Comparative prevalence of cerebrovascular disease in Vietnamese communities in South-Western Sydney
Journal article
Alysha, Deena, Blair, Christopher, Thomas, Peter, Pham, Timmy, Nguyen, Tram, Cordato, Theodore Ross, Hawke, Helen, Chappelow, Nicola, Lin, Longting, Edwards, Leon, Thomas, James, Hodgkinson, Suzanne, Cappelen-Smith, Cecilia, McDougall, Alan, Cordato, Dennis John and Parsons, Mark. (2024). Comparative prevalence of cerebrovascular disease in Vietnamese communities in South-Western Sydney. Journal of Cardiovascular Development and Disease. 11(6), p. Article 164. https://doi.org/10.3390/jcdd11060164
Authors | Alysha, Deena, Blair, Christopher, Thomas, Peter, Pham, Timmy, Nguyen, Tram, Cordato, Theodore Ross, Hawke, Helen, Chappelow, Nicola, Lin, Longting, Edwards, Leon, Thomas, James, Hodgkinson, Suzanne, Cappelen-Smith, Cecilia, McDougall, Alan, Cordato, Dennis John and Parsons, Mark |
---|---|
Abstract | Culturally and linguistically diverse (CALD) communities are growing globally. Understanding patterns of cerebrovascular disease in these communities may improve health outcomes. We aimed to compare the rates of transient ischaemic attack (TIA), ischaemic stroke (IS), intracerebral haemorrhage (ICH), intracranial atherosclerosis (ICAD), and stroke risk factors in Vietnamese-born residents of South-Western Sydney (SWS) with those of an Australian-born cohort. A 10-year retrospective analysis (2011–2020) was performed using data extracted from the Health Information Exchange database characterising stroke presentations and risk factor profiles. The rates of hypertension (83.7% vs. 70.3%, p < 0.001) and dyslipidaemia (81.0% vs. 68.2%, p < 0.001) were significantly higher in Vietnamese patients, while the rates of ischaemic heart disease (10.4% vs. 20.3%, p < 0.001), smoking (24.4% vs. 40.8%, p < 0.001), and alcohol abuse (>1 drink/day) (9.6% vs. 15.9%, p < 0.001) were lower. The rates of ICAD and ICH were higher in Vietnamese patients (30.9% vs. 6.9%, p < 0.001 and 24.7% vs. 14.4%, p = 0.002). Regression analysis revealed that diabetes (OR: 1.86; 95% CI: 1.14–3.04, p = 0.014) and glycosylated haemoglobin (OR: 1.51; 95% CI: 1.15–1.98, p = 0.003) were predictors of ICAD in Vietnamese patients. Vietnamese patients had higher rates of symptomatic ICAD and ICH, with unique risk factor profiles. Culturally specific interventions arising from these findings may more effectively reduce the community burden of disease. |
Keywords | stroke; transient ischaemic attack; cardiovascular risk factors; culturally and linguistically diverse communities |
Year | 2024 |
Journal | Journal of Cardiovascular Development and Disease |
Journal citation | 11 (6), p. Article 164 |
Publisher | Multidisciplinary Digital Publishing Institute (MDPI AG) |
ISSN | 2308-3425 |
Digital Object Identifier (DOI) | https://doi.org/10.3390/jcdd11060164 |
PubMed ID | 38921664 |
Scopus EID | 2-s2.0-85197168491 |
PubMed Central ID | PMC11203452 |
Open access | Published as ‘gold’ (paid) open access |
Page range | 1-9 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 24 May 2024 |
Publication process dates | |
Accepted | 20 May 2024 |
Deposited | 29 May 2025 |
Additional information | © 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
https://acuresearchbank.acu.edu.au/item/91xv9/comparative-prevalence-of-cerebrovascular-disease-in-vietnamese-communities-in-south-western-sydney
Download files
Publisher's version
OA_Alysha_2024_Comparative_prevalence_of_cerebrovascular_disease_in.pdf | |
License: CC BY 4.0 | |
File access level: Open |
12
total views3
total downloads5
views this month2
downloads this month