ESOC 2026 | Causal mechanisms of socioeconomic inequalities in post-stroke outcomes
Camila Pantoja-Ruiz, MPH, PhD(c), King’s College London, London, UK, discusses findings from a study investigating the causal mechanisms underlying socioeconomic inequalities in post-stroke outcomes. Dr Pantoja-Ruiz highlights that cardiovascular risk factors are the primary drivers of these inequalities and emphasises that an improved equality framework is required to address this. This interview took place at the 12th European Stroke Organisation Conference (ESOC) in Maastricht, The Netherlands.
These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.
Transcript
So we have seen that there are differences in post-stroke outcomes, specifically in terms of independence after stroke and mental health outcomes, depending on socio-economic circumstances where people live, and we have seen that people living in the most deprived areas are getting worse outcomes at one year and at five years after stroke. So we wanted to investigate what was like the causal mechanism of these differences...
So we have seen that there are differences in post-stroke outcomes, specifically in terms of independence after stroke and mental health outcomes, depending on socio-economic circumstances where people live, and we have seen that people living in the most deprived areas are getting worse outcomes at one year and at five years after stroke. So we wanted to investigate what was like the causal mechanism of these differences. So for doing that, we did some modeling on the trajectories to see if it was like access to rehabilitation or access to acute care or access to secondary prevention that was driving these inequalities, and what we found was that all these inequalities at three months, one year, and five years were all driven by cardiovascular risk factors, mostly, so hypertension, diabetes, AF, like all these together, were explaining the majority of these inequalities, and things like care that receives a lot of attention, like a lot of investment, it only modifies these inequalities a bit, so we’re not saying these are not important, it’s just that we need an equality framework to address these interventions.
This transcript is AI-generated. While we strive for accuracy, please verify this copy with the video.
Read more...
