01812nas a2200193   4500000000100000008004100001100001300042700001500055700002000070700001900090700001400109700001600123245012000139250001500259300001100274490000700285520128000292020004601572       2012                            d1 aLi Qiang1 aGlozier N.1 aLindley Richard1 aEssue Beverley1 aHackett M1 aJan Stephen00aHow Are Household Economic Circumstances Affected After a Stroke? The Psychosocial Outcomes In StrokE (POISE) Study  a2012/09/06  a3110-30 v433 a<p>
BACKGROUND AND PURPOSE: Stroke is associated with severe economic consequences. This is the first study to investigate in younger survivors the household economic burden of stroke. METHODS: A multicenter, 3-year prospective cohort study was conducted of younger (18-65 years) survivors in Australia. Pre- and poststroke patterns of income and hardship were evaluated and multivariable logistic regression identified the predictors of economic hardship after stroke. RESULTS: Four hundred fourteen participants were followed up over 12 months after stroke. The variables that independently predicted economic hardship after stroke were: female (OR, 2.94; 95% CI, 1.52-5.70), hazardous alcohol consumption (OR, 2.28; 95% CI, 1.00-5.20), manual occupation (OR, 1.88; 95% CI, 1.07-3.30), lack of health insurance (OR, 2.01; 95% CI, 1.12-3.60), and prior hardship (OR, 3.93; 95% CI, 2.12-7.29), whereas concessional status (OR, 0.50; 95% CI, 0.26-0.95) and more social contacts per week (OR, 0.99; 95% CI, 0.98-1.00) reduced hardship likelihood. CONCLUSIONS: Higher prestroke income did not buffer hardship after stroke nor did clinical, health service, or disability factors. Policies to reduce inequalities after stroke would be best aimed at socioeconomic targets.
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