Disparities in Care After Stroke for Black and Hispanic Patients: Intersection with Socioeconomic Status and Insurance Status—a Narrative Review

Rachel Esparza, Lara de Almeida, Monica Verduzco-Gutierrez

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: This comprehensive review aims to illuminate disparities in post-stroke care for Black and Hispanic individuals by exploring the intersectionality of race, ethnicity, socioeconomic status, and insurance. By understanding the impact of stroke and the factors contributing to disparities, this review strives to identify strategies for improving stroke care equity and alleviating the burden of stroke-related morbidity and mortality in these vulnerable populations. Recent Findings: There are disparities in care leading to persons from minoritized groups and with lower socioeconomic status having more strokes. Furthermore, Black and Hispanic patients who have strokes are less likely to have a good functional outcome compared to White patients. Summary: Disparities exist along the stroke continuum of care for Black and Hispanic patients. There are disparities in stroke-predisposing comorbidities, incidence, severity, post-stroke disability, recovery, and community re-integration. Continued research on disparities in post-stroke care and interventions to mitigate these disparities is needed.

Original languageEnglish (US)
Pages (from-to)435-442
Number of pages8
JournalCurrent Physical Medicine and Rehabilitation Reports
Volume11
Issue number4
DOIs
StatePublished - Dec 2023

Keywords

  • Black
  • Disparities
  • Hispanic
  • Insurance
  • Socioeconomic
  • Stroke

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine
  • Rehabilitation

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