Socioeconomic deprivation and mortality in people after ischemic stroke: The China National Stroke Registry.

2.50
Hdl Handle:
http://hdl.handle.net/2436/619886
Title:
Socioeconomic deprivation and mortality in people after ischemic stroke: The China National Stroke Registry.
Authors:
Pan, Yuesong; Song, Tian; Chen, Ruoling; Li, Hao; Zhao, Xingquan; Liu, Liping; Wang, Chunxue; Wang, Yilong; Wang, Yongjun
Abstract:
Background Previous findings of the association between socioeconomic deprivation (SED) and mortality after ischemic stroke are inconsistent. There is a lack of data on the association with combined low education, occupational class and income. We assessed the associations of three indicators with mortality. Methods We examined data from the China National Stroke Registry, recording all stroke patients occurred between September 2007 and August 2008. Baseline SED was measured using low levels of education at <6 years, occupation as manual laboring and average family income per capita at ≤¥1,000 per month. 12,246 patients with ischemic stroke were analyzed. Results In a 12-month follow-up 1640 patients died. After adjustment for age, sex, cardiovascular risk factors, severity of stroke and pre-hospital medications, odds ratio (OR) for mortality in patients with low education was 1.25(95%CI 1.05-1.48), manual laboring 1.37(1.09-1.72) and low income 1.19(1.03-1.37). Further adjustment for acute care and medications in and after hospital made no substantial changes in these ORs, except a marginal significant OR for low income (1.15, 0.99-1.33). The OR for low income was 1.27(1.01-1.60) within patients with high education. Compared with no SED, the OR in patients with SED determined by any 1 indicator was 1.33(1.11-1.59), by any 2 indicators 1.36(1.10-1.69) and by all 3 indicators 1.56(1.23- 1.97). Conclusions There are significant inequalities in survival after ischemic stroke in China in terms of social and material forms of deprivation. General socioeconomic improvement, targeting groups at high risk of mortality is likely to reduce inequality in survival after stroke.
Citation:
Socioeconomic deprivation and mortality in people after ischemic stroke: The China National Stroke Registry. 2016, 11 (5):557-64 Int J Stroke
Publisher:
SAGE Journals
Journal:
International journal of stroke : official journal of the International Stroke Society
Issue Date:
Mar-2016
URI:
http://hdl.handle.net/2436/619886
DOI:
10.1177/1747493016641121
PubMed ID:
27012272
Additional Links:
http://wso.sagepub.com/
Type:
Article
Language:
en
ISSN:
1747-4949
Sponsors:
The Ministry of Science and Technology of the People’s Republic of China (2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, and 2013BAI09B03), The Beijing Biobank of Cerebral Vascular Disease (D131100005313003), Beijing Institute for Brain Disorders (BIBD-PXM2013_014226_07_000084)
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorPan, Yuesongen
dc.contributor.authorSong, Tianen
dc.contributor.authorChen, Ruolingen
dc.contributor.authorLi, Haoen
dc.contributor.authorZhao, Xingquanen
dc.contributor.authorLiu, Lipingen
dc.contributor.authorWang, Chunxueen
dc.contributor.authorWang, Yilongen
dc.contributor.authorWang, Yongjunen
dc.date.accessioned2016-09-06T14:40:00Z-
dc.date.available2016-09-06T14:40:00Z-
dc.date.issued2016-03-
dc.identifier.citationSocioeconomic deprivation and mortality in people after ischemic stroke: The China National Stroke Registry. 2016, 11 (5):557-64 Int J Strokeen
dc.identifier.issn1747-4949-
dc.identifier.pmid27012272-
dc.identifier.doi10.1177/1747493016641121-
dc.identifier.urihttp://hdl.handle.net/2436/619886-
dc.description.abstractBackground Previous findings of the association between socioeconomic deprivation (SED) and mortality after ischemic stroke are inconsistent. There is a lack of data on the association with combined low education, occupational class and income. We assessed the associations of three indicators with mortality. Methods We examined data from the China National Stroke Registry, recording all stroke patients occurred between September 2007 and August 2008. Baseline SED was measured using low levels of education at <6 years, occupation as manual laboring and average family income per capita at ≤¥1,000 per month. 12,246 patients with ischemic stroke were analyzed. Results In a 12-month follow-up 1640 patients died. After adjustment for age, sex, cardiovascular risk factors, severity of stroke and pre-hospital medications, odds ratio (OR) for mortality in patients with low education was 1.25(95%CI 1.05-1.48), manual laboring 1.37(1.09-1.72) and low income 1.19(1.03-1.37). Further adjustment for acute care and medications in and after hospital made no substantial changes in these ORs, except a marginal significant OR for low income (1.15, 0.99-1.33). The OR for low income was 1.27(1.01-1.60) within patients with high education. Compared with no SED, the OR in patients with SED determined by any 1 indicator was 1.33(1.11-1.59), by any 2 indicators 1.36(1.10-1.69) and by all 3 indicators 1.56(1.23- 1.97). Conclusions There are significant inequalities in survival after ischemic stroke in China in terms of social and material forms of deprivation. General socioeconomic improvement, targeting groups at high risk of mortality is likely to reduce inequality in survival after stroke.en
dc.description.sponsorshipThe Ministry of Science and Technology of the People’s Republic of China (2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, and 2013BAI09B03), The Beijing Biobank of Cerebral Vascular Disease (D131100005313003), Beijing Institute for Brain Disorders (BIBD-PXM2013_014226_07_000084)en
dc.language.isoenen
dc.publisherSAGE Journalsen
dc.relation.urlhttp://wso.sagepub.com/en
dc.rightsArchived with thanks to International journal of stroke : official journal of the International Stroke Societyen
dc.subjecteconomicsen
dc.subjectmortalityen
dc.subjectoutcomesen
dc.subjectsocioeconomic deprivationen
dc.subjectsocioeconomic factorsen
dc.subjectstrokeen
dc.titleSocioeconomic deprivation and mortality in people after ischemic stroke: The China National Stroke Registry.en
dc.typeArticleen
dc.identifier.journalInternational journal of stroke : official journal of the International Stroke Societyen

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