ArticlePreventive medicine2021
Rural-urban differences in stroke risk.
Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Stroke prevention in rural residents: development of a simplified risk assessment tool with artificial intelligence.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Trial
- Article
- Technology-based teaching to support health students' clinical skills in stroke recovery: a scoping review.BMC medical education · 2026Article
- Mortality Trend of Cerebrovascular Disorders: A Cross-sectional Study in Northern Iran (2016-2023).Archives of Iranian medicine · 2026Article
- Trends in diabetes and stroke-related mortality in the United States, 1999-2024: a population-based analysis.Annals of medicine and surgery (2012) · 2026Review
- Association between noise pollution perception and prevalence of cardiovascular disease in a Chinese adult population: a cross-sectional study based on the CGSS 2021 cardiovascular disease dataset.Frontiers in public health · 2026Article
- Trends of cause-specific cardiovascular disease mortality in China, 2009-2019: a nationwide longitudinal study.Annals of medicine · 2025Article
- Review
- A Geographic Weighted Regression Analysis of the Health Opportunity Index and Stroke Prevalence in Health and Human Services Region 3.International journal of environmental research and public health · 2025Article
- Long-term risk of stroke after acute coronary syndrome: the ABC-10* study on heart disease.BMC cardiovascular disorders · 2025Article
- Characteristics of High-Performance Low-Volume Hospitals in Acute Stroke Care.Journal of the American Heart Association · 2025Article
- Differences in influenza testing and treatment in micropolitan versus metropolitan areas in the U.S. using medicare claims data from 2010 to 2016.BMC public health · 2025Article
- Does the Implementation of a Telestroke Program Play a Role in Improving the Clinical Outcomes of Acute Stroke Patients in South East Asian Region?: A Literature Review.Risk management and healthcare policy · 2025Review
- Rural Emergency Medical Services Perspectives on Improving Acute Stroke Care: A Qualitative Study.Prehospital emergency care · 2025Article
- Epidemiological trends and future projections of ischemic stroke in children and adolescents: a global analysis from 1990 to 2021.Frontiers in neurology · 2025Article
- Article
- Regional Disparities in Hyperacute Treatment and Functional Outcomes after Acute Ischemic Stroke in Japan.Journal of atherosclerosis and thrombosis · 2024Article
- Stroke incidence, mortality, subtypes in rural and urban populations in five geographic areas of India (2018-2019): results from the National Stroke Registry Programme.The Lancet regional health. Southeast Asia · 2024Article
- Long-term exposure to air pollution and risk of stroke by ecoregions: The REGARDS study.Environmental pollution (Barking, Essex : 1987) · 2024Article
- How stroke-related dysphagia relates to quality of life: the mediating role of nutritional status and psychological disorders, and the moderating effect of enteral nutrition mode.Frontiers in nutrition · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
Rural-urban health disparities in life expectancy are large and increasing, with the rural-urban disparity stroke mortality serving as a potential contributor. Data from Vital Statistics shows an unexplained temporal pattern in the rural-urban disparity in stroke-specific mortality, with the magnitude of the disparity increasing from 15% to 25% between 1999 and 2010, but subsequently decreasing to 8% by 2019. This recent decrease in the magnitude of the rural-urban disparity in stroke mortality appears to be driven by a previously unreported plateauing of stroke mortality in urban areas and a continued decline of stroke mortality in rural areas. There is a need to better understand the contributors to these temporal changes; however, a general lack of temporal data on potential contributors prevents this investigation. However considering contributors to the rural-urban differences pooled across time, an overall a higher stroke incidence in rural areas appears to be a contributor to the higher rural stroke mortality, with this higher incidence potentially associated with a higher prevalence of stroke risk factors in rural areas. Conversely, studies assessing rural-urban disparities in stroke case fatality show smaller and inconsistent associations. To the extent that disparities in case fatality do exist, there are many studies showing rural-urban disparities in stroke care could be contributing. While these data offer insights to the overall rural-urban disparities in stroke mortality, additional data are needed to help understand temporal changes in the magnitude of the rural-urban stroke mortality disparity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.