ArticleEquity neuroscience2026
Quality of life indicators among recent Ghanaian stroke survivors across 10 hospitals: A cross-sectional study.
Article in Equity neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Despite the increased burden of stroke in sub-Saharan Africa, studies assessing patient-centered outcomes such as quality of life (QoL) in the population are limited. We sought to assess the QoL, compare domain scores by sex, as well as their determinants among recent stroke survivors in Ghana. Methods: This multi-centre cross-sectional study was conducted in 10 health facilities in Ghana. We used the European Quality of Life Scale-5 Dimensions (EQ-5D) to assess the QoL among 500 individuals who had survived a stroke within one month of symptom onset and had uncontrolled hypertension. Factors significantly associated with QoL were assessed using multivariable linear regression. Results: The mean age of males was 58.0 (±11.0) vs 59.0 (±12.0) years among the females. Usual activity (1.9 ± 0.7) and mobility (1.8 ± 0.7) had the highest mean scores for perceived problems, whereas anxiety/depression (1.4 ± 0.6) had the lowest. Over half (56.1%) of the stroke survivors rated their EQ-VAS score at or above the median. After adjusting for significant covariates in the multivariate linear regression analysis, female sex ( Conclusion: Functional independence, sociodemographic factors, and sex affect the QoL of this cohort of recent stroke survivors with uncontrolled hypertension in Ghana. Living in urban areas, higher functional independence, female sex, and higher income were associated with better QoL. In contrast, having an untyped CT scan was associated with lower QoL among women. Socioeconomic factors and prior health problems in recent stroke survivors significantly influence QoL. Post-stroke QoL may be enhanced by strategies that improve functional recovery and address the social determinants of health.
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