Stroke Risk Factors Based on The Framingham Stroke Risk Score Among Urban vs Rural Elderly Communities

Introduction: Stroke causes the highest death in Indonesia based on 2019 World Health Organization Global Health Estimates. Framingham Stroke Risk Score can predict the 10-year stroke risk. There isn’t much data related to the comparison in risk factors between urban and rural communities in Indonesia based on the Framingham Stroke Risk Score assessment, especially in elderly subject. This study aims to compare stroke risk factors based on the FSRS between the elderly in urban and rural communities. We also determine the relationship between environmental factors and stroke risk factors. Materials and methods: This study was a cross-sectional study using secondary data from Indonesia Basic Health Research data. Elderly (55-84 years old) in Surabaya and Kabupaten Malang without stroke history were included. There were 810 subjects that met the inclusion criteria in this study. The data was analysed using Microsoft Excel and SPSS programs. Independent sample t tests, chi-square, and binary logistic regression were used. Results: Comparison of risk factors in elderly based on the average probability of stroke within 10 years by Framingham Stroke Risk Score is higher in rural communities (9.05 ± 6.68 vs 7.77 ± 6.20). Conclusion: There is a higher probability of stroke in rural communities (9.05 ± 6.68 vs 7.77 ± 6.20). There is a relationship between environmental factors, namely economic status, education level, and living habits, with the measurement of stroke risk factors based on the Framingham Stroke Risk Score.