ArticleNeurology2012
Neighborhood income and stroke care and outcomes.
Article in Neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic deprivation and survival after stroke in China: a systematic literature review and a new population-based cohort study.BMJ open · 2015Pooled it
- Social determinants of health and stroke care and outcomes: SEQUINS lecture 2025.Equity neuroscience · 2026Article
- Temporal Trends and Drivers of Socioeconomic Inequalities in Stroke Care, Survival, and Long-Term Outcomes.Journal of the American Heart Association · 2026Article
- Reinitiation of antidepressant pharmacotherapy among patients discharged from the hospital: A population-based cohort study.PLOS mental health · 2026Article
- Impact of socioeconomic deprivation on mechanical thrombectomy outcomes after acute ischaemic stroke: findings from a London-based multicentre study.Stroke and vascular neurology · 2025Article
- Area-Level Income Disparities and the Timing of First Ischemic Stroke: Insights From the 2019 National Inpatient Sample.Journal of the American Heart Association · 2025Article
- Neighborhood Socioeconomic Status and the Functional Outcome of Patients Treated With Endovascular Thrombectomy for Ischemic Stroke.Neurology · 2025Article
- Comparison of Factors Affecting Quality of Life in Patients with Acute Ischemic Stroke Across Different Stroke Severities.Neurology and therapy · 2025Article
- Associations Between Measures of Structural Racism and Receipt of Acute Ischemic Stroke Interventions in the United States.Journal of the American Heart Association · 2025Article
- Association Between Neighborhood-Level Income and the Incidence of Cardiovascular Events Varies by Immigration Status: A Population-Based Cohort Study.Journal of the American Heart Association · 2024Article
- Gender-Based Disparity in Acute Stroke Imaging Utilization and the Impact on Treatment and Outcomes: 2012 to 2021.Journal of the American College of Radiology : JACR · 2024Article
- Exploring the association between social determinants and aphasia impairment: A retrospective data integration approach.PloS one · 2024Article
- Community Socioeconomic and Urban-Rural Disparities in Prehospital Notification of Stroke by Emergency Medical Services in North Carolina.Southern medical journal · 2023Article
- The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.Neurological research and practice · 2023Article
- Review
- Association of socioeconomic status with cardiovascular disease and cardiovascular risk factors: a systematic review and meta-analysis.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2023Article
- Language discordance as a marker of disparities in cerebrovascular risk and stroke outcomes: A multi-center Canadian study.Cerebral circulation - cognition and behavior · 2023Article
- Community socioeconomic and urban-rural differences in emergency medical services times for suspected stroke in North Carolina.The American journal of emergency medicine · 2023Article
- Between-Center Variation in Outcome After Endovascular Treatment of Acute Stroke: Analysis of Two Nationwide Registries.Circulation. Cardiovascular quality and outcomes · 2022Article
- Striving for Socioeconomic Equity in Ischemic Stroke Care: Imaging and Acute Treatment Utilization From a Comprehensive Stroke Center.Journal of the American College of Radiology : JACR · 2022Article
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9 authors.
Funding
Abstract
objectiveTo evaluate factors that may contribute to the increased stroke case fatality rates observed in individuals from low-income areas.
methodsWe conducted a cohort study on a population-based sample of all patients with stroke or TIA seen at 153 acute care hospitals in the province of Ontario, Canada, between April 1, 2002, and March 31, 2003, and April 1, 2004, and March 31, 2005. Socioeconomic status measured as income quintiles was imputed from median neighborhood income. In the study sample of 7,816 patients we determined 1-year mortality by grouped income quintile and used multivariable analyses to assess whether differences in survival were explained by cardiovascular risk factors, stroke severity, stroke management, or other prognostic factors.
resultsThere was no significant gradient across income groups for stroke severity or stroke management. However, 1-year mortality rates were higher in those from the lowest income group compared to those from the highest income group, even after adjustment for age, sex, stroke type and severity, comorbid conditions, hospital and physician characteristics, and processes of care (adjusted hazard ratio for low- vs high-income groups, 1.18; 95 confidence interval 1.03 to 1.29).
conclusionsIn Ontario, 1-year survival rates after an index stroke are higher for those from the richest compared to the least wealthy areas, and this is only partly explained by age, sex, comorbid conditions, and other baseline risk factors.
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