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Sex differences in stroke: a socioeconomic perspective
Ahmad Delbari1, Farzane Keyghobadi2, Yadollah Abolfathi Momtaz3
1Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Clinical Interventions in Aging
|September 24, 2016
Summary
Elderly women experience higher stroke incidence and poorer outcomes compared to men, linked to socioeconomic factors. Addressing these disparities is crucial for targeted interventions and improved care for vulnerable older women.
Area of Science:
- Gerontology
- Neurology
- Public Health
Background:
- Existing research on sex differences in stroke lacks comprehensive understanding.
- Socioeconomic status and living conditions are potential contributing factors to observed sex disparities in stroke.
Purpose of the Study:
- To investigate the role of socioeconomic status and living conditions in sex differences in stroke incidence and outcomes among the elderly.
- To assess disparities in stroke occurrence and prognosis between older men and women.
Main Methods:
- Study included 159 elderly stroke patients (≥60 years) admitted to Vaseie Hospital, Iran (2013-2014).
- Stroke diagnosis confirmed via computerized tomography and magnetic resonance imaging.
- Statistical analysis, including chi-squared tests, was performed using SPSS v21.0 to compare incidence and outcomes between sexes.
Main Results:
- Annual stroke incidence was significantly higher in elderly women (401/100,000) than men (357/100,000) (P<0.001).
- Elderly women exhibited lower socioeconomic status, poorer living conditions, and higher prevalence of depression, hypertension, and diabetes mellitus.
- These factors suggest a link between socioeconomic and environmental conditions and stroke disparities in older women.
Conclusions:
- Elderly women face a greater burden from stroke regarding incidence and outcomes compared to elderly men.
- Socioeconomic status and living conditions significantly contribute to increased stroke incidence and poorer outcomes in elderly women.
- Identifying and supporting vulnerable elderly women is essential for effective stroke management and prevention strategies.
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