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medRxiv PreprintsInternational10 November 2026

Sex-Specific Incidence of Hemorrhagic Stroke in Japan: An Integrated Population-Based Study

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Background: Intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) have contrasting epidemiological characteristics, including sex-specific incidence. However, their overall contribution to sex differences in hemorrhagic stroke remains unclear because they are generally evaluated separately. We examined the sex-specific epidemiology of hemorrhagic stroke by integrating ICH and SAH. Methods: We analyzed first-ever ICH and SAH events recorded from 2011 through 2015 in the Shiga Stroke and Heart Attack Registry, a population-based registry covering approximately 1.4 million residents in
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