Does Your Neighborhood Affect Your Stroke Recovery?

A blood clot forms in the carotid artery. Credit: copyright American Heart Association

Stroke survivors living in areas with low socioeconomic status (household income, education level, and areas with low occupational status) recover poorer at 3 months after stroke than those living in areas with high socioeconomic status. There is a possibility. Online version of April 28, 2021 Neurology.. The findings were applied to people with moderate to severe strokes, not those with mild strokes.

“People in disadvantaged areas tend to have more disabilities, poorer quality of life, and more symptoms of depression than people in disadvantaged areas,” said Dr. Linda D. Rezabeth, a research author at the University of Michigan. “. Ann Arbor. “This may include reduced access to nearby public spaces, increased noise pollution, reduced access to support services, and a reduced level of perceived safety. Further research to identify the driving factors and the health and quality of life of people who have experienced moderate to severe strokes and who have the dual burden of living in socio-economically disadvantaged areas. Improve.”

The study enrolled 776 people who had a stroke in Nueces County, Texas. Neighboring socio-economic levels were determined based on census information. Three months after the stroke, people were interviewed about how well they completed activities of daily living such as bathing, changing clothes, and cooking. They were also asked about quality of life and symptoms of depression.

People living in higher socio-economic neighborhoods performed better than those living in lower socio-economic neighborhoods.

Scores range from 0 to 4 to assess how well people can complete their daily activities, with lower scores indicating better functioning. The average score of the neighbors with the highest socioeconomic level was 1.7 points, while the average score of the neighbors with the lowest socioeconomic level was 2.1 points, indicating low independence. After adjusting for factors that may affect the score, such as age, number of other medical conditions, and functioning of pre-stroke people, living in a higher socio-economic area compared to a lower socio-economic area is moderate. It was associated with a 0.27 high score among moderate to moderate people. Severe stroke.

To assess the symptoms of depression, scores range from 0 to 24, with lower scores meaning fewer symptoms. The average score for neighbors with the highest socioeconomic levels was 13.9, while the average score for neighbors with the lowest socioeconomic levels was 16.2. Living in higher socio-economic areas compared to lower socio-economic areas after adjusting for age, other medical conditions, and pre-stroke function is associated with a 1.77 lower score for patients with moderate to severe stroke. Was there. Higher socio-economic neighbors also had better scores in assessing quality of life.

“It’s interesting to note that when we adjusted the severity of the stroke, the results were largely unaffected, because a decline in socioeconomic status did not lead to worsening of the stroke,” said Rezabeth. , Suggesting that it leads to worse results. Another mechanism is involved. “

The limitation of the study was that it did not consider whether people moved during the post-stroke time and did not consider the type of post-acute care they received after the stroke.

For blacks with respiratory illness, poverty in individuals and in the neighborhood has worse consequences

Courtesy of the American Academy of Neurology

Quote: Does Your Neighborhood Affect Your Stroke Recovery? (April 28, 2021) Obtained April 28, 2021 from

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Does Your Neighborhood Affect Your Stroke Recovery?

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