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Published on: December 16, 2022
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.
Background:
Stroke is a leading cause of long-term disability in the United States. Little is known about the broader economic consequences of stroke across the life course.
Methods:
We examined data from the Medical Expenditure Panel Survey (MEPS) (2020-2022) to explore differences in labor force participation, hours worked, and income among those with no history of stroke, young stroke (
Results:
We found that stroke survivors exhibited significantly worse economic outcomes. Young stroke survivors had 44% lower odds of labor force participation (OR = 0.56, 95% CI: 0.41 to 0.77), worked 4.83 fewer hours per week (95% CI: -8.43 to -1.24), and earned $9,776 less annually (95% CI: -$14,416 to -$5,136). Older stroke survivors also had 69% lower odds of labor force part+icipation (OR = 0.31, 95% CI: 0.22 to 0.42), work fewer hours (-11.90 hours/week, 95% CI: -15.04 to -8.76), and had significantly lower income (-$7,761, 95% CI: -$12,729 to -$2,794). Results remained robust across stratified models. Other significant predictors of economic disadvantage included public or no insurance, female gender, lower educational attainment, and a higher comorbidity burden.
Conclusions:
We conclude that stroke has profound and persistent economic consequences across the life course regardless of age.
