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
AuthorsAlysha, 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.

Keywordsstroke; transient ischaemic attack; cardiovascular risk factors; culturally and linguistically diverse communities
Year2024
JournalJournal of Cardiovascular Development and Disease
Journal citation11 (6), p. Article 164
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN2308-3425
Digital Object Identifier (DOI)https://doi.org/10.3390/jcdd11060164
PubMed ID38921664
Scopus EID2-s2.0-85197168491
PubMed Central IDPMC11203452
Open accessPublished as ‘gold’ (paid) open access
Page range1-9
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online24 May 2024
Publication process dates
Accepted20 May 2024
Deposited29 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/).

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