The Risk of Stroke in Physicians

A Population-based Cohort Study in Taiwan

Hon Pheng Tam, Hung Jung Lin, Shih Feng Weng, Chien Chin Hsu, Jhi Joung Wang, Shih Bin Su, Chien Cheng Huang, How-Ran Guo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

BACKGROUND: Physicians in Taiwan work in stressful workplaces and have heavy workloads, both of which may contribute to the occurrence of a stroke. However, it is not clear whether they have a higher risk of stroke. Therefore, we conducted a population-based cohort study to compare the risks of stroke between physicians and the general population and among subgroups of physicians in Taiwan.

METHODS: In the National Health Insurance Research Database of Taiwan, we identified 28,062 physicians and selected 84,186 age- and sex-matched nonmedical staff beneficiaries as the references. Using conditional logistic regression, we compared the prevalence of stroke between physicians and references. In addition, we made comparisons among subgroup of physicians defined by age, sex, comorbidity, specialty, and the level of hospital.

RESULTS: During the study period, physicians had higher prevalence rates of hypertension (23.6% vs. 19.1%), hyperlipidemia (21.4% vs. 12.9%), and coronary artery disease (CAD) (6.4% vs. 5.7%) than the referent group, but they had a lower risk of stroke with an odds ratio of 0.61 (95% confidence interval = 0.55, 0.66) after adjusting for hypertension, diabetes, hyperlipidemia, CAD, and active worker. Among physicians, the risks were higher in those who were older or had hypertension, diabetes, hyperlipidemia, or CAD.

CONCLUSIONS: Despite having higher prevalence rates of hypertension, hyperlipidemia, and CAD and working in stressful workplaces with heavy workloads, our study suggests that physicians in Taiwan have a lower risk of stroke compared with the general population. These results may indicate the benefits of higher awareness and more knowledge of diseases.

Original languageEnglish
Pages (from-to)S48-S53
JournalEpidemiology (Cambridge, Mass.)
Volume28
DOIs
Publication statusPublished - 2017 Oct 1

Fingerprint

Taiwan
Cohort Studies
Stroke
Physicians
Population
Hyperlipidemias
Coronary Artery Disease
Hypertension
Workload
Workplace
National Health Programs
Comorbidity
Logistic Models
Odds Ratio
Databases
Confidence Intervals
Research

All Science Journal Classification (ASJC) codes

  • Epidemiology

Cite this

Tam, Hon Pheng ; Lin, Hung Jung ; Weng, Shih Feng ; Hsu, Chien Chin ; Wang, Jhi Joung ; Su, Shih Bin ; Huang, Chien Cheng ; Guo, How-Ran. / The Risk of Stroke in Physicians : A Population-based Cohort Study in Taiwan. In: Epidemiology (Cambridge, Mass.). 2017 ; Vol. 28. pp. S48-S53.
@article{fb1bc15b472d46e99264172c40c6e22f,
title = "The Risk of Stroke in Physicians: A Population-based Cohort Study in Taiwan",
abstract = "BACKGROUND: Physicians in Taiwan work in stressful workplaces and have heavy workloads, both of which may contribute to the occurrence of a stroke. However, it is not clear whether they have a higher risk of stroke. Therefore, we conducted a population-based cohort study to compare the risks of stroke between physicians and the general population and among subgroups of physicians in Taiwan.METHODS: In the National Health Insurance Research Database of Taiwan, we identified 28,062 physicians and selected 84,186 age- and sex-matched nonmedical staff beneficiaries as the references. Using conditional logistic regression, we compared the prevalence of stroke between physicians and references. In addition, we made comparisons among subgroup of physicians defined by age, sex, comorbidity, specialty, and the level of hospital.RESULTS: During the study period, physicians had higher prevalence rates of hypertension (23.6{\%} vs. 19.1{\%}), hyperlipidemia (21.4{\%} vs. 12.9{\%}), and coronary artery disease (CAD) (6.4{\%} vs. 5.7{\%}) than the referent group, but they had a lower risk of stroke with an odds ratio of 0.61 (95{\%} confidence interval = 0.55, 0.66) after adjusting for hypertension, diabetes, hyperlipidemia, CAD, and active worker. Among physicians, the risks were higher in those who were older or had hypertension, diabetes, hyperlipidemia, or CAD.CONCLUSIONS: Despite having higher prevalence rates of hypertension, hyperlipidemia, and CAD and working in stressful workplaces with heavy workloads, our study suggests that physicians in Taiwan have a lower risk of stroke compared with the general population. These results may indicate the benefits of higher awareness and more knowledge of diseases.",
author = "Tam, {Hon Pheng} and Lin, {Hung Jung} and Weng, {Shih Feng} and Hsu, {Chien Chin} and Wang, {Jhi Joung} and Su, {Shih Bin} and Huang, {Chien Cheng} and How-Ran Guo",
year = "2017",
month = "10",
day = "1",
doi = "10.1097/EDE.0000000000000720",
language = "English",
volume = "28",
pages = "S48--S53",
journal = "Epidemiology",
issn = "1044-3983",
publisher = "Lippincott Williams and Wilkins",

