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ESOC 2026 | Ethnic inequalities in stroke incidence: analysis of the South London Stroke Register

Camila Pantoja-Ruiz, MPH, PhD(c), King’s College London, London, UK, discusses a 30-year population-based analysis of the South London Stroke Register exploring ethnic inequalities in stroke incidence. Dr Pantoja-Ruiz highlights that the analysis reveals a gradient of incidence based on both ethnicity and socioeconomic status, with the most vulnerable population being those of Black African ethnicity living in the most deprived areas. This interview took place at the 12th European Stroke Organisation Conference (ESOC) in Maastricht, The Netherlands.

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Transcript

This is an analysis of incidence, which means how many strokes are occurring, new strokes are occurring in this population per year. So we have analyzed this data before in 2002, 2008, and we were seeing that incidence trends were declining for everyone but not for the black population. So we wanted to update that analysis and what we found was that the overall incidence rate of stroke is rising and this is specifically due to a rise in the black African and the black Caribbean populations...

This is an analysis of incidence, which means how many strokes are occurring, new strokes are occurring in this population per year. So we have analyzed this data before in 2002, 2008, and we were seeing that incidence trends were declining for everyone but not for the black population. So we wanted to update that analysis and what we found was that the overall incidence rate of stroke is rising and this is specifically due to a rise in the black African and the black Caribbean populations. And what is happening is that the ethnic inequalities that have existed during the last three decades of observation are just getting wider. And we also wanted to see if this was influenced by socioeconomic status or if it was only by ethnicity. And what we saw was that there is a gradient on ethnicity but there’s also even within each ethnicity a socio-economic gradient so it means like them, like these two factors are not explaining one another but are overlapping to make like the most vulnerable population which is the people from the Black African ethnicity living in the most deprived areas.

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