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Stroke Survivors Engage in Poorer Health Behaviors

J Stroke Cerebrovasc Dis; ePub 2018 Apr 16; Wali, et al

Stroke survivors engage in poorer health behaviors, with the exception of alcohol consumption, according to a recent study indicate that compared stroke survivors with propensity score-matched controls. Researchers conducted a retrospective, cross-sectional, matched case-control study using data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS) survey. They included older adults aged ≥50 years who participated in the 2015 BRFSS survey and completed the interview. Each case was matched to 3 controls (1:3) based on propensity scores. The final study sample consisted of 13,249 stroke survivors and 39,747 controls without stroke after propensity score matching. Stroke survivors were compared with controls on their physical activity, smoking, alcohol use, body mass index (BMI), last flu immunization, last physical checkup, last blood cholesterol check, heavy drinking, and vegetable and fruit consumption. They found:

  • Multivariable analyses revealed that there were significant differences between stroke survivors and matched controls in terms of BMI, physical activity, smoking status, alcohol consumption, and vegetable and fruit consumption.
  • For example, stroke survivors were 51% more likely to be smokers and 14% less likely to consume alcohol.


Wali H, Kurdi S, Bilal J, Bin Riaz I, Bhattacharjee S. Health behaviors among stroke survivors in the United States: A propensity score-matched study. [Published online ahead of print April 16, 2018]. J Stroke Cerebrovasc Dis. doi:10.1016/j.jstrokecerebrovasdis.2018.03.013.