The Effect of Socioeconomic Status on Outcome After Stroke

贫穷可使人的平均寿命缩短10年。在美国美国，死亡率的差异， 在过去的30年里，社会阶层恶化了。然而，研究表明， 卒中后的显著残疾多于死亡，然而关于卒中后功能结局的文献 更不全面。低社会经济地位（SES）已被证明对功能性 在许多其他疾病的过程中。同样，低社会经济地位与较差的健康相关质量有关 生命质量（HRQOL）在许多疾病中的作用。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 研究人员已经考虑了SES对卒中后结局的直接影响。 因此，我们已经确定了一个显着的差距，在我们的知识，关于社会经济地位的影响，结果和质量， 中风患者的生活。这种知识上的差距使得很难解释中风后结果的研究，或者 旨在改善中风后结果的干预从研究其他疾病过程中SES的文献中， 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。 中风后的结果和生活质量， 我们假设中风时SES较低会对中风患者的 功能结果和HRQOL。我们计划利用一个前瞻性的中风队列研究这个问题 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。我们将评估社会经济地位的个体和总体指标，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 研究中风后SES随时间的变化。在这项研究完成后，我们将有 确定了SES对卒中患者结局和HRQOL的影响，也将确定 在未来SES和卒中研究中使用的最有力的SES指标： 中风对我们的国家和不断上升的医疗保健费用，需要一个专家，可以弥合之间的差距 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一名成果研究专家， 社会经济学的医学，并利用临床研究，以改善生活的中风患者从所有社会阶层。

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..