title: Living standard is related to microregional differences in stroke characteristics in Central Europe: the Budapest Districts 8-12 Project.
abstract: OBJECTIVE
  To test whether str oke features relate to living standard within one city by comparing 2 districts.
  
  
  METHODS
  District-8 (D-8) ranks the last, whereas District-12 (D-12) is the second regarding personal monthly income of the 23 districts of Budapest, Hungary. Stroke cases hospitalized in 2007 were identified by the database of the National Health Insurance Fund and postal codes for living address. Case certification was performed by personal visits to the general practitioners. Demographic data, risk factors and survival status in 2010 were analyzed using the anonymized database.
  
  
  RESULTS
  Three-year case fatality was 36.6 % in D-8 and 31.5 % in D-12 (p = 0.24). Of the fatal cases, men were more than 12 years younger in D-8 than in D-12 (69.2 ± 13.3 vs. 82.4 ± 9.2 years, p < 0.001). Men died younger than women in D-8 (69.2 ± 13.3 vs. 75.2 ± 12.4; p = 0.036), but not in D-12 (82.4 ± 9.2 vs. 81.9 ± 7.3, p = 0.8). Non-treated hypertension, alcohol dependence, and smoking were significantly more prevalent in the poor district (p < 0.01 for all).
  
  
  CONCLUSIONS
  In national stroke programs of former Eastern Block countries, primary prevention should focus especially on male populations of less wealthy regions.
authors: Department of Neurology and Stroke, Szent János Hospital, Budapest, Hungary.
authors: András
authors: A
authors: Folyovich
authors: Ildikó
authors: I
authors: Vastagh
authors: Anna
authors: A
authors: Kéri
authors: Angéla
authors: A
authors: Majoros
authors: Koppány Levente
authors: KL
authors: Kovács
authors: András
authors: A
authors: Ajtay
authors: Zsuzsanna
authors: Z
authors: Laki
authors: Bence
authors: B
authors: Gunda
authors: Katalin
authors: K
authors: Erdei
authors: Laura
authors: L
authors: Lenti
authors: Zsófia
authors: Z
authors: Dános
authors: Dániel
authors: D
authors: Bereczki
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D015438:Health Behavior; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D020521:Stroke / Q000453:epidemiology* / Q000401:mortality; D016019:Survival Analysis