Abstract:
:Trends in stroke incidence, prevalence, fatality, and severity were examined in Framingham Study subjects, aged 55 to 64, during 3 successive decades beginning in 1953, 1963, and 1973. There was no significant decline in incidence or prevalence of total stroke and transient ischemic attacks (TIAs). In women, but not men, incidence of completed ischemic stroke declined significantly. Stroke severity did decrease significantly and severe neurologic deficit was less frequent in later decades; fewer patients with stroke were unconscious on admission to the hospital. There was no substantial change in the case mix and no significant decline in hemorrhage to account for the decline in severity. The proportion of isolated TIAs increased significantly over the 30 years studied, yielding an apparent decline in case-fatality rates, which was significant only in men. Secular trends in stroke incidence and fatality did not follow a clear pattern. There was a significant decline in stroke severity, but incidence of infarction fell only in women. The decline in total case-fatality rate occurred only in men, resulting largely from an increased incidence of isolated TIAs.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Wolf PA,D'Agostino RBdoi
10.1016/1047-2797(93)90098-osubject
Has Abstractpub_date
1993-09-01 00:00:00pages
471-5issue
5eissn
1047-2797issn
1873-2585pii
1047-2797(93)90098-Ojournal_volume
3pub_type
杂志文章abstract:PURPOSE:To compare the estimates of HIV-related risk derived from a sample drawn through random digit dialing and that component of the sample drawn from households listed in a telephone directory. METHODS:The prevalence of key outcomes, and their 95% confidence intervals, was estimated for the total sample and for th...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2004.06.003
更新日期:2005-03-01 00:00:00
abstract:PURPOSE:The purpose of this study was to assess the relationship of alcohol consumption and intake of 15 selected micronutrients with risk of liver cirrhosis. METHODS:Data from a case-control study performed in 1989-1990 in central Italy involving 115 incident cases and 167 hospital controls were used. RESULTS:Cases ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/s1047-2797(97)00193-2
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:Undiagnosed diabetes disproportionately affects medically underserved groups. It is unknown whether being an immigrant confers additional risk for undiagnosed diabetes. The purpose of this study was to examine independent associations of immigrant status and race/ethnicity with the prevalence of diagnosed and u...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2020.07.009
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:Socioeconomic disadvantage is often evaluated at single points in the adult life course in health research. Social mobility models suggest that socioeconomic patterns may also influence disease risk. This study examines cumulative socioeconomic disadvantage (CSD) in relation to cardiovascular disease mortality ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2014.11.018
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:The histamine-2 (H(2)) blocker cimetidine may alter androgen, zinc, and prolactin levels, which could alter prostate cancer risk. Increased risk for men filling more than 20 cimetidine prescriptions was reported previously. We examined the association between cimetidine use and prostate cancer risk in a cohort ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2006.03.003
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:Prospective evidence about whether the association of childhood adversity and psychopathology attenuates across the lifecourse and whether effects on mid-life psychopathology are mediated through adolescent and early adulthood psychopathology is limited. METHODS:Data were from the 1958 British Birth Cohort, a ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2010.02.008
更新日期:2010-05-01 00:00:00
abstract:PURPOSE:Interactions between bacterial vaginosis (BV) and inflammatory sexually transmitted infections, such as gonorrhea and chlamydial infection, are not well understood. Furthermore, evidence regarding the sexual transmission of BV is equivocal. METHODS:We assessed associations between incident BV and incidences of...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2011.11.005
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:A U-shaped relation between alcohol use and mortality may be due to biological hormesis, differential response (i.e., effect modification) by health status or changes in alcohol use with ill-health and aging (i.e., reverse causality).We examined whether alcohol had the same association with mortality in healthy...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2009.01.011
更新日期:2009-06-01 00:00:00
abstract:PURPOSE:Young men who have sex with men (YMSM) are likely to experience depression due to enacted and internalized stigma. Whether enacted stigma impacts depression through internalized stigma and whether resilience moderates the negative effect are unclear. This study aims to examine a moderated mediation model to exp...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2021.01.001
更新日期:2021-01-07 00:00:00
abstract:PURPOSE:Men who have sex with men (MSM) bear a disproportionate burden of new and existing HIV infections in the United States, with black and Hispanic MSM facing the highest rates. A lack of data on MSM population sizes has precluded the understanding of state-level variations in these rates. METHODS:Using a recently...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2018.04.008
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:To investigate the distribution of mesothelioma in Flanders using Bayesian disease mapping models that account for both an excess of zeros and overdispersion. METHODS:The numbers of newly diagnosed mesothelioma cases within all Flemish municipalities between 1999 and 2008 were obtained from the Belgian Cancer ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2016.10.006
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:Acute cardiovascular events such as heart attack and stroke in commercial pilots have been a concern to flight safety. The purpose of this study was to examine the association of body mass index (BMI) with cardiovascular disease in commercial pilots. METHODS:We followed from 1987 to 1997 a cohort of 3019 male ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2004.08.002
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:We investigated understudied biomarker-based diabetes among young US adults, traditionally characterized by low cardiovascular disease risk. METHODS:We examined 15,701 participants aged 24 to 32 years at Wave IV of the National Longitudinal Study of Adolescent Health (Add Health, 2008). The study used innovati...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2014.09.010
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:This study examined racial variations in CHD (coronary heart disease) mortality rates (1968-1992) of residents aged 35-84 in the state economic areas (SEAs) surrounding the ARIC (Atherosclerosis Risk in Communities) study. The quarter century of CHD mortality rates are discussed in relation to racial and gender...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/s1047-2797(99)00029-0
更新日期:1999-11-01 00:00:00
abstract::In the context of generalized human immunodeficiency virus (HIV) epidemics, there has been limited recent investment in HIV surveillance and prevention programming for key populations including female sex workers. Often implicit in the decision to limit investment in these epidemic settings are assumptions including t...
