The Effect of Socioeconomic Status on Outcome After Stroke

社会经济地位对中风后结果的影响

• 批准号: 7350901
• 负责人: DAWN O KLEINDORFER
• 金额: $ 17.57万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-02-15 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7350901
• 关键词: Acculturation; Acute myocardial infarction; Address; Affect; African American; Age; Alabama; Area; Bankruptcy; Biometry; Caring; Censuses; Cessation of life; Chairperson; Clinical Research; Clinical effectiveness; Communication Barriers; Communities; Coronary Artery Bypass; Crime; Crowding; Data; Development; Diabetes Mellitus; Disease; Doctor of Philosophy; Economics; Education; Educational Status; Epidemiology; Etiology; Europe; Fright; Future; Gender; General Population; Genetic; Goals; Health; Health Benefit; Health Care Costs; Home environment; Household; Incidence; Income; Individual; Institutes; Insurance Coverage; Intervention; Investigation; Kentucky; Knowledge; Life; Link; Literature; Living Wills; Longevity; Measures; Medical; Medical center; Medicine; Mental Depression; Mentors; Methods; Modeling; Netherlands; Neurology; Numbers; Nursing Research; Obesity; Occupations; Outcome; Outcome Study; Outcomes Research; Ownership; Patients; Persons; Pharmaceutical Preparations; Physicians; Population; Postoperative Period; Poverty; Principal Investigator; Procedures; Process; Qualifying; Quality of life; Race; Rate; Recording of previous events; Recovery; Rehabilitation therapy; Research; Research Personnel; Risk Factors; Severities; Social Class; Social support; Socioeconomic Factors; Socioeconomic Status; Sociology; Specialist; Stroke; Survivors; Time; Tobacco; Transportation; United States; Universities; Work; base; cohort; cost; design; diet and exercise; disability; experience; family structure; follow-up; functional outcomes; health care service utilization; health literacy; health related quality of life; improved; innovation; knowledge base; low socioeconomic status; metropolitan; mortality; programs; prospective; psychosocial; socioeconomics; therapy design

Poverty can shorten the average person's life span by up to ten years. In the U. S., the disparity in mortality between social classes has worsened over the last 30 years. However, studies have shown that the general public fears significant disabilityafter stroke more than death, and yet the literatureregarding functional outcome after stroke is much less comprehensive. Low socioeconomic status (SES) has been shown to have a deleterious effect on functional outcome in many other disease processes. Similarly, low SES has been associated with a poorer health-related quality of life (HRQOL) in many diseases. While the HRQL has been examined in several studies regarding stroke, none to date have considered the direct impact of SES on outcome following stroke. Thus, we have identified a significant gap in our knowledgeregarding the effect of SES on outcome and qualityof life in stroke patients. This gap in knowledge makes it difficult to interpret studies of outcome after stroke, or studies of interventions designed to improve outcome after stroke From the literature examining SES in other disease processes, we have reason to believe that socioeconomic status will have a significant impact on functional outcome and quality of life after stroke. Therefore, the next logical step is to study the impact of socioeconomicfactors on functional outcome and quality of life after stroke, We hypothesize that having a lower SES at the time of stroke will negatively impact a stroke patient's functional outcome and HRQOL. We plan to study this question by utilizing a prospective cohort of stroke patients already being collected as part of the larger epidemiology of stroke project underway at the University of Cincinnati. We will evaluate both individual and aggregate indicators of SES, and to construct models describing the effect of these indicators on functional outcome and quality of life. We also plan to study the change over time in SES after stroke. At the completion of this study, we will have determined the effect of SES on a stroke patient's outcome and HRQOL, and will have also determined the most powerful indicators of SES to be used in future studies of SES and stroke: Given theenormous burden of stroke on our nation and the ever-rising costs of health care, the need for a specialist that canbridge the gap between stroke care and socioeconomics is evident. It is my ultimate goal to become an expert in outcomes research andthe socioeconomics of medicine, andto useclinical research to improve the lives of stroke patients from all social classes..

贫困可以将普通人的寿命缩短长达十年。在美国，死亡率差异 在过去的30年中，社会阶层恶化。但是，研究表明，公众担心 严重的残疾人在中风之后而不是死亡，但是中风后的文学作用结果是 不那么全面。低社会经济地位（SES）已被证明对功能有害影响 在许多其他疾病过程中的结果。同样，低SES与健康相关的质量较差有关 许多疾病中的生命（HRQOL）。虽然在几项有关中风的研究中已经检查了HRQL，但没有 日期考虑了SES对中风后结果的直接影响。 因此，我们已经确定了我们的知识差距，使SES对结果和质量的影响 中风患者的生活。知识的差距使得很难解释中风后的结果，或者对 旨在改善文献研究后旨在改善结果的干预措施，检查了其他疾病过程中的SES， 我们有理由相信社会经济地位将对功能结果和质量产生重大影响 中风后的生活。因此，下一个逻辑步骤是研究社会经济因素对功能的影响 中风后的结果和生活质量， 我们假设中风时的SES较低会对中风患者的负面影响 功能结果和HRQOL。我们计划通过使用前瞻性队列来研究这个问题 已经收集的患者是正在进行的中风项目流行病学的一部分 辛辛那提大学。我们将评估SES的个体和汇总指标，并构建 描述这些指标对功能结果和生活质量的影响的模型。我们还计划 研究中风后SES随时间的变化。这项研究完成后，我们将 确定SES对中风患者的结果和HRQOL的影响，还将确定 SES和中风的未来研究中最有力的SES指标：鉴于 对我们国家的中风和不断增加的医疗保健成本，这是对坎布里奇的专家的需求 中风护理和社会经济学是显而易见的。成为成果研究专家，这是我的最终目标 医学的社会经济学，以及用于改善所有社会阶层中风患者的生活的用法研究。