Neurology: Poor community environment may increase the risk of stroke

Although medical advances and prevention work has long been reduced brain stroke incidence, but social differences contemporary incidence of stroke is still evident.
In the United States, the incidence of stroke among white Americans has fallen more significantly than that of black Americans.
At the same time, in the United States and European countries, adults from lower socioeconomic status (SES) have a higher risk of stroke than adults from higher socioeconomic status.

Prevent stroke

The expansion of social differences in the incidence of stroke may be related to background and structural factors.
Neighborhood SES (nSES) is an important predictor of individual health.
Areas with low nSES tend to have fewer health-promoting facilities, such as community centers, sports facilities, and less social capital.
A health-promoting environment may be related to healthy behaviors and subsequent health outcomes, including stroke events.
In the past two decades, as neighborhood health research has become more prominent, recent studies have explored the link between nSES and stroke.

Studies have found an association between SES and stroke incidence at the individual and neighborhood levels.
However, these reviews included studies that did not control SES at the individual level, examining the role of nSES in stroke incidence.
Ignoring individual-level SES is likely to lead to biases in the estimation of the true relationship between nSES and stroke risk, because individual-level SES is positively correlated with nSES and inversely proportional to stroke risk.
In addition, there is no retrospective study investigating the mediators and moderators of nSES-stroke incidence, which can be used as the main points of policy and program intervention.

In addition, there is no retrospective study investigating the mediators and moderators of nSES-stroke incidence, which can be used as the main points of policy and program intervention.
In addition, there is no retrospective study investigating the mediators and moderators of nSES-stroke incidence, which can be used as the main points of policy and program intervention.

Yeonwoo Kim and others of the University of Texas found through meta-analysis that overall nSES is highly correlated with stroke events in Sweden and Japan, but not in the United States.

In Sweden and Japan, overall nSES and stroke events are highly correlated, but not in the United States.
In Sweden and Japan, overall nSES and stroke events are highly correlated, but not in the United States.

When nSES-stroke event associations are stratified by race, the results are uncertain.
In addition, evidence of the mediating role of biological factors in the nSES-stroke event association was found.

When nSES-stroke event associations are stratified by race, the results are uncertain.
In addition, evidence of the mediating role of biological factors in the nSES-stroke event association was found.
When nSES-stroke event associations are stratified by race, the results are uncertain.
In addition, evidence of the mediating role of biological factors in the nSES-stroke event association was found.

The important significance of this study is that a poor community environment is indeed associated with a higher risk of stroke, but it cannot be generalized.

The relationship between nSES and stroke risk in different ethnic groups in the United States is still inconclusive.

neurology.

org/content/early/2021/03/25/WNL.
0000000000011892" target="_blank" rel="noopener">Neighborhood Socioeconomic Status and Stroke Incidence: A Systematic Review

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