Prevalence of stroke in Pakistan: Findings from Khyber Pakhtunkhwa integrated population health survey (KP-IPHS) 2016-17

  • Akhtar Sherin Khyber Medical University Institute of Medical Sciences, Kohat Pakistan https://orcid.org/0000-0003-1173-9671
  • Zia Ul-Haq Khyber Medical University- Institute of Public Health & Social sciences, Peshawar, Pakistan Hon. Clinical Senior Lecturer, Institute of Health & Well-being, University of Glasgow, UK , Phone +92 91 9217258, Cell: +92 333 925 876 https://orcid.org/0000-0001-5124-2171
  • Sheraz Fazid  Khyber Medical University- Institute of Public Health & Social sciences, Peshawar, Pakistan https://orcid.org/0000-0002-0096-928X
  • Basharat Hussain Shah Khyber Medical University- Institute of Public Health & Social sciences, Peshawar, Pakistan
  • Maria Ishaq Khattak Khyber Medical University- Institute of Public Health & Social sciences, Peshawar, Pakistan
  • Fazal Nabi Affiliation: Population Welfare Department, Khyber Pakhtunkhwa
Keywords: Stroke, Prevalence, Risk factors, Hypertension, Diabetes Mellitus, Obesity, Smoking, Dyslipidemias, Pakistan, KP-IPHS

Abstract

Objective: To study the prevalence of stroke and associated risk factors in Khyber Pakhtunkhwa (KP) province of Pakistan.

Methods: This study was a part of cross-sectional KP Integrated Population Health Survey 2016-17 conducted on population aging ≥18 years at 24 districts of KP. Primary (n=1061) and secondary sampling units (n=15724) were developed, based on urban/rural and socio-economic status. Each primary-unit comprised of 250-300 households. Sample was selected through a multi-staged stratified systematic cluster sampling technique by taking every 16th household per rural and every 12th household per urban-unit. A validated “Cincinnati Stroke Scale” for identification of stroke patients in community was used along with demographics and potential risk factors.

Results: Among the 15724 randomly selected households, 22500 participants (51.4% females; 74.6% rural areas, mean age 42±12.6 years) were interviewed. Stroke was identified in 271 cases (137 males, 134 females; Mean age=43.39±0.85 years) and prevalence of stroke was 1.2% (1200 per 100,000 population). Obesity/overweight (38.8%), hypertension (21.8%), smoking (6.6%) and known diabetes mellitus (5.9%) were the common associated risk factors of stroke. Age groups >60 years (adjusted OR=1.68; 95% CI: 1.05-2.68); urban area (adjusted OR=1.68; 95% CI: 1.29-2.19); unemployment (adjusted OR=3.78; 95% CI: 2.49-5.73) and lower formal (primary) education (adjusted OR 2.18; 95% CI: 1.30-3.64) were significantly associated with stroke (p <0.05).

Conclusion: Prevalence of stroke is 1.2% in the province of KP. Obesity, hypertension, smoking and Diabetes Mellitus are the common associated risk factors of stroke. Higher age, urban area, unemployment and lower formal education are significantly associated with stroke.

doi: https://doi.org/10.12669/pjms.36.7.2824

How to cite this:
Sherin A, Ul-Haq Z, Fazid S, Shah BH, Khattak MI, Nabi F. Prevalence of stroke in Pakistan: Findings from Khyber Pakhtunkhwa integrated population health survey (KP-IPHS) 2016-17. Pak J Med Sci. 2020;36(7):1435-1440.   doi: https://doi.org/10.12669/pjms.36.7.2824

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Akhtar Sherin, Khyber Medical University Institute of Medical Sciences, Kohat Pakistan

Professor of Medicine, Khyber Medical Univeristy Peshawar, Pakistan

Sheraz Fazid , Khyber Medical University- Institute of Public Health & Social sciences, Peshawar, Pakistan

 

 

 

Maria Ishaq Khattak, Khyber Medical University- Institute of Public Health & Social sciences, Peshawar, Pakistan

 

 

Fazal Nabi, Affiliation: Population Welfare Department, Khyber Pakhtunkhwa

 

 

Published
2020-10-17
How to Cite
Sherin, A., Ul-Haq, Z., Fazid , S., Shah, B., Khattak, M., & Nabi, F. (2020). Prevalence of stroke in Pakistan: Findings from Khyber Pakhtunkhwa integrated population health survey (KP-IPHS) 2016-17. Pakistan Journal of Medical Sciences, 36(7). https://doi.org/10.12669/pjms.36.7.2824
Section
Original Articles