abstract: 'Background: Greater poststroke disability and U.S. employment policies

  may disadvantage minority stroke survivors from returning to work. We

  explored ethnic differences in return to work among Mexican Americans

  (MAs) and non-Hispanic whites (NHWs) working at the time of their

  stroke. Methods: Stroke patients were identified from the

  population-based BASIC (Brain Attack Surveillance in Corpus Christi)

  study from August 2011 to December 2013. Employment status was obtained

  at baseline and 90-day interviews. Sequential logistic regression models

  were built to assess ethnic differences in return to work after

  accounting for the following: (1) age (<65 versus >= 65); (2) sex; (3)

  90-day National Institutes of Health Stroke Scale (NIHSS); and (4)

  education (lower than high school versus high school or higher).

  Results: Of the 729 MA and NHW stroke survivors who completed the

  baseline interview, 197 (27\%) were working at the time of their stroke,

  of which 125 (63\%) completed the 90-day outcome interview. Forty-nine

  (40\%) stroke survivors returned to work by 90 days. MAs were less

  likely to return to work (OR = .45, 95\% CI .22-. 94) than NHWs. The

  ethnic difference became nonsignificant after adjusting for NIHSS (OR =

  .59, 95\% CI .24-1.44) and further attenuated after adjusting for

  education (OR = .85, 95\% CI .32-2.22). Conclusions: The majority of

  stroke survivors did not return to work within 90 days of their stroke.

  MA stroke survivors were less likely to return to work after stroke than

  NHW stroke survivors which was due to their greater neurological

  deficits and lower educational attainment compared with that of NHW

  stroke survivors. Future work should focus on clinical and policy

  efforts to reduce ethnic disparities in return to work.'
affiliation: 'Skolarus, LE (Corresponding Author), Univ Michigan, 1500 East Med Ctr
  SPC 5899, Ann Arbor, MI 48109 USA.

  Skolarus, Lesli E.; Morgenstern, Lewis B.; Brown, Devin L., Univ Michigan, Stroke
  Program, Ann Arbor, MI USA.

  Wing, Jeffrey J., Grand Valley State Univ, Dept Publ Hlth, Allendale, MI USA.

  Lisabeth, Lynda D., Univ Michigan, Dept Epidemiol, Ann Arbor, MI USA.'
author: Skolarus, Lesli E. and Wing, Jeffrey J. and Morgenstern, Lewis B. and Brown,
  Devin L. and Lisabeth, Lynda D.
author-email: lerusche@umich.edu
author_list:
- family: Skolarus
  given: Lesli E.
- family: Wing
  given: Jeffrey J.
- family: Morgenstern
  given: Lewis B.
- family: Brown
  given: Devin L.
- family: Lisabeth
  given: Lynda D.
da: '2023-09-28'
doi: 10.1016/j.jstrokecerebrovasdis.2016.03.015
eissn: 1532-8511
files: []
issn: 1052-3057
journal: JOURNAL OF STROKE \& CEREBROVASCULAR DISEASES
keywords: Stroke; disparities; survivorship; ethnicity
keywords-plus: ISCHEMIC-STROKE; REHABILITATION; EXPERIENCES; ADULTS
language: English
month: AUG
number: '8'
number-of-cited-references: '21'
orcid-numbers: 'Wing, Jeffrey/0000-0001-6999-6019

  Brown, Devin/0000-0002-9815-3421

  Lisabeth, Lynda/0000-0001-5539-5933'
pages: 1851-1855
papis_id: 6c4986ce782e3463f5d406fa3c66011d
ref: Skolarus2016mexicanamericans
researcherid-numbers: 'Wing, Jeffrey/AAN-7814-2020

  '
times-cited: '11'
title: 'Mexican Americans are Less Likely to Return to Work Following Stroke: Clinical
  and Policy Implications'
type: article
unique-id: WOS:000380937700012
usage-count-last-180-days: '0'
usage-count-since-2013: '4'
volume: '25'
web-of-science-categories: Neurosciences; Peripheral Vascular Disease
year: '2016'