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Socioeconomic Disparities in US Stroke Survivors

Stroke; ePub 2019 Mar 11; Elfassy, Grasset, et al

Rates of long-term mortality among stroke survivors were higher among individuals with lower socioeconomic status (SES) and among those residing in neighborhoods of lower SES, according to a recent study. This analysis included 1,329 black and white participants, aged ≥45 years, enrolled between 2003 and 2007 in the REGARDS study (Reasons for Geographic and Racial Differences in Stroke) who suffered a first stroke and survived at least 30 days after the event. Mortality rate ratios (MRRs) were used to compare rates of post-stroke mortality by demographic and socioeconomic characteristics. Researchers found:

  • Among adults who survived ≥30 days post-stroke, the age-adjusted rate of mortality was 82.3 per 1,000 person-years.
  • Long-term mortality among stroke survivors was higher in older individuals (MRR for age ≥75 vs <65, 3.2) and among men than women (MRR, 1.3).
  • It was also higher among those with less educational attainment (MRR for <high-school vs college graduate, 1.5), lower income (MRR for <$20K vs >50K, 1.4), and lower neighborhood SES (MRR for low vs high neighborhood SES, 1.4).

Elfassy T, Grasset L, Glymour MM, et al. Sociodemographic disparities in long-term mortality among stroke survivors in the United States. The REGARDS Study. [Published online ahead of print March 11, 2019]. Stroke. doi:10.1161/STROKEAHA.118.023782.