机构:[1]Institute of Health, Guangdong Pharmaceutical University, Guangzhou, GuangDong, People’s Republic of China.[2]Guangdong Engineering Research Center for Light and Health, Guangzhou Higher Education Mega Center, Guangdong Pharmaceutical University, Guangzhou, GuangDong, People’s Republic of China.[3]Department of Psychology, Sun Yet-Sen University, Guangzhou, GuangDong, People’s Republic of China.[4]The Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, GuangDong, People’s Republic of China.广东省中医院深圳市中医院深圳医学信息中心
We aim to characterize the association between education and incident stroke (including total stroke, ischemic stroke, and hemorrhagic stroke) and assess whether there is a causal relationship between them. The final sample size was 11,509 in this study from the Atherosclerosis Risk in Communities (ARIC) study. Cox hazard regression models were used to explore the association between education level and incident stroke. Two-sample Mendelian randomization (MR) was used to estimate the causality. During a median follow-up of 25.3 years, 915 cases (8.0%) of stroke occurred. Participants with advanced education level were associated with 25% (HR 0.75; 95% CI 0.62, 0.91) decreased the rate of incident total stroke. Hazard ratio of intermediate and advanced education level for ischemic stroke were 0.82 (0.69, 0.98) and 0.73 (0.60, 0.90) separately. In the MR analysis, we observed evidence that education was likely a negetive causal risk factor for ischemic stroke (OR 0.764, 95% CI 0.585-0.998, P = 0.048). Higher education level was associated with a decreased rate of total stroke and ischemic stroke incident, but not hemorrhagic stroke incident. There might be a protective causal association between education and ischemic stroke (but not total stroke nor hemorrhagic stroke).
基金:
Natural Science Fund of ChinaNational Natural Science Foundation of China (NSFC) [81701378]
第一作者机构:[1]Institute of Health, Guangdong Pharmaceutical University, Guangzhou, GuangDong, People’s Republic of China.[2]Guangdong Engineering Research Center for Light and Health, Guangzhou Higher Education Mega Center, Guangdong Pharmaceutical University, Guangzhou, GuangDong, People’s Republic of China.
共同第一作者:
通讯作者:
通讯机构:[1]Institute of Health, Guangdong Pharmaceutical University, Guangzhou, GuangDong, People’s Republic of China.[2]Guangdong Engineering Research Center for Light and Health, Guangzhou Higher Education Mega Center, Guangdong Pharmaceutical University, Guangzhou, GuangDong, People’s Republic of China.
推荐引用方式(GB/T 7714):
Wen Xiuyun,Wu Qian,Xie Minjun,et al.Education and stroke: evidence from epidemiology and Mendelian randomization study[J].SCIENTIFIC REPORTS.2020,10(1):doi:10.1038/s41598-020-78248-8.
APA:
Wen Xiuyun,Wu Qian,Xie Minjun,Li Weidong&Liao Lizhen.(2020).Education and stroke: evidence from epidemiology and Mendelian randomization study.SCIENTIFIC REPORTS,10,(1)
MLA:
Wen Xiuyun,et al."Education and stroke: evidence from epidemiology and Mendelian randomization study".SCIENTIFIC REPORTS 10..1(2020)