531

VL - 84

SP - 604

EP - 614

JO - Journal of Urban Health

JF - Journal of Urban Health

SN - 1099-3460

IS - 4

ER -