Cargando…
Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke?
BACKGROUND: To investigate the impact of low socioeconomic status (SES), indicated by low level of education, occupation and income, on 3 months functional outcome after ischemic stroke. METHODS: We analyzed data from the China National Stroke Registry (CNSR), a multicenter and prospective registry...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5528884/ https://www.ncbi.nlm.nih.gov/pubmed/28746347 http://dx.doi.org/10.1371/journal.pone.0181196 |
_version_ | 1783253050394148864 |
---|---|
author | Song, Tian Pan, Yuesong Chen, Ruoling Li, Hao Zhao, Xingquan Liu, Liping Wang, Chunxue Wang, Yilong Wang, Yongjun |
author_facet | Song, Tian Pan, Yuesong Chen, Ruoling Li, Hao Zhao, Xingquan Liu, Liping Wang, Chunxue Wang, Yilong Wang, Yongjun |
author_sort | Song, Tian |
collection | PubMed |
description | BACKGROUND: To investigate the impact of low socioeconomic status (SES), indicated by low level of education, occupation and income, on 3 months functional outcome after ischemic stroke. METHODS: We analyzed data from the China National Stroke Registry (CNSR), a multicenter and prospective registry of consecutive patients with acute cerebrovascular events occurred between September 2007 and August 2008. 11226 patients with ischemic stroke had SES and clinical characteristics data collected at baseline and mRS measured as indicator of functional outcome in 3 months follow up. Multinomial and ordinal logistic regression models were performed to examine associations between SES and the functional outcome. RESULTS: At 3 months after stroke, 5.3% of total patients had mRS scored at 5, 11.3% at score 4, 11.1% at score 3, 14.4% at score 2, 34.2% at score 1 and 23.7% at score 0. Compared to patients with educational level of ≥ 6 years and non-manual laboring, those < 6 years and manual laboring tended to have higher mRS score (P<0.001). Multinomial adjusted odds ratios (ORs) of outcome in manual workers were significantly increased (ORs from1.38 to 1.87), but OR in patients with less income was not significant. There were similar patterns of association The impact may be stronger in patients aged <65 years (P = 0.003, P<0.001 respectively) and being male (P = 0.001, P<0.001 respectively). CONCLUSIONS: Our study provides evidence that people who are relatively more deprived in socioeconomic status suffer poorer outcome after ischemic stroke. The influence of low educational level and manual laboring can be more intensive than low income level on 3-month outcome. Health policy and service should target the deprived populations to reduce the public health burden in the society. |
format | Online Article Text |
id | pubmed-5528884 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-55288842017-08-07 Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? Song, Tian Pan, Yuesong Chen, Ruoling Li, Hao Zhao, Xingquan Liu, Liping Wang, Chunxue Wang, Yilong Wang, Yongjun PLoS One Research Article BACKGROUND: To investigate the impact of low socioeconomic status (SES), indicated by low level of education, occupation and income, on 3 months functional outcome after ischemic stroke. METHODS: We analyzed data from the China National Stroke Registry (CNSR), a multicenter and prospective registry of consecutive patients with acute cerebrovascular events occurred between September 2007 and August 2008. 11226 patients with ischemic stroke had SES and clinical characteristics data collected at baseline and mRS measured as indicator of functional outcome in 3 months follow up. Multinomial and ordinal logistic regression models were performed to examine associations between SES and the functional outcome. RESULTS: At 3 months after stroke, 5.3% of total patients had mRS scored at 5, 11.3% at score 4, 11.1% at score 3, 14.4% at score 2, 34.2% at score 1 and 23.7% at score 0. Compared to patients with educational level of ≥ 6 years and non-manual laboring, those < 6 years and manual laboring tended to have higher mRS score (P<0.001). Multinomial adjusted odds ratios (ORs) of outcome in manual workers were significantly increased (ORs from1.38 to 1.87), but OR in patients with less income was not significant. There were similar patterns of association The impact may be stronger in patients aged <65 years (P = 0.003, P<0.001 respectively) and being male (P = 0.001, P<0.001 respectively). CONCLUSIONS: Our study provides evidence that people who are relatively more deprived in socioeconomic status suffer poorer outcome after ischemic stroke. The influence of low educational level and manual laboring can be more intensive than low income level on 3-month outcome. Health policy and service should target the deprived populations to reduce the public health burden in the society. Public Library of Science 2017-07-26 /pmc/articles/PMC5528884/ /pubmed/28746347 http://dx.doi.org/10.1371/journal.pone.0181196 Text en © 2017 Song et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Song, Tian Pan, Yuesong Chen, Ruoling Li, Hao Zhao, Xingquan Liu, Liping Wang, Chunxue Wang, Yilong Wang, Yongjun Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
title | Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
title_full | Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
title_fullStr | Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
title_full_unstemmed | Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
title_short | Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
title_sort | is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5528884/ https://www.ncbi.nlm.nih.gov/pubmed/28746347 http://dx.doi.org/10.1371/journal.pone.0181196 |
work_keys_str_mv | AT songtian isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT panyuesong isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT chenruoling isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT lihao isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT zhaoxingquan isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT liuliping isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT wangchunxue isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT wangyilong isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke AT wangyongjun isthereacorrelationbetweensocioeconomicdisparityandfunctionaloutcomeafteracuteischemicstroke |