Evidence map›Paper›PMID 39697175›Full record

ReviewStroke2025

Socioeconomic Status and Stroke: A Review of the Latest Evidence on Inequalities and Their Drivers.

Camila Pantoja-Ruiz, Rufus Akinyemi, Diego I Lucumi-Cuesta, Daniel Youkee, Eva Emmett, Marina Soley-Bori, Wasana Kalansooriya, Charles Wolfe, Iain J Marshall

Abstract readReview
In one paragraph

Review in Stroke, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. A systematic review of causal pathways of socioeconomic inequalities in stroke.International journal of stroke : official journal of the International Stroke Society · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Review
  19. Article
  20. Observational
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

9 authors.

Camila Pantoja-RuizSchool of Life Course and Population Sciences, King's College London, United Kingdom (C.P.-R.).ORCID 0000-0003-4411-466X
Rufus AkinyemiNeuroscience and Ageing Research Unit, Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Nigeria (R.A.).ORCID 0000-0001-5286-428X
Diego I Lucumi-CuestaEscuela de Gobierno, Universidad de los Andes, Bogotá, Colombia (D.I.L.-C.).ORCID 0000-0003-1834-7937
Daniel YoukeeSchool of Life Course and Population Health Sciences, King's College London, United Kingdom (D.Y., E.E., M.S.-B., W.K., C.W., I.J.M.).ORCID 0000-0002-2383-4425
Eva EmmettSchool of Life Course and Population Health Sciences, King's College London, United Kingdom (D.Y., E.E., M.S.-B., W.K., C.W., I.J.M.).ORCID 0000-0001-7228-4469
Marina Soley-BoriSchool of Life Course and Population Health Sciences, King's College London, United Kingdom (D.Y., E.E., M.S.-B., W.K., C.W., I.J.M.).ORCID 0000-0002-8348-3575
Wasana KalansooriyaSchool of Life Course and Population Health Sciences, King's College London, United Kingdom (D.Y., E.E., M.S.-B., W.K., C.W., I.J.M.).ORCID 0000-0002-4328-1450
Charles WolfeSchool of Life Course and Population Health Sciences, King's College London, United Kingdom (D.Y., E.E., M.S.-B., W.K., C.W., I.J.M.).ORCID 0000-0001-8264-0981
Iain J MarshallSchool of Life Course and Population Health Sciences, King's College London, United Kingdom (D.Y., E.E., M.S.-B., W.K., C.W., I.J.M.).

Funding

Recruitment and Retention for Alzheimer's Disease Diversity Genetic Cohorts in the ADSP (READD-ADSP)U19AG074865 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Giuseppe Tosto · 2022 to 2026
$55.3M
Neuroimaging CoreU19AG076581 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GABRIEL Alejandro DE ERAUSQUIN, Gabriela Gonzalez_Aleman · 2023 to 2026
$32.9M
The Origins of Alzheimer Disease in African AmericansR01AG072547 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Rufus Olusola Akinyemi, GOLDIE S. BYRD · 2022 to 2026
$26.1M
African Neurobiobank for Precision Stroke Medicine - (ELSI) ProjectU01HG010273 · NHGRI · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI AKINYEMI, RUFUS OLUSOLA, ARULOGUN, OYEDUNNI SOLA · 2018 to 2022
$512k
NHGRI NIH HHS U01 HG010273NIA NIH HHS R01 AG072547NIA NIH HHS U19 AG074865NIA NIH HHS U19 AG076581
6 · The paper itself

Abstract

The latest research on socioeconomic status (SES) and stroke continues to demonstrate that individuals with low SES are at a higher risk of stroke, receive lower-quality care, and experience poorer outcomes. Despite growing evidence on the impact of SES on stroke, gaps remain in understanding the underlying mechanisms and the influence of SES in different contexts, particularly in low- and middle-income countries. This narrative review builds upon our previous reviews from 2006 to 2015, focusing on studies published since 2015 to update on the influence of SES on stroke. Reports from nationwide or population-based observational studies in the past decade have confirmed that these inequalities persist globally and have provided new evidence on their mechanisms. In high-income countries, inadequate control of cardiovascular risk factors (hypertension, diabetes, obesity, and dyslipidemia) among lower socioeconomic groups has been found to explain much of the inequality in stroke risk. Exposure to particulate air pollution (both environmental and indoor from solid fuel cooking) synergizes with cardiovascular risk factors, especially hypertension, as major causes in low- and middle-income countries. Lower SES is persistently associated with disparities in care and increased poststroke disability and mortality. Lower SES also exacerbates other causes of health inequality among women, ethnic minorities, and migrants. Addressing stroke inequalities requires an interdisciplinary approach. Targeting cardiovascular risk factors, providing equitable quality of acute and rehabilitative stroke care, enacting legislative measures, and implementing societal changes remain leading global priorities.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesSocial ClassStrokeHumansRisk Factorshypertensionmortalityrisk factorssocial classstroke

Identifiers

PMID39697175
PMCPMC11850189

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.