Stroke mortality variations in South-East Asia: empirical evidence from the field

Hoy, Damian G., Rao, Chalapati, Hoa, Nguyen Phuong, Suhardi, S. and Lwin, Aye Moe Moe (2012) Stroke mortality variations in South-East Asia: empirical evidence from the field. International Journal of Stroke, Article in press . doi:10.1111/j.1747-4949.2012.00903.x

Author Hoy, Damian G.
Rao, Chalapati
Hoa, Nguyen Phuong
Suhardi, S.
Lwin, Aye Moe Moe
Title Stroke mortality variations in South-East Asia: empirical evidence from the field
Journal name International Journal of Stroke   Check publisher's open access policy
ISSN 1747-4930
Publication date 2012
Sub-type Article (original research)
DOI 10.1111/j.1747-4949.2012.00903.x
Volume Article in press
Total pages 7
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell
Collection year 2013
Language eng
Formatted abstract
Background: Stroke is a leading cause of death in Asia; however, many estimates of stroke mortality are based on epidemiological models rather than empirical data. Since 2005, initiatives have been undertaken in a number of Asian countries to strengthen and analyse vital registration data. This has increased the availability of empirical data on stroke mortality.

Aims: The aim of this paper is to present estimates of stroke mortality for Indonesia, Myanmar, Viet Nam, Thailand, and Malaysia, which have been derived using these empirical data.

Methods: Age-specific stroke mortality rates were calculated in each of the five countries, and adjusted for data completeness or misclassification where feasible. All data were age-standardized and the resulting rates were compared with World Health Organization estimates, which are largely based on epidemiological models.

Results: Using empirical data, stroke ranked as the leading cause of death in all countries except Malaysia, where it ranked as the second leading cause. Age-standardized rates for males ranged from 94 per 100 000 in Thailand, to over 300 per 100 000 in Indonesia. In all countries, rates were higher for males than for females, and those compiled from empirical data were generally higher than modelled estimates published by World Health Organization.

Conclusions: This study highlights the extent of stroke mortality in selected Asian countries, and provides important baseline information to investigate the aetiology of stroke in Asia and design appropriate public health strategies to address the rapidly growing burden from stroke.
Keyword Asia
Cause of death
Developing countries
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 27 September 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
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Created: Mon, 07 Jan 2013, 16:00:20 EST by Geraldine Fitzgerald on behalf of School of Public Health