The impact of ethnic/racial status on access to care and outcomes after stroke: A narrative systematic review

Green, Theresa; Singh, Pavneet; King‐Shier, Kathryn

doi:10.1016/j.jvn.2019.07.002

Cited by 10 publications

(14 citation statements)

References 53 publications

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“…Additionally, further studies should focus on individuals with diverse cultural backgrounds. Ethnic/racial disparities in stroke incidence, access to care and outcomes have been found (Green et al, 2019), and stigma among these groups should be explored.…”

Section: Rele Van Ce To Clini C Al Pr Ac Ti Cementioning

confidence: 99%

Correlates of stigma for poststroke patients: A meta‐analysis

Yang

et al. 2022

Journal of Clinical Nursing

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Aims A meta‐analysis was carried out to review and identify correlates of stigma in poststroke patients. Background Patients suffer from impaired physical functions and sequelae of stroke. Stroke‐related stigma hinders the recovery process and produces poorer clinical outcomes of stroke, leading to compromised quality of life. Design A systematic review and meta‐analysis was reported by following PRISMA 2020 guidelines. Review Methods Nine databases were searched from their inception to May 2021 to identify studies focused on the relationships among demographics, disease‐related factors, psychosocial factors and poststroke stigma. Included studies were assessed by using the Agency for Healthcare Research and Quality (AHRQ) scale. The statistical software R studios were used to perform statistical analysis. Results Nineteen studies were included in the meta‐analysis. Four demographic factors (age, caregiver, residence, monthly income), seven stroke‐related characteristics (type of stroke, mRS, ADLs, stroke duration, recurrence, sequelae, chronic disease comorbidity) and three psychosocial factors (depression, social support, quality of life) showed significant associations with stroke‐related stigma. Conclusions The results of our study can serve as a foundation for designing interventions to reduce stigma and improve the overall quality of life of poststroke patients and may produce positive clinical outcomes. Healthcare professionals should be aware of stroke patients who are characterised by correlates of stigma. Relevance to clinical practice Poststroke patients showed a moderate‐to‐high level of stigma, and this issue warrants more attention. This review provides a preliminary foundation for healthcare professionals to develop interventions to address stroke‐related stigma by focusing on demographic, disease‐related and psychosocial factors. Additionally, stigma identification should be a part of clinical nursing evaluation. The involvement of clinical and community nursing is very important to screen stroke‐related stigma and pay attention to this population.

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Section: Rele Van Ce To Clini C Al Pr Ac Ti Cementioning

confidence: 99%

Correlates of stigma for poststroke patients: A meta‐analysis

Yang

et al. 2022

Journal of Clinical Nursing

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“…As expected, higher IVT use was associated with NIHSS score ! 6 (OR, 2.27; 95% CI, 1.93-2.67), transfer from a primary stroke center (OR, 3.10; 95% CI, 2.62-3.66), and LKWA time 0 to 24…”

Section: Resultsmentioning

confidence: 99%

“…In the hospital setting, socioeconomic disparities exist for patients with stroke in terms of access to treatment [11,15,16]. Additionally, variability in stroke imaging utilization on the basis of age, sex, race, and insurance type has been reported [12,[22][23][24][25]. Furthermore, disadvantaged socioeconomic groups have historically been the last to benefit from newer medical technologies [26].…”

Section: Introductionmentioning

confidence: 99%

Striving for Socioeconomic Equity in Ischemic Stroke Care: Imaging and Acute Treatment Utilization From a Comprehensive Stroke Center

Wang

Boltyenkov

Katz

et al. 2022

Journal of the American College of Radiology

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“…Young and middle-aged stroke patients are prone to stigma, and concurrently, such patients have low levels of self-esteem and social support (15). The younger the young and middle-aged stroke patients, the lower the monthly income, the more severe the stigma; and the more harmonious family and marital status, the higher the degree of social support, the lighter the stigma (16,17).…”

Section: Discussionmentioning

confidence: 99%

Intervention study of Snyder’s hope theory on the stigma of stroke in young and middle-aged patients: a randomised trial

Chunxia¹,

Zhang²,

Zhu³

et al. 2021

Ann Palliat Med

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Background: Stigma refers to the sense of discrimination that society has towards a certain group of people, and this part of the group will also have a sense of shame due to their own negative circumstance.Young and middle-aged stroke patients need long-term effective support from their families and society, which can easily produce shame, and have a negative impact on disease treatment.Methods: A total of 94 young and middle-aged stroke patients admitted to our hospital from November 2018 to November 2020 were selected and randomly allocated to 2 groups, with 47 cases in each group.The control group received routine intervention, and the observation group received SHT intervention.The stigma, hope level, compliance with functional exercise, National Institute of Health Stroke Scale (NIHSS) score and changes in activities of daily living were compared between the 2 groups before and after intervention.Results: The total scores of social interaction, treatment, ability, and stigma of the observation group were lower than those of the control group after 1 month of intervention (P<0.05). The observation group's positive attitude towards reality and the future, taking positive actions, maintaining close relationships with others, and hope levels after 1 month of intervention were all higher than the control group (P<0.05). The functional exercise compliance of the observation group was higher than that of the control group after 1 month of intervention (P<0.05). The Barthel index score of the observation group was higher than that of the control group after 1 month of intervention, and the NIHSS score was lower than that of the control group (P<0.05). Conclusions:The application of SHT to young and middle-aged stroke patients can reduce stigma, improve hope level and compliance with functional exercise, improve neurological function, and enhance the ability for daily living.

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The impact of ethnic/racial status on access to care and outcomes after stroke: A narrative systematic review

Cited by 10 publications

References 53 publications

Correlates of stigma for poststroke patients: A meta‐analysis

Correlates of stigma for poststroke patients: A meta‐analysis

Striving for Socioeconomic Equity in Ischemic Stroke Care: Imaging and Acute Treatment Utilization From a Comprehensive Stroke Center

Intervention study of Snyder’s hope theory on the stigma of stroke in young and middle-aged patients: a randomised trial

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