journal_title:Annals of epidemiology
pub_type: 杂志文章,评审
doi:10.1016/j.annepidem.2016.06.004
更新日期:2016-08-01 00:00:00
abstract:PURPOSE:The case-crossover design was originally intended to study brief exposures with immediate and transient effects, and acute outcomes with abrupt onsets. We investigated whether case-crossover methods can be used to study prolonged exposures and insidious outcomes. METHODS:We conducted a case-crossover study of ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2003.09.012
更新日期:2004-04-01 00:00:00
abstract:PURPOSE:To estimate the risk of blood exposure to non-intact skin in U.S. paramedics; to estimate risk ratios for selected management practices. METHODS:A mail survey was conducted among a national sample of licensed paramedics in the United States in 2002-2003. RESULTS:The adjusted response rate was 55% (N = 2,664)....
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2009.08.006
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:We sought to determine if the rate of increase in body mass index (BMI) differs between first generation immigrant children (child and both parents born outside Canada); second generation immigrant children (child born in Canada with at least one parent born outside Canada); and native-born children (child a...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2011.01.002
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:Minority group membership in old age has been implicated as a risk factor for lower scores on cognitive function tests, independent of education level. In addition, differential rates of cognitive decline by ethnic group have been identified in several epidemiologic studies. However, others have not been able t...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2009.06.008
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVES:Information on the epidemiology of end-stage liver disease (ESLD) in US correctional populations is limited. We examined the prevalence, mortality and clinical characteristics of ESLD in the nation's second largest state prison system. METHODS:We collected and analyzed medical and demographic data from 370,...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2007.04.005
更新日期:2007-10-01 00:00:00
abstract:PURPOSE:The purpose of this study was to describe time trends in response rates in case-control studies of cancer and identify study design factors that influence response rate. METHODS:We reviewed 370 case-control studies of cancer published in 12 journals during indicator years in each of the last four decades. We e...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2018.04.001
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:Examine the complex relationships among metabolic syndrome components in black and white individuals by growth periods. METHODS:Path analyses of metabolic syndrome components were performed on 8203 black and white healthy subjects (64.3% white and 47.9% male) comprising children (4-11 years), adolescents (12-1...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2007.07.090
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:As Western populations live longer, peripheral vascular disease will become a greater individual and public health problem. Therefore, the long-term natural history of intermittent claudication (IC) needs further delineation. The study objective was to describe the 21-year mortality and relative risk for cause-...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/s1047-2797(96)00148-2
更新日期:1997-04-01 00:00:00
abstract:PURPOSE:To assess the relationships between lipid levels and sexual maturity, independently of age-related differences, and to investigate possible differences related to sexual maturity across the percentiles of the lipid distributions. METHODS:Fasting serum total cholesterol and triglyceride concentrations were meas...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/s1047-2797(00)00056-9
更新日期:2000-07-01 00:00:00
abstract:PURPOSE:To demonstrate how principal components analysis can be used to describe patterns of weight changes in response to an intensive lifestyle intervention. METHODS:Principal components analysis was applied to monthly percent weight changes measured on 2,485 individuals enrolled in the lifestyle arm of the Action f...
journal_title:Annals of epidemiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.annepidem.2009.06.001
更新日期:2009-10-01 00:00:00
abstract::The objective of this study was to assess the reliability of lactose consumption measured with a food-frequency questionnaire and to compare food-frequency data to prospectively recorded data. A self-administered food-frequency questionnaire (FF1) was completed by 295 women ages 38 to 49. Two months later, 75 received...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/1047-2797(95)00063-1
更新日期:1995-11-01 00:00:00
abstract::Prevention of decline in cognitive and physical functioning in the elderly has become an important focus in geriatric medicine. Hispanics are among the fastest-growing group of elderly in the United States, yet few data are available on functional impairments in this group. We examined the association between ethnicit...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/s1047-2797(96)00062-2
更新日期:1996-09-01 00:00:00
abstract:PURPOSE:Cost analyses of tuberculosis (TB) in the United States have not included elements that may be prevented if TB were prevented, such as losses associated with TB-related disability, personal and other costs to society. Unmeasured TB costs lead to underestimates of the benefit of prevention and create conditions ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2009.09.004
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To assess the association of antenatal and postnatal social support with postpartum depression (PPD). METHODS:We carried out a prospective cohort study of 534 pregnant women between February and September 2007 in Hunan, China. The association between prenatal and postnatal social support with PPD was examined....
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2009.03.008
更新日期:2009-09-01 00:00:00
abstract:PURPOSE:A review of recent threats and challenges to epidemiology suggests that some represent an opportunity to advance the discipline while others are a major threat to conducting epidemiologic work. METHODS:Two issues are identified which should advance the publication and conduct of epidemiologic research. Three a...
journal_title:Annals of epidemiology
pub_type:
doi:10.1016/s1047-2797(97)00206-8
更新日期:1998-02-01 00:00:00