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Lost Productivity in Stroke Survivors: An Econometrics Analysis
Manav V Vyas1, Daniel G Hackam, Frank L Silver
1Division of Neurology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Neuroepidemiology
|December 20, 2016
Summary
Stroke survivors face significant employment challenges, earning lower wages and experiencing reduced employability. Targeted vocational rehabilitation and return-to-work policies are crucial for addressing lost productivity in this population.
Area of Science:
- Public Health
- Health Economics
- Epidemiology
Background:
- Stroke imposes a considerable economic burden on society.
- Reduced productivity among stroke survivors is a major factor in indirect stroke-related costs.
Purpose of the Study:
- To characterize employment and productivity in stroke survivors.
- To identify factors influencing employability in individuals post-stroke.
Main Methods:
- Utilized the Canadian Community Health Survey (2011-2012) to identify stroke survivors and their employment status.
- Employed multivariable logistic and Heckman models to analyze the impact of stroke on employment, employability, work hours, and wages.
Main Results:
- Stroke survivors were less likely to be employed (aOR 0.39) and earned 17.5% lower hourly wages.
- No significant association was found between stroke and weekly work hours.
- Older age, unmarried status, and comorbidities were linked to lower employment odds in stroke survivors.
Conclusions:
- Stroke survivors experience decreased employment rates and lower hourly wages compared to the general population.
- Interventions focusing on vocational rehabilitation and return-to-work policies are recommended to mitigate productivity losses.

