PMID- 35551130 OWN - NLM STAT- MEDLINE DCOM- 20221226 LR - 20230129 IS - 1421-9786 (Electronic) IS - 1015-9770 (Linking) VI - 51 IP - 6 DP - 2022 TI - Cerebrovascular Disease Profiles of Culturally and Linguistically Diverse Communities in South Western Sydney and New South Wales. PG - 744-754 LID - 10.1159/000524242 [doi] AB - INTRODUCTION: Culturally and linguistically diverse (CALD) communities are growing globally. Understanding patterns of cerebrovascular disease in CALD communities may improve health outcomes through culturally specific interventions. We compared rates of transient ischaemic attack (TIA)/stroke (ischaemic stroke, intracerebral haemorrhage) and stroke risk factor prevalence in overseas and Australian-born people in South Western Sydney (SWS) and New South Wales (NSW). METHODS: This was a 10-year retrospective analysis (2011-2020) of SWS and NSW age-standardized rates per 100,000 person-years of TIA/stroke. Data were extracted from Health Information Exchange and Secure Analytics for Population Health Research and Intelligence systems. Rates of hypertension, type 2 diabetes mellitus (T2DM), atrial fibrillation (AF), smoking, and obesity were also calculated. RESULTS: The SWS and NSW age-standardized rate of TIA/stroke for people born in Australia was 100 per 100,000 person-years (100/100,000/year). In SWS, 56.6% of people were overseas-born compared to 29.8% for NSW. The age-standardized rate of TIA/stroke for Polynesian-born people was more than double that of Australian-born people (p < 0.001). Hypertension (33 [SWS] vs. 27/100,000/year [NSW]) and T2DM (36 [SWS] vs. 26/100,000/year [NSW]) were the most common risk factors with rates >50/100,000/year (hypertension) and >80/100,000/year (T2DM) for people born in Polynesia, Melanesia, and Central America. Rates of T2DM, AF, and obesity for Polynesian-born people were over threefold greater than people born in Australia. DISCUSSION/CONCLUSION: Greater rates of TIA/stroke were observed in specific CALD communities, with increased rates of cerebrovascular risk factors. Culturally specific, targeted interventions may bridge health inequalities in cerebrovascular disease. CI - (c) 2022 S. Karger AG, Basel. FAU - Cordato, Dennis AU - Cordato D AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. FAU - Blair, Christopher AU - Blair C AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia, christopher.blair@health.nsw.gov.au. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia, christopher.blair@health.nsw.gov.au. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia, christopher.blair@health.nsw.gov.au. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia, christopher.blair@health.nsw.gov.au. FAU - Thomas, Peter AU - Thomas P AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. FAU - Firtko, Angela AU - Firtko A AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. FAU - Miller, Megan AU - Miller M AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. FAU - Edwards, Leon Stephen AU - Edwards LS AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. FAU - Thomas, James AU - Thomas J AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. FAU - Balabanski, Anna H AU - Balabanski AH AD - Melbourne Brain Centre, Royal Melbourne Hospital, Melbourne, Victoria, Australia. AD - Department of Neuroscience, Monash University, Clayton, Victoria, Australia. AD - Department of Neurology, Royal Adelaide Hospital, Adelaide, South Australia, Australia. AD - Department of Medicine, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia. AD - Department of Neurology, Alfred Health, Melbourne, Victoria, Australia. FAU - Dos Santos, Angela AU - Dos Santos A AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. AD - Melbourne Brain Centre, Royal Melbourne Hospital, Melbourne, Victoria, Australia. AD - Department of Neuroscience, Monash University, Clayton, Victoria, Australia. AD - Department of Neurology, Alfred Health, Melbourne, Victoria, Australia. AD - Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. FAU - Lin, Longting AU - Lin L AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. FAU - Hodgkinson, Suzanne AU - Hodgkinson S AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. FAU - Cappelen-Smith, Cecilia AU - Cappelen-Smith C AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. FAU - Beran, Roy G AU - Beran RG AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - School of Medicine, Griffith University, Broadbeach, Queensland, Australia. AD - Sechenov Moscow First State University, Moscow, Russian Federation. FAU - McDougall, Alan AU - McDougall A AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. FAU - Parsons, Mark AU - Parsons M AD - Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, New South Wales, Australia. AD - South Western Sydney Stroke and Research Group, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - Sydney Brain Centre, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia. AD - South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220512 PL - Switzerland TA - Cerebrovasc Dis JT - Cerebrovascular diseases (Basel, Switzerland) JID - 9100851 SB - IM MH - Humans MH - New South Wales/epidemiology MH - Australia/epidemiology MH - *Ischemic Attack, Transient/diagnosis/epidemiology MH - *Stroke/diagnosis/epidemiology MH - *Diabetes Mellitus, Type 2 MH - Retrospective Studies MH - *Brain Ischemia MH - *Hypertension MH - Obesity OTO - NOTNLM OT - Cardiovascular risk factors OT - Culturally and linguistically diverse communities OT - Stroke OT - Transient ischaemic attack EDAT- 2022/05/14 06:00 MHDA- 2022/12/27 06:00 CRDT- 2022/05/13 13:11 PHST- 2022/01/20 00:00 [received] PHST- 2022/02/15 00:00 [accepted] PHST- 2022/05/14 06:00 [pubmed] PHST- 2022/12/27 06:00 [medline] PHST- 2022/05/13 13:11 [entrez] AID - 000524242 [pii] AID - 10.1159/000524242 [doi] PST - ppublish SO - Cerebrovasc Dis. 2022;51(6):744-754. doi: 10.1159/000524242. Epub 2022 May 12.