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Geriatrics 2017, 2(2), 16; doi:10.3390/geriatrics2020016

Racial Differences in Patient-Reported Post-Stroke Disability in Older Adults

1
Department of Communication Sciences & Disorders, College of Allied Health Sciences, East Carolina University, 3310H Health Sciences Building, MS 668, Greenville, NC 27834, USA
2
College of Nursing, Medical University of South Carolina, 97 Jonathan Lucas Ave, Charleston, SC 29425, USA
3
Division of Healthcare Studies, College of Health Professions, Medical University of South Carolina, 151-B Rutledge Ave, Charleston, SC 29425, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Phyo Kyaw Myint and Ralf Lobmann
Received: 1 March 2017 / Revised: 24 April 2017 / Accepted: 21 May 2017 / Published: 23 May 2017
(This article belongs to the Special Issue Stroke in Ageing)
View Full-Text   |   Download PDF [216 KB, uploaded 27 May 2017]

Abstract

Longstanding disparities have been reported in stroke-related outcomes with blacks experiencing more post-stroke disabilities. Little is known about long-term disability outcomes among older stroke survivors. This study was a retrospective analysis of data from the 2015 National Health Interview Survey (NHIS). A group of 655 stroke survivors (541 white and 114 black) age 65 and older were asked to rate their ability to complete 10 functional tasks without special equipment. Univariate comparisons were completed using t-tests and chi-square statistics for racial comparisons of disability reports. Multinomial logistic regression was used to determine odds of reporting disability after controlling for relevant covariates. The mean age of the sample was 76.6 years. After controlling for relevant covariates, white stroke survivors were less likely to report the following tasks being “very difficult/can’t do at all” without using special equipment compared to blacks: reach overhead (OR = 0.39, 95% CI 0.23–0.65; p = 0.000) and grasp small objects (OR = 0.42, 95% CI 0.25–0.73; p = 0.002). Both black and white older stroke survivors experience significant post-stroke disability across a range of functional tasks. Slightly greater long term post-stroke disability appears to exist among older blacks. View Full-Text
Keywords: stroke; race; disparities; outcomes stroke; race; disparities; outcomes
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Ellis, C.; Magwood, G.; White, B.M. Racial Differences in Patient-Reported Post-Stroke Disability in Older Adults. Geriatrics 2017, 2, 16.

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