Cookies?
Library Header Image
LSE Research Online LSE Library Services

Disparities in stroke preventive care in general practice did not explain socioeconomic disparities in stroke

Avendano, Mauricio and Boshuizen, Hendriek C. and Schellevis, F. G. and Mackenbach, Johan P. and van Lenthe, Frank J. and van den Bos, G. A. M. (2006) Disparities in stroke preventive care in general practice did not explain socioeconomic disparities in stroke. Journal of Clinical Epidemiology, 59 (12). pp. 1285-1294. ISSN 0895-4356

Full text not available from this repository.

Identification Number: 10.1016/j.jclinepi.2006.03.010

Abstract

Objective To assess socioeconomic disparities in stroke incidence and in the quality of preventive care for stroke in the Netherlands. Study Design and Settings A total of 190,664 patients who registered in 96 general practices were followed up for 12 months. Data were collected on diagnoses, referrals, prescriptions, and diagnostic procedures. Hazard ratios (HR) were calculated to assess the association between educational level and stroke incidence. Multilevel logistic regression was used to assess socioeconomic disparities in the quality of preventive care for stroke precursors. Results Lower educational level was associated with higher incidence of stroke in men (HR = 1.36, 95% CI = 1.06–1.74) but not in women. Among both men and women, there were socioeconomic disparities in the prevalence of hypertension, hypercholesterolemia, diabetes, angina pectoris, heart failure, and peripheral artery disease. Lower educated hypercholesterolemia patients under medication were less likely to be prescribed statins (odds ratio = 0.62, 95% CI = 0.42–0.91). However, for other precursors of stroke, there were no major disparities in the quality of preventive care. Conclusion There are socioeconomic disparities in stroke incidence among men but not among women. Socioeconomic differences in factors such as hypertension and diabetes are likely to contribute to stroke disparities. However, general practitioners(GPs) provide care of a similar quality to patients from different socioeconomic groups.

Item Type: Article
Official URL: http://www.elsevier.com/wps/find/journaldescriptio...
Additional Information: © 2006 Elsevier
Subjects: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Research centres and groups > ALPHA (Ageing, Lifecourse and Population Health Analysis)
Date Deposited: 15 Jun 2011 13:49
Last Modified: 29 May 2015 16:00
URI: http://eprints.lse.ac.uk/id/eprint/36740

Actions (login required)

View Item View Item