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Racial and ethnic differences in post-stroke subjective cognitive decline exist.

Suzanne Perea Burns1, Martina Mueller2, Gayenell Magwood2

  • 1WISSDOM Center, Medical University of South Carolina, Charleston, USA; School of Occupational Therapy, Texas Woman's University, Denton, USA.

Disability and Health Journal
|August 18, 2018
PubMed
Summary

Racial and ethnic minorities, including Black, American Indian/Alaska Native, and Hispanic individuals, reported higher rates of post-stroke cognitive decline impacting daily life compared to White individuals. This highlights significant disparities in stroke recovery and cognitive health outcomes.

Keywords:
Activities of daily livingCognitive declineHealth status disparitiesMinority healthStroke

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Area of Science:

  • Neurology
  • Public Health
  • Health Disparities

Background:

  • Racial and ethnic minorities experience worse post-stroke outcomes.
  • Limited research exists on racial and ethnic disparities in post-stroke cognitive decline.

Purpose of the Study:

  • To investigate racial and ethnic disparities in post-stroke subjective cognitive decline (SCD).
  • Utilize data from the Behavioral Risk Factor Surveillance System (BRFSS) for analysis.

Main Methods:

  • Retrospective analysis of 2016 BRFSS data from adults reporting stroke and SCD.
  • Descriptive statistics and chi-squared tests for baseline comparisons.
  • Binary logistic regression to assess racial and ethnic differences in SCD, controlling for covariates.

Main Results:

  • Significant racial and ethnic differences in SCD were observed.
  • Blacks, American Indians/Alaska Natives (AI/ANs), and Hispanics reported more frequent cognitive decline impacting daily activities compared to Whites.
  • AI/ANs with SCD had greater access to available help; Hispanics with SCD were more likely to discuss it with healthcare providers.

Conclusions:

  • While all groups experienced SCD, Black, AI/AN, and Hispanic individuals reported a greater negative impact on daily functioning.
  • Disparities in post-stroke cognitive decline persist among minority populations.