Secondary prevention treatment after acute stroke in older South Asian, Chinese and other Canadians: a retrospective data analysis

Na, Khan; Fa, McAlister; Pilote, Louise; Palepu, Anita; Quan, Hude; Hill, Michael D.; Fang, Jiming; Mk, Kapral

doi:10.9778/cmajo.20160147

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…Noteworthily, the experience of immigrant groups from the Caribbean, Baltic State, former Yugoslavia, former Soviet Union, Hungary, and Latin America might be different from that of immigrant groups from other regions. However, our study could not verify if factors, such as discrimination or systematic racism, were the important drivers of these differences in healthcare and outcomes [41][42][43]. In the future, we can use relevant cultural adaptation measures to assess the health outcomes of immigrants, such as language or education before arrival, time proportion in the destination country, and other factors, such as the number of nonimmigrant friends or other self-reported cultural adaptation scales [44][45][46][47].…”

Section: Heterogeneitymentioning

confidence: 90%

A Systematic Review and Meta-Analysis of the Associations between Immigration Status and Stroke Incidence and Mortality

Chen

Wang

Zhu

2022

BioMed Research International

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Background and Objectives. Increasing global migration to Western Europe, North America, and other high-income countries makes a study of stroke risk in the immigrant population important. This study is aimed at evaluating the associations between immigration status and stroke risks and determining the risk factors for stroke in immigrant groups. Methods. We thoroughly searched PubMed, Embase, and MEDLINE databases for the literature on stroke risk for immigrants and host populations by January 2022. Fourteen relevant cohort studies from eight countries met the inclusion criteria, and their data were included in this meta-analysis. Heterogeneity and publication bias were assessed. Results. The results showed that the immigrant groups suffered from a lower incidence rate of stroke compared with the host populations ( HR = 0.81 , 95% CI 0.71–0.91, P = 0.001 ), but there was nonsignificant higher mortality of stroke in immigrants ( HR = 1.07 ; 95% CI 0.84–1.36). However, the pooled adjusted incidence HR reduced to 0.67 (95% CI 0.60–0.75) after adjustment for publication bias. Immigrants had a lower stroke incidence compared to long-term residents, but the association varied with the country of origin, socioeconomic status, residence (urban vs. rural), and comorbid conditions. Discussion. The present systematic review and meta-analysis implicated that stroke risks are different for immigrants and the host populations; therefore, this knowledge may be useful for developing targeted stroke prevention strategies.

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Section: Heterogeneitymentioning

confidence: 90%

A Systematic Review and Meta-Analysis of the Associations between Immigration Status and Stroke Incidence and Mortality

Chen

Wang

Zhu

2022

BioMed Research International

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“…35 Among South Asians, cultural factors are also shown to influence stroke risk modifiers and stroke management, including beliefs that may interfere with filling prescription medication. 36 Current strategies used to educate, treat and reintegrate people with stroke often do not typically account for sociocultural factors impacting poststroke experiences and needs. 25 37 38 …”

Section: Introductionmentioning

confidence: 99%

“…Here within, we define family caregivers as friends, family members (including non-biological kin) and neighbours who provide unpaid care to individuals who have experienced a stroke 35. Among South Asians, cultural factors are also shown to influence stroke risk modifiers and stroke management, including beliefs that may interfere with filling prescription medication 36. Current strategies used to educate, treat and reintegrate people with stroke often do not typically account for sociocultural factors impacting poststroke experiences and needs 25 37 38…”

Section: Introductionmentioning

confidence: 99%

Exploring the poststroke experiences and unmet needs of South Asian communities in high-income countries: a scoping review protocol

