Risk of death after first admission for cardiovascular diseases by country of birth in The Netherlands: a nationwide record-linked retrospective cohort study

Agyemang, Charles; Vaartjes, Ilonca; Bots, Michiel L.; Valkengoed, Irene G. M. van; Munter, Jeroen S. de; Bruin, Agnes de; Sijl, M. Berger-van; Reitsma, Johannes B.; Stronks, Karien

doi:10.1136/hrt.2008.159285

Cited by 33 publications

(29 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To adjust for potential confounders, analyses were corrected for age at baseline, marital status, area income, degree of urbanization, and Charlson index. 5 Results were expressed as hazard ratios with accompanying 95% confidence intervals. We used SPSS software, version 14.0 (SPSS Inc, Chicago, IL).…”

Section: Discussionmentioning

confidence: 99%

“…The registers have been described in detail elsewhere. 5 The reliability of Dutch national registers for stroke has been proven to be high. 12 By linking these registers with a personal identifier, we built a cohort starting at January 1, 1998, when 15 431 715 Dutch citizens were registered in the Population Register.…”

Section: Follow-up Data Sourcementioning

confidence: 99%

“…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.…”

mentioning

confidence: 99%

See 2 more Smart Citations

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

Agyemang

Oeffelen

Nørredam

et al. 2014

Stroke

View full text Add to dashboard Cite

Background and Purpose-Data on the incidence of stroke subtypes among ethnic minority groups are limited. We assessed ethnic differences in the incidence of stroke subtypes in the Netherlands. Methods-A Dutch nationwide register-based cohort study (n=7 423 174) was conducted between 1998 and 2010. We studied the following stroke subtypes: ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Cox proportional hazard models were used to estimate incidence differences between first-generation ethnic minorities and the Dutch majority population (ethnic Dutch). Results-Compared with ethnic Dutch, Surinamese men and women had higher incidence rates of all stroke subtypes combined (adjusted hazard ratios, 1.43; 95% confidence interval, 1. For example, Turkish women had a reduced incidence of subarachnoid hemorrhage, whereas Turkish men had an increased incidence of ischemic stroke and intracerebral hemorrhage compared with ethnic Dutch. Conclusions-Our findings suggest that Surinamese have an increased risk, whereas Moroccans have a reduced risk for all the various stroke subtypes. Among other ethnic minorities, the risk seems to depend on the stroke subtype and sex. These findings underscore the need to identify the root causes of these ethnic differences to assist primary and secondary prevention efforts. (Stroke. 2014;45:3236-3242.)

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Follow-up Data Sourcementioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

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

Agyemang

Oeffelen

Nørredam

et al. 2014

Stroke

View full text Add to dashboard Cite

show abstract

“…The registers have been described in detail previously. 17 The reliability of Dutch national registers for stroke has been proven to be high. 18 By linking previous registers with a personal identifier, a cohort was built, starting at January 1, 1998, when 15 431 715 Dutch citizens were registered in the Population Register.…”

Section: Cohort Enrollmentmentioning

confidence: 99%

Socioeconomic Inequalities in Stroke Incidence Among Migrant Groups

Agyemang

Oeffelen

Nørredam

et al. 2014

Stroke

View full text Add to dashboard Cite

Background and Purpose— Low socioeconomic status has been linked to high incidence of stroke in industrialized countries; therefore, reducing socioeconomic disparities is an important goal of health policy. The evidence on migrant groups is, however, limited and inconsistent. We assessed socioeconomic inequalities in relation to stroke incidence among major ethnic groups in the Netherlands. Methods— A nationwide register-based cohort study was conducted (n=2 397 446) between January 1, 1998, and December 31, 2010, among ethnic Dutch and ethnic minority groups. Standardized disposable household income was used as a measure of socioeconomic position. Results— Among ethnic Dutch, the incidence of stroke was higher in the low-income group than in the high-income group (adjusted hazard ratio, 1.18; 95% confidence interval, 1.16–1.20). Similar socioeconomic inequalities in stroke incidence were found among Surinamese (1.36; 1.17–1.58), Indonesians (1.15; 1.03–1.28), Moroccans (1.54; 0.97–2.43), Turkish (1.19; 0.97–1.46), and to a lesser extent among Antilleans (1.24; 0.84–1.84). When compared with ethnic Dutch, the incidence of stroke was lower in Moroccans, similar in Turkish, but higher in Surinamese among all income groups. The incidence of stroke was higher in Indonesian low- and high-income groups than in their ethnic Dutch counterparts. Among Antilleans, the risk of stroke was higher than ethnic Dutch but only in the low-income group. Conclusions— Our findings reveal socioeconomic inequalities in stroke incidence among all ethnic groups. Reduction of socioeconomic inequalities in stroke incidence among all ethnic groups may lead to a major public health improvement for all. Policy measures tackling socioeconomic inequalities should take into account the increased risk of stroke among ethnic minority populations.

show abstract

“…However in the current study, differences between patients and an age-and sexmatched control group were smaller, mainly because of higher mortality risks in our control group. Differences in cardiovascular risk profile, geographical region and ethnicity may also play a role, since it is known that these factors influence survival [30,31]. In our study, the majority (>95%) of patients is estimated to be Caucasian, but ethnicity of patients in the previous study was unknown [29].…”

Section: Comparison With Contemporary Literaturementioning

confidence: 97%

The impact of female sex on long-term survival of patients with severe atherosclerosis undergoing endarterectomy

et al. 2014

View full text Add to dashboard Cite

Risk of death after first admission for cardiovascular diseases by country of birth in The Netherlands: a nationwide record-linked retrospective cohort study

Cited by 33 publications

References 24 publications

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

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

Socioeconomic Inequalities in Stroke Incidence Among Migrant Groups

The impact of female sex on long-term survival of patients with severe atherosclerosis undergoing endarterectomy

Contact Info

Product

Resources

About