Dysmenorrhea women and stroke type & Cost Cohort Study in Taiwan.docx

Dysmenorrhea women and stroke type & Cost Cohort Study in Taiwan.docx

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Dysmenorrhea women and stroke type & Cost: Cohort Study in Taiwan Abstract Stroke and dysmenorrhea are among the most prevalent conditions affecting Taiwanese women. However, there is limited information on the association between the two conditions in Taiwan. Our study, therefore, assessed incidence of stroke for patients with dysmenorrhea and the costs of stroke care among the patients with dysmenorrhea. Our study was stratified based on age and the stroke type. We adopted a case-control cohort study design. We selected 32,412 women with dysmenorrhea and similar number of controls from the LHID 2000 dataset. The selected cohort was the studied retrospectively for the period between 1997 and 2013. We noted that significantly higher number of women with dysmenorrhea had higher incidences of diabetes mellitus, hyperlipidemia, hypertension, obesity, arrhythmia, migraine, and thyroid disease compared to those without dysmenorrhea. Our study did not show any difference in the prevalence based on age. The incidences of ischemic stroke and hemorrhagic stroke and the total incidence rate of stroke were noted to higher among Taiwanese women who do not suffer from dysmenorrhea. However, the cost of stroke care is not significantly affected by presence of dysmenorrhea. Our study provides some of the initial evidence on the incidences of stroke among the patients with dysmenorrhea and the associated health care cost implications, which need to be further assessed. Keywords; dysmenorrhea , stroke ,women,Taiwanese
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Introduction Dysmenorrhea and Stroke are some of the most prevalent conditions among women (Persky et al., 2010; Hsieh & Chiou, 2014). Dysmenorrhea occurs during the menstruation period and it is characterized by abdominal pain, cramps, nausea, headache and diarrhea (Chiu et al., 2017). The primary and the secondary dysmenorrhea are the two types of dysmenorrhea, which are categorized based on their onset, persistence and the affected group (Osayande & Mehulic, 2014). The primary dysmenorrhea, which occurs 3 years after the first menstrual cycle and affects young women (15-25 years), is the most prevalent and the widely studied dysmenorrhea (Smith, 2018). Although the prevalence of dysmenorrhea is about 28 % to 87.4 % globally, the condition is more prevalent in Taiwan (Abdul Razzak et al., 2010; Agarwal, & Agarwal, 2010; Unsal et al., 2010). It is estimated that about 73.3 % to 90.7 % of the women in Taiwan suffer from dysmenorrhea (Palmer, 2012). Increasingly, more women are also exposed to the high risk of stroke. According to Persky et al. (2010), about 55,000 more women suffer stroke compared to men and if the trend continues, about 60 % of the cases of stroke will be women by 2030 (Reeves et al., 2008). Among the different types of stroke such as ischemic stroke, hemorrhagic stroke, and transient ischemic attack, the ischemic stroke is the most prevalent in Taiwan with the prevalence being 74 % of the all stroke cases (Hsieh et al., 2010). In Taiwan, proportionate mortality of stroke was approximated to be 7.2 % in 2012 with the cases of recurrent strokes being prevalent among Taiwanese women (Hsieh & Chiou, 2014). It is, however, important to note that the demographic
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  • Winter '17
  • Donna Hathorn
  • dysmenorrhea, Dysmenorrhea women, stroke type

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