PDF(Pubmed)
Abstract：
The Galilee region of Israel boasts a rich ethnic diversity within its Arab population, encompassing distinct Muslim, Christian, Druze, and Bedouin communities. This preliminary exploratory study uniquely examined potential ethnic and gender differences in ischemic stroke characteristics across these Arab subgroups, which are seldom investigated separately in Israel and are typically studied as a homogeneous \"Arab\" sector, despite significant variations in their ethnicity, culture, customs, and genetics. The current study aimed to comparatively evaluate stroke characteristics, including recurrence rates, severity, and subtypes, within and across these distinct ethnic groups and between genders. When examining the differences in stroke characteristics between ethnic groups, notable findings emerged. The Bedouin population exhibited significantly higher rates of recurrent strokes than Muslims (M = 0.55, SD = 0.85 vs. M = 0.25, SD = 0.56; p < 0.05). Large vessel strokes were significantly more prevalent among Christians (30%) than Druze (9.9%; p < 0.05). Regarding gender differences within each ethnic group, several disparities were observed. Druze women were six times more likely to experience moderate to severe strokes than their male counterparts (p < 0.05). Interestingly, Druze women also exhibited a higher representation of cardio-embolic stroke (19.8%) compared with Druze men (4.6%; p < 0.001). These findings on the heterogeneity in stroke characteristics across Arab ethnic subgroups and by gender underscore the need to reconsider the approach that views all ethnic groups comprising the Arab sector in Israel as a homogeneous population; instead, they should be investigated as distinct communities with unique stroke profiles, requiring tailored culturally aware community-based prevention programs and personalized therapeutic models. The identified patterns may guide future research to develop refined, individualized, and preventive treatment approaches targeting the distinct risk factors, healthcare contexts, and prevention needs of these diverse Arab populations.
摘要：
以色列加利利地区拥有丰富的阿拉伯人口种族多样性，包括不同的穆斯林，Christian,德鲁兹,和贝都因社区。这项初步探索性研究独特地检查了这些阿拉伯亚组缺血性卒中特征的潜在种族和性别差异。在以色列很少单独调查，通常被作为同质的“阿拉伯”部门进行研究，尽管他们的种族差异很大，文化,海关,和遗传学。本研究旨在比较评估卒中特征，包括复发率,严重程度,和亚型，在这些不同的种族群体内和跨性别群体。在检查种族之间中风特征的差异时，值得注意的发现出现了。贝都因人的复发性中风发生率明显高于穆斯林（M=0.55，SD=0.85与M=0.25,SD=0.56;p<0.05)。大血管中风在基督徒（30％）中明显比德鲁兹（9.9％；p<0.05）更为普遍。关于每个族裔群体的性别差异，观察到一些差异。德鲁兹女性经历中度至重度中风的可能性是男性的六倍（p<0.05）。有趣的是,与Druze男性（4.6％；p<0.001）相比，Druze女性也表现出更高的心源性卒中（19.8％）。这些关于阿拉伯种族亚组和性别的中风特征异质性的发现强调，需要重新考虑将以色列阿拉伯阶层的所有种族群体视为同质人口的方法；相反，他们应该作为具有独特中风特征的不同社区进行调查，需要量身定制的文化意识社区预防计划和个性化的治疗模式。确定的模式可以指导未来的研究发展精致，个性化,以及针对不同风险因素的预防性治疗方法，医疗保健环境，以及这些不同阿拉伯人口的预防需求。
