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Mohan, Keerthi M
Wolfe, Charles D A
MetadataShow full item record
AbstractRates of stroke incidence and mortality vary across populations with important differences between socioeconomic groups worldwide. Knowledge of existing disparities in stroke risk is important for effective stroke prevention and management strategies. This review updates the evidence for associations between socioeconomic status and stroke. Summary of Review- Studies were identified with electronic searches of MEDLINE and EMBASE databases (January 2006 to July 2011) and reference lists from identified studies were searched manually. Articles reporting the association between any measure of socioeconomic status and stroke were included. The impact of stroke as measured by disability-adjusted life-years lost and mortality rates is >3-fold higher in low-income compared with high- and middle-income countries. The number of stroke deaths is projected to increase by >30% in the next 20 years with the majority occurring in low-income countries. Higher incidence of stroke, stroke risk factors, and rates of stroke mortality are generally observed in low compared with high socioeconomic groups within and between populations worldwide. There is less available evidence of an association between socioeconomic status and stroke recurrence or temporal trends in inequalities. Those with a lower socioeconomic status have more severe deficits and are less likely to receive evidence-based stroke services, although the results are inconsistent. Poorer people within a population and poorer countries globally are most affected in terms of incidence and poor outcomes of stroke. Innovative prevention strategies targeting people in low socioeconomic groups are required along with effective measures to promote access to effective stroke interventions worldwide.
PublisherAmerican Heart Association
The following license files are associated with this item:
- Letter by Sposato and Saposnik regarding article, "Socioeconomic status and stroke: an updated review".
- Authors: Sposato LA, Saposnik G
- Issue date: 2012 Aug
- Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990-2010: findings from the Global Burden of Disease Study 2010.
- Authors: Krishnamurthi RV, Feigin VL, Forouzanfar MH, Mensah GA, Connor M, Bennett DA, Moran AE, Sacco RL, Anderson LM, Truelsen T, O'Donnell M, Venketasubramanian N, Barker-Collo S, Lawes CM, Wang W, Shinohara Y, Witt E, Ezzati M, Naghavi M, Murray C, Global Burden of Diseases, Injuries, Risk Factors Study 2010 (GBD 2010)., GBD Stroke Experts Group.
- Issue date: 2013 Nov
- Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda.
- Authors: Niessen LW, Mohan D, Akuoku JK, Mirelman AJ, Ahmed S, Koehlmoos TP, Trujillo A, Khan J, Peters DH
- Issue date: 2018 May 19
- Is inequality at the heart of it? Cross-country associations of income inequality with cardiovascular diseases and risk factors.
- Authors: Kim D, Kawachi I, Hoorn SV, Ezzati M
- Issue date: 2008 Apr
- Is stroke incidence in low- to middle-income countries driven by economics?
- Authors: Thrift AG, Arabshahi S
- Issue date: 2012 Jun