Risk factor profile in Chinese-Australian stroke patients living in Sydney

Australas J Ageing. 2011 Sep;30(3):143-7. doi: 10.1111/j.1741-6612.2010.00477.x. Epub 2010 Oct 8.

Abstract

Aim: To examine and compare stroke risk factors and their management in stroke patients of Chinese descent versus English-speaking background (ESB)-Australian patients.

Methods: Cohort study. Fifty-one Chinese-Australians and 119 ESB-Australians who were admitted to hospitals within Sydney metropolitan area with a recent acute ischaemic or haemorrhagic stroke were recruited.

Results: Chinese-Australian patients tended to have a favourable smoking (0% current smokers vs 15%, P = 0.036) and drinking (5% current medium/heavy drinkers vs 17%, P = 0.005) pattern compared with the Australian patients. The prevalence of diabetes mellitus was higher in Chinese-Australians (31% vs 10%, P = 0.003). The management of hypertension and atrial fibrillation (AF) in Chinese-Australians was suboptimal (19% untreated hypertension vs 8%, P = 0.102; 78% AF not on Warfarin vs 51%, P = 0.264).

Conclusion: The findings of this study suggest that targeting specific stroke prevention strategies may be useful for Chinese-Australians. Larger-scale studies need to be conducted to confirm these findings.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alcohol Drinking / ethnology
  • Asian People / statistics & numerical data*
  • Atrial Fibrillation / ethnology
  • Atrial Fibrillation / therapy
  • Chi-Square Distribution
  • China / epidemiology
  • Diabetes Mellitus / ethnology
  • Diabetes Mellitus / therapy
  • Female
  • Humans
  • Hypertension / ethnology
  • Hypertension / therapy
  • Male
  • Middle Aged
  • New South Wales / epidemiology
  • Prevalence
  • Preventive Health Services / statistics & numerical data
  • Residence Characteristics / statistics & numerical data
  • Risk Assessment
  • Risk Factors
  • Smoking / ethnology
  • Stroke / ethnology*
  • Urban Health / ethnology