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Economic well-being after stroke: differences by age of onset
1Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Topics in Stroke Rehabilitation
|April 3, 2026
Summary
Stroke significantly impacts economic stability, reducing labor force participation, work hours, and income for survivors of all ages. These long-term economic consequences highlight the need for continued support and research into stroke
Area of Science:
- Public Health
- Health Economics
- Epidemiology
Background:
- Stroke is a primary cause of long-term disability in the U.S.
- The comprehensive economic effects of stroke throughout an individual's life remain understudied.
Purpose of the Study:
- To investigate the economic consequences of stroke across the life course.
- To compare labor force participation, work hours, and income among individuals with no stroke history, young stroke survivors (<50), and older stroke survivors (≥50).
Main Methods:
- Utilized data from the Medical Expenditure Panel Survey (MEPS) spanning 2020-2022.
- Employed generalized linear models (GLMs) and two-part models to analyze economic outcomes, adjusting for demographic and health factors.
- Conducted robustness checks through age and retirement status stratification.
Main Results:
- Stroke survivors experienced significantly worse economic outcomes compared to non-survivors.
- Young stroke survivors had 44% lower odds of labor force participation, worked fewer hours, and earned less annually.
- Older stroke survivors faced a 69% reduction in labor force participation, fewer work hours, and lower income.
Conclusions:
- Stroke imposes substantial and lasting economic burdens across the entire lifespan.
- Factors such as insurance status, gender, education, and comorbidity burden also predict economic disadvantage post-stroke.
