Abstract:
Background and Purpose:Blacks have a higher burden of post-stroke disability. Factors associated with racial differences in long-term post-stroke disability are not well-understood. Our aim was to assess the long-term racial differences in risk factors associated with stroke recovery. Methods:We examined Health and Retirement Study (HRS) longitudinal interview data collected from adults living with stroke who were aged >50 years during 2000-2014. Analysis of 1,002 first-time, non-Hispanic, Black (210) or White (792) stroke survivors with data on activities of daily living (ADL), fine motor skills (FMS) and gross motor skills (GMS) was conducted. Ordinal regression analysis was used to assess the impact of sex, race, household residents, household income, comorbidities, and the time since having a stroke on functional outcomes. Results:Black stroke survivors were younger compared with Whites (69 ± 10.4 vs 75 ± 11.9). The majority (~65%) of Black stroke survivors were female compared with about 54% White female stroke survivors (P=.007). Black stroke survivors had more household residents (P<.001) and comorbidities (P<.001). Aging, being female, being Black and a longer time since stroke were associated with a higher odds of having increased difficulty in ADL, FMS and/or GMS. Comorbidities were associated with increased difficulty with GMS. Black race increased the impact of comorbidities on ADL and FMS in comparison with Whites. Conclusion:Our data suggest that the effects of aging, sex and unique factors associated with race should be taken into consideration for future studies of post-stroke recovery and therapy.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Buie JNJ,Zhao Y,Burns S,Magwood G,Adams R,Sims-Robinson C,Lackland DT,WISSDOM Research Center Study Group.doi
10.18865/ed.30.2.339subject
Has Abstractpub_date
2020-04-23 00:00:00pages
339-348issue
2eissn
1049-510Xissn
1945-0826pii
ed.30.2.339journal_volume
30pub_type
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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doi:
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journal_title:Ethnicity & disease
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doi:
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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