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Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study

BMJ open, 2018-03, Vol.8 (3), p.e020285-e020285 [Peer Reviewed Journal]

Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. ;2018 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018 ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2017-020285 ;PMID: 29599393

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Title:
Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study
Author: Teh, Wen Lin ; Abdin, Edimansyah ; Vaingankar, Janhavi Ajit ; Seow, Esmond ; Sagayadevan, Vathsala ; Shafie, Saleha ; Shahwan, Shazana ; Zhang, Yunjue ; Chong, Siow Ann ; Ng, Li Ling ; Subramaniam, Mythily
Subjects: Adults ; Age ; Aged ; Aged, 80 and over ; Aging ; Alcohol ; Body mass index ; Cardiovascular disease ; Cardiovascular Diseases - complications ; Caregivers ; Cognition ; Cross-Sectional Studies ; Delivery of Health Care ; Dementia ; Dementia - complications ; Diabetes ; Diabetes Complications ; Diabetes Mellitus ; Disabled Persons - statistics & numerical data ; Epidemiology ; Ethnic Groups ; Female ; Gender ; Health risk assessment ; Health Services Needs and Demand ; Heart ; Humans ; Hypertension ; Institutionalization ; Male ; Mental depression ; Middle Aged ; Mortality ; Obesity ; Odds Ratio ; Older people ; Population ; Prevalence ; Risk Factors ; Self Report ; Singapore - epidemiology ; Smoking ; Stroke ; Stroke - epidemiology ; Stroke - etiology ; Stroke - therapy ; Systematic review ; Trends
Is Part Of: BMJ open, 2018-03, Vol.8 (3), p.e020285-e020285
Description: ObjectivesThe aims of the present study were to establish the prevalence of stroke, and to explore the association between stroke prevalence and sociodemographic and health factors, disability, cognitive functioning and care needs among older adult residents in Singapore.SettingData were drawn from the Well-being of the Singapore Elderly study—a cross-sectional epidemiological survey conducted from 2012 to 2013 on older adults living in Singapore.ParticipantsParticipants were Singapore residents (citizens and permanent residents) 60 years and above who were living in Singapore during the survey period . Older adult residents who were institutionalised were also included in this study. Those who were not living in Singapore or who were not contactable were excluded from the study. The response rate was 65.6 % (2565/3913). A total population sample of 2562 participants completed the survey. Participants comprised 43.6% males and 56.4% females. The sample comprised 39.4% Chinese, 29.1% Malay, 30.1% Indian and 1.4% other ethnicities .Primary and secondary outcome measuresHistory of stroke, along with other health and mental health conditions, disability and cognitive functioning, were determined by self-report.ResultsWeighted stroke prevalence was 7.6% among older adults aged 60 and above. At a multivariate level, Malay ethnicity (OR 0.41, p=0.012, 95% CI 0.20 to 0.82), hypertension (OR 4.58, p=0.001, 95% CI 1.84 to 11.40), heart trouble (OR 2.45, p=0.006, 95% CI 1.30 to 4.63), diabetes (OR 2.60, p=0.001, 95% CI 1.49 to 4.53) and dementia (OR 3.57, p=0.002, 95% CI 1.57 to 8.12) were associated with stroke prevalence.ConclusionsSeveral findings of this study were consistent with previous reports. Given that Singapore’s population is ageing rapidly, our findings may indicate the need to review existing support services for stroke survivors and their caregivers. Future research could investigate the association between various sociodemographic and health conditions and stroke prevalence to confirm some of the findings of this study.
Publisher: England: BMJ Publishing Group LTD
Language: English
Identifier: ISSN: 2044-6055
EISSN: 2044-6055
DOI: 10.1136/bmjopen-2017-020285
PMID: 29599393
Source: ProQuest One Psychology
BMJ Journals (Open Access)
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
PubMed Central
ROAD: Directory of Open Access Scholarly Resources
ProQuest Central
DOAJ Directory of Open Access Journals

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Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study

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