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Stroke incidence has substantially decreased in developed countries.1 Health policies implemented in the 1970s to control hypertension, diabetes mellitus, and dyslipidemia, smoking cessation programs, and the use of oral anticoagulants in patients with atrial fibrillation have likely contributed to the decline in stroke incidence.1 By contrast, the landscape in rural China is rather bleak. In this issue of Neurology®, Wang et al.2 report increasing prevalence of vascular risk factors and incidence of first-ever stroke in a Chinese low-income rural population. Since China has experienced impressive development and given that socioeconomic status generally correlates with better health outcomes, these findings are somewhat surprising and warrant analysis.
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- © 2014 American Academy of Neurology
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