IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i12p2615-d184792.html
   My bibliography  Save this article

Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan

Author

Listed:
  • Hui-Chuan Liao

    (Department of Public Health, China Medical University, Taichung 40447, Taiwan
    Department of Nursing, China Medical University Hospital, Taichung 40447, Taiwan)

  • Yi-Hao Peng

    (Department of Public Health, China Medical University, Taichung 40447, Taiwan
    Department of Respiratory Therapy, Asia University Hospital, Asia University, Taichung 40447, Taiwan
    Department of Respiratory Therapy, China Medical University, Taichung 40447, Taiwan)

  • Yu-Pei Chen

    (Management Office for Health Data, China Medical University Hospital, Taichung 40447, Taiwan
    College of Medicine, China Medical University, Taichung 40447, Taiwan)

  • Li-Chi Huang

    (Department of Nursing, China Medical University Hospital, Taichung 40447, Taiwan
    School of Nursing, China Medical University, Taichung 40447, Taiwan)

  • Wen-Miin Liang

    (Center for Faculty Development, China Medical University, Taichung 40447, Taiwan)

  • Chung Y. Hsu

    (Graduate Institute of Clinical Medical Science, China Medical University, Taichung 40447, Taiwan)

  • Chia-Hung Kao

    (Graduate Institute of Clinical Medical Science and School of Medicine, College of Medicine, China Medical University, Taichung 40447, Taiwan
    Department of Nuclear Medicine and PET Center, China Medical University, Taichung 40447, Taiwan
    Department of Bioinformatics and Medical Engineering, Asia University, Taichung 40447, Taiwan)

  • Chun-Hung Tseng

    (Graduate Institute of Clinical Medical Science and School of Medicine, College of Medicine, China Medical University, Taichung 40447, Taiwan
    Department of Neurology, China Medical University Hospital, Taichung 40447, Taiwan)

Abstract

Background: Nurses are typically required to address patient emergencies, and they experience high stress levels in their work, which may expose them to a higher risk of stroke. This cohort study compared the risk of stroke between nurses and the general population. Methods: We used the Taiwan National Health Insurance database to conduct our retrospective cohort study, and we identified 83,641 individuals in the nurse group and 334,564 individuals in the control group. For the nurse group and the control group, we used the chi-square test in addition to applying Student’s t -test, in order to compare the distribution differences for the continuous variables. We estimated the hazard ratios (HRs) and 95% confidence intervals (CIs) for ischemic stroke and hemorrhagic stroke through univariate and multivariate Cox proportional-hazards regression models, with stratification according to age, sex, and comorbidity. Results: The nurse group had a lower risk of ischemic stroke and hemorrhagic stroke in the crude model (HR = 0.66, 95% CI = 0.58–0.75; HR = 0.58, 95% CI = 0.47–0.72). After adjusting the prevalent variables, the nurse group still had a lower risk of stroke (HR = 0.68, 95% CI = 0.60–0.77; HR = 0.59, 95% CI = 0.48–0.73). Conclusion: The risks of both stroke types were lower in the nurse group than in the control. For stroke prevention, more frequent physical examinations are needed in order to enhance the health and well-being of people, including the nurses.

Suggested Citation

  • Hui-Chuan Liao & Yi-Hao Peng & Yu-Pei Chen & Li-Chi Huang & Wen-Miin Liang & Chung Y. Hsu & Chia-Hung Kao & Chun-Hung Tseng, 2018. "Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan," IJERPH, MDPI, vol. 15(12), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2615-:d:184792
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/12/2615/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/12/2615/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2615-:d:184792. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.