Neighborhood Socioeconomic Status and Stroke Incidence: A Systematic Review
- PMID: 33766995
- PMCID: PMC8166445
- DOI: 10.1212/WNL.0000000000011892
Neighborhood Socioeconomic Status and Stroke Incidence: A Systematic Review
Abstract
Objective: To summarize overall patterns of the impact of neighborhood socioeconomic status (nSES) on stroke incidence and uncover potential gaps in the literature, we conducted a systematic review of studies examining the association between nSES and stroke incidence, independent of individual SES.
Methods: Four electronic databases and reference lists of included articles were searched, and corresponding authors were contacted to locate additional studies. A keyword search strategy included the 3 broad domains of neighborhood, SES, and stroke. Eight studies met our inclusion criteria (e.g., nSES as an exposure, individual SES as a covariate, and stroke incidence as an outcome). We coded study methodology and findings across the 8 studies.
Results: The results provide evidence for the overall nSES and stroke incidence association in Sweden and Japan, but not within the United States. Findings were inconclusive when examining the nSES-stroke incidence association stratified by race. We found evidence for the mediating role of biological factors in the nSES-stroke incidence association.
Conclusions: Higher neighborhood disadvantage was found to be associated with higher stroke risk, but it was not significant in all the studies. The relationship between nSES and stroke risk within different racial groups in the United States was inconclusive. Inconsistencies may be driven by differences in covariate adjustment (e.g., individual-level sociodemographic characteristics and neighborhood-level racial composition). Additional research is needed to investigate potential intermediate and modifiable factors of the association between nSES and stroke incidence, which could serve as intervention points.
© 2021 American Academy of Neurology.
Figures
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Comment in
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Neighborhood Socioeconomic Differences in Stroke Risk? Highlighting the Need for Further Research.Neurology. 2021 May 11;96(19):879-880. doi: 10.1212/WNL.0000000000011887. Epub 2021 Mar 25. Neurology. 2021. PMID: 33766990 No abstract available.
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References
-
- Marshall IJ, Wang Y, Crichton S, McKevitt C, Rudd AG, Wolfe CD. The effects of socioeconomic status on stroke risk and outcomes. Lancet Neurol 2015;14:1206–1218. - PubMed
-
- Agyemang C, van Oeffelen AA, Norredam M, et al. . Socioeconomic inequalities in stroke incidence among migrant groups: analysis of nationwide data. Stroke 2014;45:2397–2403. - PubMed
-
- Avendano M, Kawachi I, Van Lenthe F, et al. . Socioeconomic status and stroke incidence in the US elderly: the role of risk factors in the EPESE study. Stroke 2006;37:1368–1373. - PubMed
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