Impact of socio-economic factors on stroke prevalence among urban and rural residents in Mainland China

Fei Xu; Lap Ah Tse; XiaoMei Yin; Yu, Ignatius Tak-sun; Griffiths, Sian
January 2008
BMC Public Health;2008, Vol. 8, p170
Academic Journal
Background: An inverse relationship between better socioeconomic status (total household income, education or occupation) and stroke has been established in developed communities, but family size has generally not been considered in the use of socioeconomic status indices. We explored the utility of Family Average Income (FAI) as a single index of socioeconomic status to examine the association with stroke prevalence in a region of China, and we also compared its performance as a single index of socioeconomic status with that of education and occupation. Methods: A population-based cross-sectional study was conducted in Nanjing municipality of China during the period between October 2000 and March 2001. A total of 45 administrative villages were randomly selected using a multi-stage sampling approach and all regular local residents aged 35 years or above were included. Descriptive statistics and logistic regression models were used in analysis. Results: The overall prevalence of diagnosed stroke was 1.54% in all 29,340 eligible participants. An elevated prevalence of stroke was associated with increasing levels of FAI. After adjustment for basic demographic variables (age, urban/rural area and gender) and a group of defined conventional risk factors, this gradient still remained significant, with participants in the highest (OR = 1.94, 95% CI = 1.40, 2.70) and middle (OR = 1.43, 95% CI = 1.01, 2.02) categories of FAI having higher risks compared with the lowest category. A significantly elevated OR of stroke prevalence was found in white collar workers compared to blue collar workers, while no significant relationship was observed with education. Conclusion: Our study consistently revealed that the prevalence of stroke was associated with increasing levels of all SES indices, including FAI, education, and occupation. However, a significant gradient was only observed with FAI after controlling for important confounding factors. The findings suggested that, compared with occupation and education, FAI could be used as a more sensitive index of socio-economic status for public health studies in China.


Related Articles

  • Geographical variation of cerebrovascular disease in New York State: the correlation with income. Han, Daikwon; Carrow, Shannon S.; Rogerson, Peter A.; Munschauer, Frederick E. // International Journal of Health Geographics;2005, Vol. 4, p25 

    Background: Income is known to be associated with cerebrovascular disease; however, little is known about the more detailed relationship between cerebrovascular disease and income. We examined the hypothesis that the geographical distribution of cerebrovascular disease in New York State may be...

  • Inequality in Maternal Mortality in Iran: An Ecologic Study. Tajik, Parvin; Nedjat, Saharnaz; Afshar, Nozhat Emami; Changizi, Nasrin; Yazdizadeh, Bahareh; Azemikhah, Arash; Aamrolalaei, Sima; Majdzadeh, Reza // International Journal of Preventive Medicine;Feb2012, Vol. 3 Issue 2, p116 

    Background: Maternal mortality (MM) is an avoidable death and there is national, international and political commitment to reduce it. The objective of this study is to examine the relation of MM to socioeconomic factors and its inequality in Iran's provinces at an ecologic level. Methods: The...

  • Does the socioeconomic context explain both mortality and income inequality? Prospective register-based study of Norwegian regions. Elstad, Jon Ivar // International Journal for Equity in Health;2011, Vol. 10 Issue 1, p7 

    Background: Studies from various countries have observed worse population health in geographical areas with more income inequality. The psychosocial interpretation of this association is that large income disparities are harmful to health because they generate relative deprivation and undermine...

  • STATISTICAL ANALYSIS OF THE DIFFERENT SOCIOECONOMIC FACTORS AFFECTING THE EDUCATION OF N-W.F.P (PAKISTAN). Rahman, Atta Ur; Uddin, Salah // Journal of Applied Quantitative Methods;2009, Vol. 4 Issue 1, p88 

    A number of students in the urban and rural areas of N-W.F.P (Pakistan) and control group were collected to examine the various socio-economic factors which affect our education system. A logistic regression was applied to analyze the data and to select a parsimonious model. The response...

  • Diferenciales salariales en el �rea Metropolitana de Medell�n, a trav�s de regresiones por cuantiles en el per�odo 2002-2006. Cano Gamboa, Carlos Andr�s; Ch�vez, Marcela Orozco // Ecos de Econom�a;ene-jun2011, Vol. 15 Issue 32, p59 

    This article aims to measure the impact of the gender wage gap in the Metropolitan Area of Medell�n in the period 2002-2006, taking into account variables such as experience, educational level, economic sector and the socioeconomic level, through the formulation of a model of quantile...

  • Impact of income inequality on life expectancy in a highly unequal developing country: the case of Brazil. Rasella, Davide; Aquino, Rosana; Lima Barreto, Mauricio // Journal of Epidemiology & Community Health;Aug2013, Vol. 67 Issue 8, p661 

    Background Few studies have analysed the effects of income inequality on health in developing countries, particularly during economic growth, reduction of social disparities and reinforcement of the welfare and healthcare system. We evaluated the association between income inequality and life...

  • Analysis of Income Urban-Rural Gap of Guizhou Province in the Condition of Dualization. Long Yun; Dai Qian // Studies in Sociology of Science;Dec2011, Vol. 2 Issue 2, p29 

    This paper is to analyze the income gap urban-rural income of Guizhou province from 1995 to 2009 by applying the principal component and regression analysis and the ratio of disposable income of urban residents and the net income of the rural residents as a measuring indicator.

  • Socio-Economic Analysis of Subsistence Farming Practices in South-Western Nigeria. Adeniyi, Olawamiwa Reuben // Sustainable Agriculture Research;Feb2013, Vol. 2 Issue 1, p104 

    Limited knowledge is available regarding how the subsistence-oriented agricultural production in Nigeria is practiced in order to provide policy guides for its future development. This study focused on the cropping patterns, enterprise combination and the nature of costs and returns on...

  • Multiple social disadvantage does it have an effect on amenable mortality: a brief report. Manderbacka, Kristiina; Arffman, Martti; Sund, Reijo; Karvonen, Sakari // International Journal for Equity in Health;2014, Vol. 13 Issue 1, p1 

    Most studies on inequalities in health and health-care focus on single indicators of social position, e.g. income or education. Recent research has suggested that multiple social circumstances need to be analysed simultaneously to disentangle their influence on health. In past decades mortality...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics