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Published on: May 22, 2019
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Ethnic Differences in Prevalence of Post-stroke Depression
Liming Dong1, Brisa N Sánchez2, Lesli E Skolarus3
1From the Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan
Circulation. Cardiovascular Quality and Outcomes
|January 27, 2018
Summary
Mexican Americans (MAs) experienced higher rates of poststroke depression (PSD) than non-Hispanic whites (NHWs). This ethnic disparity in depression after stroke was largely attributed to socioeconomic and health factors, particularly education level.
Area of Science:
- Neurology
- Public Health
- Psychiatry
Background:
- Ethnic disparities in poststroke depression (PSD) in the U.S. are not well understood.
- This study addresses the knowledge gap regarding PSD prevalence across different ethnic groups.
Purpose of the Study:
- To estimate the prevalence of PSD 90 days after a first-ever stroke.
- To compare PSD prevalence between Mexican Americans (MAs) and non-Hispanic whites (NHWs).
Main Methods:
- Utilized data from the Brain Attack Surveillance in Corpus Christi (BASIC) project (2011-2015).
- Assessed PSD using the Patient Health Questionnaire-8 at 90 days post-stroke.
- Employed weighted logistic regression to analyze ethnic differences in PSD, accounting for attrition.
Main Results:
- The study included 586 first-ever stroke patients (60% MAs, 40% NHWs).
- Prevalence of PSD at 90 days was 30.4% for MAs versus 20.7% for NHWs.
- Crude odds of PSD were higher in MAs (OR=1.69), but this difference diminished after adjusting for education and other factors.
Conclusions:
- Mexican Americans exhibited a higher prevalence of PSD compared to non-Hispanic whites.
- Sociodemographic and health factors, especially educational attainment, explained the observed ethnic differences in PSD.
![Autoradiographic Measurements of [14C]-Iodoantipyrine in Rat Brain Following Central Post-Stroke Pain](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F53947.jpg&w=3840&q=50)
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