The Effect of Socioeconomic Status on Outcome After Stroke

贫困会使普通人的寿命缩短长达十年。在美国，两国之间的死亡率差距 在过去的30年里，社会阶层一直在恶化。然而，研究表明，普通公众担心 卒中后的显著残疾多于死亡，而文献中关于卒中后功能结局的文献是 远没有那么全面。低社会经济地位(SES)已被证明对功能有有害的影响 在许多其他疾病过程中的结果。同样，低SES与较差的健康相关质量有关 许多疾病的生活质量(HRQOL)。虽然HRQL已经在几项关于中风的研究中进行了检查，但没有一项研究 Date已经考虑了SES对卒中后预后的直接影响。 因此，我们在关于SES对结果和质量的影响的知识上发现了一个显著的差距 中风患者的生活。这种认识上的差距使得对中风后结局的研究或对 旨在改善卒中后预后的干预措施来自于研究SES在其他疾病过程中的文献， 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，下一个合乎逻辑的步骤是研究社会经济因素对功能的影响 中风后的结局和生活质量， 我们假设中风时有较低的SES会对中风患者的 功能结局和HRQOL。我们计划利用中风的前瞻性队列来研究这个问题。 患者已经被收集作为正在进行的更大的中风流行病学项目的一部分 辛辛那提大学。我们将对SES的个别指标和综合指标进行评估，并构建 描述这些指标对功能结果和生活质量影响的模型。我们还计划 研究卒中后SES随时间的变化。在这项研究完成后，我们将拥有 确定了SES对中风患者预后和HRQOL的影响，并将决定 将在未来对SES和中风的研究中使用的最强大的SES指标：鉴于 中风对我们国家和不断上涨的医疗费用，对专科医生的需求，北海康成制药之间的差距 中风护理和社会经济学是显而易见的。我的最终目标是成为成果研究方面的专家， 医学的社会经济学，并利用临床研究来改善来自各个社会阶层的中风患者的生活。

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..