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Association of Unfavorable Social Determinants of Health With Stroke/Transient Ischemic Attack and Vascular Risk Factors in Hispanic/Latino Adults: Results From Hispanic Community Health Study/Study of Latinos

Social determinants of health (SDOH) are non-medical factors that may contribute to the development of diseases, with a higher representation in underserved populations. Our objective is to determine the association of unfavorable SDOH with self-reported stroke/transient ischemic attack (TIA) and va...

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Published in:Journal of stroke 2023-09, Vol.25 (3), p.361-370
Main Authors: Trifan, Gabriela, Gallo, Linda C, Lamar, Melissa, Garcia-Bedoya, Olga, Perreira, Krista M, Pirzada, Amber, Talavera, Gregory A, Smoller, Sylvia W, Isasi, Carmen R, Cai, Jianwen, Daviglus, Martha L, Testai, Fernando D
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Language:English
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Summary:Social determinants of health (SDOH) are non-medical factors that may contribute to the development of diseases, with a higher representation in underserved populations. Our objective is to determine the association of unfavorable SDOH with self-reported stroke/transient ischemic attack (TIA) and vascular risk factors (VRFs) among Hispanic/Latino adults living in the US. We used cross-sectional data from the Hispanic Community Health Study/Study of Latinos. SDOH and VRFs were assessed using questionnaires and validated scales and measurements. We investigated the association between the SDOH (individually and as count: ≤1, 2, 3, 4, or ≥5 SDOH), VRFs and stroke/TIA using regression analyses. For individuals with stroke/TIA (n=388), the mean age (58.9 years) differed from those without stroke/TIA (n=11,210; 46.8 years; P
ISSN:2287-6391
2287-6405
DOI:10.5853/jos.2023.00626