Evidence map›Paper›PMID 34455820›Full record

ArticleStroke2021

Ethnic Differences in Informal Caregiving After Stroke.

Lewis B Morgenstern, Cecilia N Hollenhorst, Linda C Gallo, Chia-Wei Hsu, Sehee Kim, River Gibbs, Erin Case, Lynda D Lisabeth

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Ethnic Differences in Postacute Stroke Rehabilitation.Archives of physical medicine and rehabilitation · 2026
    Observational
  2. Article
  3. Stroke Caregiver Needs in a Population-Based Study.Journal of the American Heart Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Lewis B MorgensternUniversity of Michigan Medical School, Ann Arbor (L.B.M., C.N.H., L.D.L.).ORCID 0000-0002-5787-592X
Cecilia N HollenhorstUniversity of Michigan Medical School, Ann Arbor (L.B.M., C.N.H., L.D.L.).ORCID 0000-0002-1135-757X
Linda C GalloSan Diego State University, CA (L.C.G.).ORCID 0000-0002-3678-5888
Chia-Wei HsuUniversity of Michigan School of Public Health, Ann Arbor (L.B.M., C.-W.H., R.G., E.C., L.D.L.).ORCID 0000-0002-0493-9870
Sehee KimAsian Medical Center, Seoul, South Korea (S.K.).
River GibbsUniversity of Michigan School of Public Health, Ann Arbor (L.B.M., C.-W.H., R.G., E.C., L.D.L.).
Erin CaseUniversity of Michigan School of Public Health, Ann Arbor (L.B.M., C.-W.H., R.G., E.C., L.D.L.).
Lynda D LisabethUniversity of Michigan Medical School, Ann Arbor (L.B.M., C.N.H., L.D.L.).
University of Michigan · USAsian Hospital and Medical Center · PHSan Diego State University · US

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
Improving Post-Acute Care to Reduce Ethnic Stroke DisparitiesR01NS107463 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 2019 to 2023
$3.3M
NINDS NIH HHS R01 NS038916NINDS NIH HHS R01 NS107463
6 · The paper itself

Abstract

background and purposeInformal (unpaid) caregiving usually provided by family is important poststroke. We studied whether the prevalence of informal caregiving after stroke differs between Mexican Americans (MAs) and non-Hispanic Whites (NHWs).

methodsBetween October 2014 and December 2018, participants in the BASIC (Brain Attack Surveillance in Corpus Christi) project in Nueces County, Texas, were interviewed 90 days after stroke to determine which activities of daily living they required help with and whether family provided informal caregiving. Ethnic differences between MAs and NHWs were determined by logistic regression. The logistic models were stratified by formal (paid) care status. Odds ratios (95% CIs) are reported with NHW as the referent group. Fisher exact tests were used to assess the association of ethnicity with relationship of caregiver and with individual activities of daily living.

resultsEight hundred thirty-one patients answered the caregiving questions. Of these, 242 (29%) received family caregiving (33% of MAs and 23% of NHWs), and 142 (17%) received paid caregiving (21% of MAs and 10% of NHWs). There were no ethnic differences in stroke severity. In logistic regression analyses, among those without formal, paid care, MAs were more likely to have informal caregiving (odds ratio, 1.75 [95% CI, 1.12-2.73]) adjusted for age, National Institutes of Health Stroke Scale, prestroke modified Rankin Scale, and insurance. No ethnic differences in informal care were found among those who had formal care. There were no differences between ethnic groups in which family members provided the informal care. MAs were more likely to require help compared with NHWs for walking (

conclusionsMAs required more help poststroke than NHWs for assistance with activities of daily living. MAs received more help for activities of daily living through informal, unpaid caregiving than NHWs if they were not also receiving formal, paid care. Efforts to help minority and low-resource populations provide stroke care are needed.

Indexed as

FamilyStrokeCaregiversEthnicityHumansMexican AmericansSurveys and QuestionnairesWhite Peopleactivities of daily livingcaregiversHispanic Americansstrokevulnerable populations

Identifiers

PMID34455820
PMCPMC8608706
OpenAlexW3198734046

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.