Persistent high stroke mortality in Bangladeshi populations

doi:10.1136/bmj.331.7525.1096

BMJ 2005;331:1096-1097 (12 November), doi:10.1136/bmj.331.7525.1096

Editorial

Persistent high stroke mortality in Bangladeshi populations

Novel hypotheses to explain this need testing urgently

The first 150 words of the full text of this article appear below.

Censuses in 1981, 1991,^1-3 and 2001 (Wild et al. Persistenceof substantial inequalities in cardiovascular disease mortalityby country of birth in England and Wales 2001-2003. Unpublishedmanuscript). have shown that, among Bangladeshi-born men livingin the United Kingdom, the standardised mortality ratio forstroke is two to three times the population average, with lessmarked but important excesses in Bangladeshi-born women. Therehas been little progress in understanding the reasons for thisvariation, let alone in identifying approaches to improve outcomes.Lessons learnt about stroke among British Bangladeshis may wellapply to other populations at high risk, including Indians andPakistanis, whose excess stroke mortality is not quite so high.In addition, such evidence could be highly relevant to reducinghealth inequalities.

Is the excess mortality from stroke in Bangladeshis explainedby a higher case fatality ratio? Interim analysis of data fromthe south London stroke register shows . . . [Full text of this article]

Raj Bhopal, Bruce Usher professor of public health

(Raj.Bhopal@ed.ac.uk)
Division of Community Health Sciences, University of Edinburgh, Edinburgh EH8 9DX

Taslin Rahemtulla, research associate, Aziz Sheikh, professor of primary care research and development

Division of Community Health Sciences, University of Edinburgh, Edinburgh EH8 9DX

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Articles

Ethnic minorities and their perceptions of the quality of primary care: Aziz Sheikh
BMJ 2009 339: b3797. [Extract] [Full Text]

Predicting cardiovascular risk in England and Wales: prospective derivation and validation of QRISK2: Julia Hippisley-Cox, Carol Coupland, Yana Vinogradova, John Robson, Rubin Minhas, Aziz Sheikh, and Peter Brindle
BMJ 2008 336: 1475-1482. [Abstract] [Full Text] [PDF]

Review of prevalence data in, and evaluation of methods for cross cultural adaptation of, UK surveys on tobacco and alcohol in ethnic minority groups: Raj Bhopal, Amanda Vettini, Sonja Hunt, Sushmita Wiebe, Lisa Hanna, and Amanda Amos
BMJ 2004 328: 76. [Abstract] [Full Text] [PDF]

Heterogeneity of coronary heart disease risk factors in Indian, Pakistani, Bangladeshi, and European origin populations: cross sectional study: Raj Bhopal, Nigel Unwin, Martin White, Julie Yallop, Louise Walker, K G M M Alberti, Jane Harland, Sheila Patel, Naseer Ahmad, Catherine Turner, Bill Watson, Dalvir Kaur, Anna Kulkarni, Mike Laker, and Anna Tavridou
BMJ 1999 319: 215-220. [Abstract] [Full Text] [PDF]

Ethnic differences in incidence of stroke: prospective study with stroke register: Judith A Stewart, R Dundas, R S Howard, A G Rudd, and C D A Wolfe
BMJ 1999 318: 967-971. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

Sheikh, A. (2009). Ethnic minorities and their perceptions of the quality of primary care. BMJ 339: b3797-b3797 [Full text]
Bhopal, R. (2009). Medicine and public health in a multiethnic world. J Public Health (Oxf) 31: 315-321 [Abstract] [Full text]
Gunarathne, A., Patel, J. V., Gammon, B., Gill, P. S., Hughes, E. A., Lip, G. Y.H. (2009). Ischemic Stroke in South Asians: A Review of the Epidemiology, Pathophysiology, and Ethnicity-Related Clinical Features. Stroke 40: e415-e423 [Abstract] [Full text]
Hippisley-Cox, J., Coupland, C., Vinogradova, Y., Robson, J., Minhas, R., Sheikh, A., Brindle, P. (2008). Predicting cardiovascular risk in England and Wales: prospective derivation and validation of QRISK2. BMJ 336: 1475-1482 [Abstract] [Full text]
Mathews, G., Alexander, J., Rahemtulla, T., Bhopal, R. (2007). Impact of a cardiovascular risk control project for South Asians (Khush Dil) on motivation, behaviour, obesity, blood pressure and lipids. J Public Health (Oxf) 29: 388-397 [Abstract] [Full text]

Rapid Responses:

Read all Rapid Responses

Other probable determinants: Geoffrey Leigh.,MSc.,ND.,Dip Nutr.Sc.,F.I.A.M..P.
bmj.com, 13 Nov 2005 [Full text]
Any link with Betel leaf chewing?: Jamal Hossain
bmj.com, 16 Nov 2005 [Full text]
Lack of fish and ghee in diet?: Shah M Tauzeeh
bmj.com, 25 Nov 2005 [Full text]
Is increased Mean Platelet Volume (MPV) another risk factor for stroke in South Asians?: Kirti Kain
bmj.com, 26 Nov 2005 [Full text]
Reasons for high stroke risk in Bangladeshi populations: Are we rejecting conventional risk factors too soon?: RAJARAM BATHULA, et al.
bmj.com, 13 Jan 2006 [Full text]
Authors respond: broad thinking and research is urgently needed: Raj S Bhopal, et al.
bmj.com, 7 Feb 2006 [Full text]