Ethnic variations in the incidence and mortality of stroke in the Scottish Health and Ethnicity Linkage Study of 4.65 million people

Abstract

Ethnic variations deserve further study, including in White European origin subgroups and the Chinese. Extremely high rates in South Asian and African origin were not corroborated in Scotland. Linkage methods are practical in Europe.

Ethnic Disparities in Ischemic Stroke, Intracerebral Hemorrhage, and Subarachnoid Hemorrhage Incidence in The Netherlands

“…20,26,27 The low incidence of overall stroke in Chinese people is consistent with the low incidence rate found in the Scottish Health and Ethnicity Linkage study. 6 However, this present study shows that although the overall stroke incidence is lower, the incidence of ICH is higher in Chinese than in ethnic Dutch, emphasizing the need to assess various stroke subtypes in different ethnic groups. The high incidence of ICH among Chinese people that we found is consistent with the high incidence found in China.…”

“…1 The absolute number of people with stroke and the global burden of stroke-related disability are high and rising. 2 Several studies have demonstrated ethnic variability in stroke mortality in Europe, [3][4][5] but data on ethnic differences in stroke incidence, 6,7 in particular for stroke subtypes, [8][9][10] are limited. The few studies that have assessed ethnic differences in the distribution of stroke subtypes in Europe were primarily based on the United Kingdom populations of African and South-Asian descent.…”

2016 European Guidelines on cardiovascular disease prevention in clinical practice

“…224 No differences between Moroccan immigrants and Dutch natives were found regarding hypertension control. 223 Immigrants from sub-Saharan Africa and the Caribbean present higher CVD rates than natives from the host country in some studies, 213,214,226 but not all. 214 African immigrants have higher DM rates 218 but smoke less 219 than natives from the host country.…”

“…221 Immigrants from China and Vietnam present lower CVD risk than natives of the host country, 214 although this finding has been challenged. 215 This lower risk seems attributable to lower levels of CV risk factors 217 and higher HDL-C levels.…”

2016 European Guidelines on cardiovascular disease prevention in clinical practice

“…223 Immigrants from sub-Saharan Africa and the Caribbean present higher CVD rates than natives from the host country in some studies, 213,214,226 but not all. 214 African immigrants have higher DM rates 218 but smoke less 219 than natives from the host country. Management of CVD risk factors was worse than among natives in one study, 220 but not in another.…”