High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia
Rapid economic growth has widened the gap between the rich and the poor, contributing to inequalities in socioeconomic status (SES) in Indonesia and possibly inequalities in health care. Here, we aimed to assess the potential association between SES and stroke severity in Indonesia, one of the large...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552300061X |
| _version_ | 1797867423505842176 |
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| author | Nizar Yamanie Amal Chalik Sjaaf Yuli Felistia Nugroho Harry Susanto Aly Diana Aly Lamuri Muhammad Miftahussurur |
| author_facet | Nizar Yamanie Amal Chalik Sjaaf Yuli Felistia Nugroho Harry Susanto Aly Diana Aly Lamuri Muhammad Miftahussurur |
| author_sort | Nizar Yamanie |
| collection | DOAJ |
| description | Rapid economic growth has widened the gap between the rich and the poor, contributing to inequalities in socioeconomic status (SES) in Indonesia and possibly inequalities in health care. Here, we aimed to assess the potential association between SES and stroke severity in Indonesia, one of the largest low- and middle-income countries. Patients diagnosed with stroke at National Brain Centre (NBC) Hospital, Jakarta, Indonesia, in 2020 were included in the study. SES was measured based on marital status, occupation, education level, source of payment, and hospitalized class with smoking status and sex as confounder. Stroke severity was classified based on the National Institutes of Health Stroke Scale score into minor stroke (Adams et al., 1993; Amarenco et al., 2014; Andersen and Olsen, 2018; Austin and Steyerberg, 2017) and moderate to severe stroke (>4).A total of 2,443 patients with moderate to severe stroke (58%) were analyzed. Currently employed patients had a lower adjusted OR (aOR) of 0.65 (95% confidence interval [CI], 0.51–0.83) than unemployed patients. Patients with the highest education level, at least a diploma degree, had a lower aOR of 0.67 (95% CI, 0.49–0.92) than those with an elementary or no education. Our findings showed that patients with a higher SES had a lower risk of more severe stroke than those with a lower SES. Hence, we must focus on improving SES as part of stroke management. |
| first_indexed | 2024-04-09T23:41:02Z |
| format | Article |
| id | doaj.art-eb6608b3b2d84d9e975bdf346d84605b |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-09T23:41:02Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-eb6608b3b2d84d9e975bdf346d84605b2023-03-19T04:37:41ZengElsevierPreventive Medicine Reports2211-33552023-04-0132102170High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, IndonesiaNizar Yamanie0Amal Chalik Sjaaf1Yuli Felistia2Nugroho Harry Susanto3Aly Diana4Aly Lamuri5Muhammad Miftahussurur6Doctoral Program of Medical Science, Faculty of Medicine, Airlangga University, Indonesia; National Brain Centre Hospital, Jakarta, IndonesiaDepartment of Public Health, Faculty of Medicine, Indonesia University, IndonesiaNational Brain Centre Hospital, Jakarta, IndonesiaIndonesia Research Partnership on Infectious Diseases (INA-RESPOND), Jakarta, IndonesiaDepartment of Public Health, Faculty of Medicine, Padjadjaran University, IndonesiaNational Brain Centre Hospital, Jakarta, IndonesiaDivision of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya, Indonesia; Helicobacter Pylori and Microbiota Study Group, Institute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia; Corresponding author at: Gastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Jalan Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya 60286, Indonesia.Rapid economic growth has widened the gap between the rich and the poor, contributing to inequalities in socioeconomic status (SES) in Indonesia and possibly inequalities in health care. Here, we aimed to assess the potential association between SES and stroke severity in Indonesia, one of the largest low- and middle-income countries. Patients diagnosed with stroke at National Brain Centre (NBC) Hospital, Jakarta, Indonesia, in 2020 were included in the study. SES was measured based on marital status, occupation, education level, source of payment, and hospitalized class with smoking status and sex as confounder. Stroke severity was classified based on the National Institutes of Health Stroke Scale score into minor stroke (Adams et al., 1993; Amarenco et al., 2014; Andersen and Olsen, 2018; Austin and Steyerberg, 2017) and moderate to severe stroke (>4).A total of 2,443 patients with moderate to severe stroke (58%) were analyzed. Currently employed patients had a lower adjusted OR (aOR) of 0.65 (95% confidence interval [CI], 0.51–0.83) than unemployed patients. Patients with the highest education level, at least a diploma degree, had a lower aOR of 0.67 (95% CI, 0.49–0.92) than those with an elementary or no education. Our findings showed that patients with a higher SES had a lower risk of more severe stroke than those with a lower SES. Hence, we must focus on improving SES as part of stroke management.http://www.sciencedirect.com/science/article/pii/S221133552300061XStroke severitySocioeconomic status (SES)Education levelEmployment status |
| spellingShingle | Nizar Yamanie Amal Chalik Sjaaf Yuli Felistia Nugroho Harry Susanto Aly Diana Aly Lamuri Muhammad Miftahussurur High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia Preventive Medicine Reports Stroke severity Socioeconomic status (SES) Education level Employment status |
| title | High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia |
| title_full | High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia |
| title_fullStr | High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia |
| title_full_unstemmed | High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia |
| title_short | High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia |
| title_sort | high socioeconomic status is associated with stroke severity among stroke patients in the national brain centre hospital jakarta indonesia |
| topic | Stroke severity Socioeconomic status (SES) Education level Employment status |
| url | http://www.sciencedirect.com/science/article/pii/S221133552300061X |
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