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Education and stroke: evidence from epidemiology and Mendelian randomization study

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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.
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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).

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出版当年[2019]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
最新[2025]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2018]版:
Q1 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

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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.
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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.
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