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Disparity in outcomes reported for women, black stroke survivors
Roth D. Stroke. 2011; doi:10.1161/STROKEAHA.110.595322.
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Among incident stroke survivors with family caregivers, women and blacks were at heightened risk for poor outcomes at 1 year after a first-time stroke event vs. men and white survivors, according to new data published in Stroke.
The study participants included 112 survivors of incident stroke from the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) project. The survivors were community-dwelling residents from 28 states who had family caregivers and incident stroke events between Nov. 15, 2004, and Sept. 10, 2009.
Study data revealed a significantly higher percentage of white stroke survivors living with their family caregiver than black survivors (76% vs. 43%; P=.0003). After controlling for age, education and whether the stroke survivors lived with their primary family caregivers, researchers reported that blacks had worse outcomes than whites, and women had worse outcomes than men (P<.05 for both race and gender effects).
“Our results show that previously found race and gender differences in long-term stroke outcome are apparent, even when studied in a prospective population-based sample, and even when a family caregiver is available to all participants,” the researchers wrote. “Future research should more closely examine the mechanisms behind these differences, including more detailed assessments of the involvement of family caregivers and other cultural and demographic factors that may affect service utilization and recovery from stroke.”
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