کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5873305 1144487 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original ArticleThe Influence of Neighborhood Unemployment on Mortality after Stroke
ترجمه فارسی عنوان
مقاله اصلی تأثیر بیکاری ناحیه ای بر مرگ و میر پس از سکته مغزی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مغز و اعصاب بالینی
چکیده انگلیسی

BackgroundFew studies have investigated the impact of neighborhood characteristics on mortality after stroke. Aim of our study was to analyze the influence of district unemployment as indicator of neighborhood socioeconomic status (SES-NH) on poststroke mortality, and to compare these results with the mortality in the underlying general population.MethodsOur analyses involve 2 prospective cohort studies from the city of Dortmund, Germany. In the Dortmund Stroke Register (DOST), consecutive stroke patients (N = 1883) were recruited from acute care hospitals. In the Dortmund Health Study (DHS), a random general population sample was drawn (n = 2291; response rate 66.9%). Vital status was ascertained in the city's registration office and information on district unemployment was obtained from the city's statistical office. We performed multilevel survival analyses to examine the association between district unemployment and mortality.ResultsThe association between neighborhood unemployment and mortality was weak and not statistically significant in the stroke cohort. Only stroke patients exposed to the highest district unemployment (fourth quartile) had slightly higher mortality risks. In the general population sample, higher district unemployment was significantly associated with higher mortality following a social gradient. After adjustment for education, health-related behavior and morbidity was made the strength of this association decreased.ConclusionsThe impact of SES-NH on mortality was different for stroke patients and the general population. Differences in the association between SES-NH and mortality may be partly explained by disease-related characteristics of the stroke cohort such as homogeneous lifestyles, similar morbidity profiles, medical factors, and old age.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Stroke and Cerebrovascular Diseases - Volume 23, Issue 6, July 2014, Pages 1529-1536
نویسندگان
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