Question

Managerial Epidemiology Cases and Concepts Third Edition Steven Fleming Capstone Case D Needs Assessment for Stroke Services pg 567-570. Questions 1-10

Question 1: Risk Factors for Stroke Include heavy alcohol consumption, atrial fibrillation, diabetes, hypercholesterolemia, hypertension, obesity, low physical activity, smoking, ischemic heart disease, and transient ischemic attack. Use Exhibit D.1 as a tempalate to calculate the prevalence rates (per 100) by gender and age category for each of these risk factors.

Answer 1

Exhibit D1 Risk Factors for Stroke in Eastern Ontario, 1996

Men

Total Age 25-44              Age 45-64              Age 65+

Risk Factor	F	R	F	T	F	R	F	R
Hypertension	203,000		36,800		49,000		25,600
Low Physical Activity	397,000		97,900		72,100		30,500
Obesity	343,100		75,400		77,400		30,400
Smoking	282, 500		92,100		45,100		9,200
Heavy Alcohol Use	35,500		18,800		8,500		3,000
High Cholesterol	177,200		29,500		33,300		17,200
AFib	17,800		0		?		6,300
Ischemic Heart Disease	55,200		2300		10,500		16,000
TIA	13,600		0		3,900		3,800
Diabetes Mellitus	41,200		2800		9,300		8,800

Women                                                

                                                            Age 25-44                  Age 45-64                  Age 65+   

Risk Factor	F	T	F	R	F	R
Hypertension	9,500		42,100		40,000
Low Physical Activity	84,100		69,300		43,900
Obesity	1,500		64,800		43,600
Smoking	80,800		38,200		17,100
Heavy Alcohol Use	3,000		?		?
High Cholesterol	12,900		42,400		41,900
AFib	0		?		8,900
Ischemic Heart Disease	?		5,300		18,900
TIA	0		2,700		3,200
Diabetes Mellitus	2700		7000		10,600