et al. 2022

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IntroductionSouth Asian groups experience a higher burden of stroke and poorer functional outcomes after stroke than their White counterparts. However, within the stroke literature, there has been little focus on the unique poststroke needs of the South Asian community and opportunities for community-based services to address these needs.Research questionWhat is the current knowledge base related to the experiences and needs, including unmet needs of people living with stroke and their caregivers from South Asian communities living in high-income countries?AimsThis is a protocol for a review that intends to synthesise existing studies of the poststroke experiences and needs of individuals from South Asian communities to uncover opportunities for community-based resources to address these needs.Methods and analysisThis scoping review methodology will be guided by modified Arksey and O’Malley (2005) and Joanna Briggs Institute frameworks. A search on OVID Medline, OVID Embase, OVID PsycINFO, EBSCO CINAHL, the Cochrane Library, Scopus and Global Index Medicus will be conducted to synthesise existing peer-reviewed literature (all study designs). Grey literature will be searched through detailed hand searching. Literature focusing on the poststroke experiences and needs of South Asian groups impacted by stroke residing in high-income countries will be included. Study descriptors will be extracted (eg, study location, type, methodology). Data will be analysed descriptively and thematically. Team meetings will provide opportunities for peer debriefing, thereby enhancing analytic rigour.Conclusion and implicationsFindings will enhance knowledge of the poststroke experiences and needs of South Asian communities living in high-income countries and identify actionable opportunities for community-based resources to address needs.Ethics and disseminationEthics approval was not required for this scoping review protocol. Community-based organisations will be consulted to provide insights into the analysis and assist with dissemination. Dissemination of findings will also occur through a publication and academic presentations.

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“…Studies mainly report aggregated data on CVD risk in primary prevention and collate Chinese immigrants within a broad pan‐Asian ethnicity (Zheng et al, 2019). Additionally, most studies focusing on CVD secondary prevention fail to distinguish Chinese first‐generation immigrants (those born in the country of origin who migrate to a host country) from second‐generations (the children of first‐generation migrants, born in the host country) or Chinese populations of mixed ethnic backgrounds, whose self‐care practices may all vary significantly depending on the level of acculturation (Bainey et al, 2018; Khan et al, 2017). Therefore, this review aimed to address the gap in knowledge by demonstrating the self‐care behaviours and related cultural factor reported among first‐generation Chinese immigrants with CVD in western countries.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, most studies focusing on CVD secondary prevention fail to distinguish Chinese first-generation immigrants (those born in the country of origin who migrate to a host country) from secondgenerations (the children of first-generation migrants, born in the host country) or Chinese populations of mixed ethnic backgrounds, whose self-care practices may all vary significantly depending on the level of acculturation (Bainey et al, 2018;Khan et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Self‐care behaviours and related cultural factors among Chinese immigrants with cardiovascular disease in western countries: an integrative review

Ling

Perry

2021

Journal of Clinical Nursing

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Aims and objectives This review aimed to demonstrate the self‐care behaviours of first‐generation Chinese immigrants with cardiovascular disease in western countries and identify related cultural factors. Background Self‐care is the cornerstone to mitigate disease symptoms and maintain health status. Chinese immigrants to western countries, operating within a cross‐cultural context, may find self‐care to manage their cardiovascular disease challenging. Design An integrative review was conducted. Methods Seven databases were searched Scopus, ProQuest Health & Medicine, Medline (Ovid), Embase (Ovid), AMED (Ovid), PsycINFO and CINAHL, with output limited to peer‐reviewed studies published from 2000 to 2020 in English or Chinese. Initially, 2037 papers were screened. Six papers were retained and critiqued using the Joanna Briggs Institute critical appraisal tools. Deductive and inductive approaches were utilised to analyse the findings. The PRISMA 2020 checklist informed review reportage. Result In general, Chinese immigrants with cardiovascular disease took an active role in management of their cardiovascular disease, including through diet and activity adaptation and adherence to western medication. Families also played a significant role in disease decision‐making and management. However, language and cultural barriers impeded their access to health information and resources in host countries. Relevance to clinical practice Understanding self‐care behaviours and associated cultural factors among Chinese immigrants with cardiovascular disease is important to improve nurses’ culturally sensitive practices and provide tailored health education interventions to promote self‐care behaviours among immigrant populations. The scarcity of literature on self‐care behaviours among Chinese first‐generation immigrants with cardiovascular disease indicates the need for further research in this area. Development of culturally and linguistically sensitive health resources and education programs is urgently needed.

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Secondary prevention treatment after acute stroke in older South Asian, Chinese and other Canadians: a retrospective data analysis

Cited by 5 publications

References 25 publications

A Systematic Review and Meta-Analysis of the Associations between Immigration Status and Stroke Incidence and Mortality

A Systematic Review and Meta-Analysis of the Associations between Immigration Status and Stroke Incidence and Mortality

Exploring the poststroke experiences and unmet needs of South Asian communities in high-income countries: a scoping review protocol

Self‐care behaviours and related cultural factors among Chinese immigrants with cardiovascular disease in western countries: an integrative review

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