}

The Risk of Stroke in Physicians : A Population-based Cohort Study in Taiwan. / Tam, Hon Pheng; Lin, Hung Jung; Weng, Shih Feng; Hsu, Chien Chin; Wang, Jhi Joung; Su, Shih Bin; Huang, Chien Cheng; Guo, How-Ran.

In: Epidemiology (Cambridge, Mass.), Vol. 28, 01.10.2017, p. S48-S53.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The Risk of Stroke in Physicians

T2 - A Population-based Cohort Study in Taiwan

AU - Tam, Hon Pheng

AU - Lin, Hung Jung

AU - Weng, Shih Feng

AU - Hsu, Chien Chin

AU - Wang, Jhi Joung

AU - Su, Shih Bin

AU - Huang, Chien Cheng

AU - Guo, How-Ran

PY - 2017/10/1

Y1 - 2017/10/1

N2 - BACKGROUND: Physicians in Taiwan work in stressful workplaces and have heavy workloads, both of which may contribute to the occurrence of a stroke. However, it is not clear whether they have a higher risk of stroke. Therefore, we conducted a population-based cohort study to compare the risks of stroke between physicians and the general population and among subgroups of physicians in Taiwan.METHODS: In the National Health Insurance Research Database of Taiwan, we identified 28,062 physicians and selected 84,186 age- and sex-matched nonmedical staff beneficiaries as the references. Using conditional logistic regression, we compared the prevalence of stroke between physicians and references. In addition, we made comparisons among subgroup of physicians defined by age, sex, comorbidity, specialty, and the level of hospital.RESULTS: During the study period, physicians had higher prevalence rates of hypertension (23.6% vs. 19.1%), hyperlipidemia (21.4% vs. 12.9%), and coronary artery disease (CAD) (6.4% vs. 5.7%) than the referent group, but they had a lower risk of stroke with an odds ratio of 0.61 (95% confidence interval = 0.55, 0.66) after adjusting for hypertension, diabetes, hyperlipidemia, CAD, and active worker. Among physicians, the risks were higher in those who were older or had hypertension, diabetes, hyperlipidemia, or CAD.CONCLUSIONS: Despite having higher prevalence rates of hypertension, hyperlipidemia, and CAD and working in stressful workplaces with heavy workloads, our study suggests that physicians in Taiwan have a lower risk of stroke compared with the general population. These results may indicate the benefits of higher awareness and more knowledge of diseases.

AB - BACKGROUND: Physicians in Taiwan work in stressful workplaces and have heavy workloads, both of which may contribute to the occurrence of a stroke. However, it is not clear whether they have a higher risk of stroke. Therefore, we conducted a population-based cohort study to compare the risks of stroke between physicians and the general population and among subgroups of physicians in Taiwan.METHODS: In the National Health Insurance Research Database of Taiwan, we identified 28,062 physicians and selected 84,186 age- and sex-matched nonmedical staff beneficiaries as the references. Using conditional logistic regression, we compared the prevalence of stroke between physicians and references. In addition, we made comparisons among subgroup of physicians defined by age, sex, comorbidity, specialty, and the level of hospital.RESULTS: During the study period, physicians had higher prevalence rates of hypertension (23.6% vs. 19.1%), hyperlipidemia (21.4% vs. 12.9%), and coronary artery disease (CAD) (6.4% vs. 5.7%) than the referent group, but they had a lower risk of stroke with an odds ratio of 0.61 (95% confidence interval = 0.55, 0.66) after adjusting for hypertension, diabetes, hyperlipidemia, CAD, and active worker. Among physicians, the risks were higher in those who were older or had hypertension, diabetes, hyperlipidemia, or CAD.CONCLUSIONS: Despite having higher prevalence rates of hypertension, hyperlipidemia, and CAD and working in stressful workplaces with heavy workloads, our study suggests that physicians in Taiwan have a lower risk of stroke compared with the general population. These results may indicate the benefits of higher awareness and more knowledge of diseases.

UR - http://www.scopus.com/inward/record.url?scp=85049076103&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049076103&partnerID=8YFLogxK

U2 - 10.1097/EDE.0000000000000720

DO - 10.1097/EDE.0000000000000720

M3 - Article

VL - 28

SP - S48-S53

JO - Epidemiology

JF - Epidemiology

SN - 1044-3983

ER -