WEKO3
アイテム
Rurality of communities and incidence of stroke: a confounding effect of weather conditions?
https://hiroshima.repo.nii.ac.jp/records/2008771
https://hiroshima.repo.nii.ac.jp/records/2008771e3a6f497-43b8-4451-8d89-b159cb52bd30
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
RuralRemoteHealth_10_1493.pdf (202.3 KB)
|
| Item type | デフォルトアイテムタイプ_（フル）(1) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2023-03-18 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Rurality of communities and incidence of stroke: a confounding effect of weather conditions? | |||||||||||
| 言語 | en | |||||||||||
| 作成者 |
Matsumoto, Masatoshi
× Matsumoto, Masatoshi
× Ishikawa, Shizukiyo
× Kajii, Eiji
|
|||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||
| 権利情報 | ||||||||||||
| 権利情報 | © M Matsumoto, S Ishikawa, E Kajii, 2010. A licence to publish this material has been given to James Cook University | |||||||||||
| 主題 | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | demography | |||||||||||
| 主題 | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | geography | |||||||||||
| 主題 | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | meteorological factors | |||||||||||
| 主題 | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | stroke | |||||||||||
| 内容記述 | ||||||||||||
| 内容記述 | Introduction: An urban-rural gap in stroke incidence or mortality has been reported. However, whether the effect of rurality on stroke is independent of the distribution of conventional individual-level risk factors and other community-level risk factors is inconclusive. Methods: A cohort study was conducted involving 4849 men and 7529 women residing in 12 communities throughout Japan. Baseline data were obtained between April 1992 and July 1995. Follow up was conducted annually to capture first-ever-in-life stroke events. During that period, geographic, demographic and weather information was obtained for each community. Multi-level logistic regression analysis was conducted to evaluate the association between stroke incidence and each geographic/demographic factor adjusted for meteorological parameters (temperature and rainfall), in addition to individual-level risk factors (age, body mass index, smoking, total cholesterol, hypertension, and diabetes). Results: Throughout an average of 10.7 years' follow up, 229 men and 221 women with stroke events were identified. In women, low population (odds ratio [OR] per 1000 persons 0.97; 95% confidence interval 0.94-1.00), low population density (OR per 1/km2 0.85; 0.74-0.97) and high altitude (OR per 100 m 1.18; 1.09-1.28) increased the risk of stroke independently of individual-level risk factors; however, significance was absent for all three associations when further adjusted for weather parameters. Conversely, the association between each meteorological parameter and stroke in women was significant, even after adjustment for each of the three geographic/demographic factors. Similar results were obtained for cerebral infarction. Conclusion: The association between living in rural communities and stroke may be caused by the confounding effect of weather conditions in the communities studied. | |||||||||||
| 言語 | en | |||||||||||
| 内容記述 | ||||||||||||
| 内容記述タイプ | Other | |||||||||||
| 内容記述 | This study was supported by a Scientific Research Grant from the Ministry of Education, Culture, Sports, Science and Technology, Tokyo, Japan, and grants from the Foundation for the Development of the Community, Tochigi, Japan. | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | James Cook University | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | journal article | |||||||||||
| 出版タイプ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
| 関連情報 | ||||||||||||
| 識別子タイプ | PMID | |||||||||||
| 関連識別子 | 20828220 | |||||||||||
| 関連情報 | ||||||||||||
| 識別子タイプ | URI | |||||||||||
| 関連識別子 | https://www.rrh.org.au/journal/article/1493 | |||||||||||
| 収録物識別子 | ||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 1445-6354 | |||||||||||
| 開始ページ | ||||||||||||
| 開始ページ | 1493 | |||||||||||
| 書誌情報 |
Rural and Remote Health Rural and Remote Health 巻 10, 号 3, p. 1493, 発行日 2010-09-03 |
|||||||||||
| 旧ID | 48633 | |||||||||||
