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Risk factor profile in Chinese‐Australian stroke patients living in Sydney
Authors:Qing Shen  Dennis Cordato  Daniel KY Chan  Jerome Ip  Jude Ng
Affiliation:1. Department of Aged Care and Rehabilitation, Bankstown‐Lidcombe Hospital, Bankstown;2. and Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia;3. Department of Neurophysiology, Liverpool Hospital, Liverpool;4. Department of Neurology and Neurophysiology, St George Hospital, Kogarah, New South Wales, Australia;5. South Western Sydney Clinical School, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
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.
Keywords:Chinese immigrants  ethnic disparities  stroke risk factors  Sydney Australia
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