2023-09-28 14:46:10 +00:00
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abstract: 'Background: Greater poststroke disability and U.S. employment policies
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may disadvantage minority stroke survivors from returning to work. We
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explored ethnic differences in return to work among Mexican Americans
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(MAs) and non-Hispanic whites (NHWs) working at the time of their
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stroke. Methods: Stroke patients were identified from the
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population-based BASIC (Brain Attack Surveillance in Corpus Christi)
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study from August 2011 to December 2013. Employment status was obtained
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at baseline and 90-day interviews. Sequential logistic regression models
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were built to assess ethnic differences in return to work after
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accounting for the following: (1) age (<65 versus >= 65); (2) sex; (3)
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90-day National Institutes of Health Stroke Scale (NIHSS); and (4)
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education (lower than high school versus high school or higher).
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Results: Of the 729 MA and NHW stroke survivors who completed the
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baseline interview, 197 (27\%) were working at the time of their stroke,
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of which 125 (63\%) completed the 90-day outcome interview. Forty-nine
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(40\%) stroke survivors returned to work by 90 days. MAs were less
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likely to return to work (OR = .45, 95\% CI .22-. 94) than NHWs. The
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ethnic difference became nonsignificant after adjusting for NIHSS (OR =
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.59, 95\% CI .24-1.44) and further attenuated after adjusting for
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education (OR = .85, 95\% CI .32-2.22). Conclusions: The majority of
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stroke survivors did not return to work within 90 days of their stroke.
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MA stroke survivors were less likely to return to work after stroke than
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NHW stroke survivors which was due to their greater neurological
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deficits and lower educational attainment compared with that of NHW
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stroke survivors. Future work should focus on clinical and policy
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efforts to reduce ethnic disparities in return to work.'
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affiliation: 'Skolarus, LE (Corresponding Author), Univ Michigan, 1500 East Med Ctr
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SPC 5899, Ann Arbor, MI 48109 USA.
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Skolarus, Lesli E.; Morgenstern, Lewis B.; Brown, Devin L., Univ Michigan, Stroke
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Program, Ann Arbor, MI USA.
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Wing, Jeffrey J., Grand Valley State Univ, Dept Publ Hlth, Allendale, MI USA.
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Lisabeth, Lynda D., Univ Michigan, Dept Epidemiol, Ann Arbor, MI USA.'
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author: Skolarus, Lesli E. and Wing, Jeffrey J. and Morgenstern, Lewis B. and Brown,
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Devin L. and Lisabeth, Lynda D.
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author-email: lerusche@umich.edu
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author_list:
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- family: Skolarus
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given: Lesli E.
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- family: Wing
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given: Jeffrey J.
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- family: Morgenstern
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given: Lewis B.
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- family: Brown
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given: Devin L.
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- family: Lisabeth
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given: Lynda D.
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da: '2023-09-28'
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doi: 10.1016/j.jstrokecerebrovasdis.2016.03.015
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eissn: 1532-8511
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files: []
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issn: 1052-3057
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journal: JOURNAL OF STROKE \& CEREBROVASCULAR DISEASES
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keywords: Stroke; disparities; survivorship; ethnicity
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keywords-plus: ISCHEMIC-STROKE; REHABILITATION; EXPERIENCES; ADULTS
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '21'
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orcid-numbers: 'Wing, Jeffrey/0000-0001-6999-6019
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Brown, Devin/0000-0002-9815-3421
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Lisabeth, Lynda/0000-0001-5539-5933'
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pages: 1851-1855
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papis_id: 6c4986ce782e3463f5d406fa3c66011d
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ref: Skolarus2016mexicanamericans
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researcherid-numbers: 'Wing, Jeffrey/AAN-7814-2020
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'
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times-cited: '11'
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title: 'Mexican Americans are Less Likely to Return to Work Following Stroke: Clinical
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and Policy Implications'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000380937700012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '25'
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web-of-science-categories: Neurosciences; Peripheral Vascular Disease
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year: '2016'
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