Kezhen Fei1, Emma K T Benn2, Rennie Negron2, Guedy Arniella2, Stanley Tuhrim2, Carol R Horowitz2. 1. From the Center for Health Equity and Community Engaged Research (K.F., E.K.T.B., C.R.H.) and Center for Biostatistics (K.F., E.K.T.B.), Icahn School of Medicine, New York, NY; Yale Institute for Network Science, Yale University, New Haven, CT (R.N.); Institute for Family Health, New York, NY (G.A.); Department of Neurology, Icahn School of Medicine, New York, NY (S.T.); and Department of Medicine, Icahn School of Medicine, New York, NY (C.R.H.). kezhen.fei@mountsinai.org. 2. From the Center for Health Equity and Community Engaged Research (K.F., E.K.T.B., C.R.H.) and Center for Biostatistics (K.F., E.K.T.B.), Icahn School of Medicine, New York, NY; Yale Institute for Network Science, Yale University, New Haven, CT (R.N.); Institute for Family Health, New York, NY (G.A.); Department of Neurology, Icahn School of Medicine, New York, NY (S.T.); and Department of Medicine, Icahn School of Medicine, New York, NY (C.R.H.).
Abstract
BACKGROUND AND PURPOSE: Although poststroke depression is common, racial-ethnic disparities in depression among stroke survivors remain underexplored. Thus, we investigated the relationship between race/ethnicity and depression in a multiracial-ethnic stroke cohort. METHODS: Baseline survey data of validated scales of depression and functional status, demographics, comorbidities, and socioeconomic status were used from a recurrent stroke prevention study among community-dwelling urban stroke/transient ischemic attack survivors. RESULTS: The cohort included 556 participants with a mean age of 64 years. The majorities were black (44%) or latino (42%) and female (60%), had their last stroke/transient ischemic attack nearly 2 years before study enrollment, and lived below the poverty level (58%). Nearly 1 in 2 latinos, 1 in 4 blacks, and 1 in 8 whites were depressed. Multivariate logistic regression showed that survivors who were younger, were female, had ≥3 comorbid conditions, were functionally disabled from stroke, lacked emotional-social support, and who took antidepressants before study entry had higher risk of depression. Time since last stroke/transient ischemic attack did not affect the chance of depression. After adjusting for all above risk factors, latinos had 3× the odds of depression (95% confidence interval: 1.18-6.35) than whites; blacks and whites had similar odds of depression. CONCLUSIONS: This study reveals that latino stroke survivors have a significantly higher prevalence of depression compared with their non-latino counterparts.
BACKGROUND AND PURPOSE: Although poststroke depression is common, racial-ethnic disparities in depression among stroke survivors remain underexplored. Thus, we investigated the relationship between race/ethnicity and depression in a multiracial-ethnic stroke cohort. METHODS: Baseline survey data of validated scales of depression and functional status, demographics, comorbidities, and socioeconomic status were used from a recurrent stroke prevention study among community-dwelling urban stroke/transient ischemic attack survivors. RESULTS: The cohort included 556 participants with a mean age of 64 years. The majorities were black (44%) or latino (42%) and female (60%), had their last stroke/transient ischemic attack nearly 2 years before study enrollment, and lived below the poverty level (58%). Nearly 1 in 2 latinos, 1 in 4 blacks, and 1 in 8 whites were depressed. Multivariate logistic regression showed that survivors who were younger, were female, had ≥3 comorbid conditions, were functionally disabled from stroke, lacked emotional-social support, and who took antidepressants before study entry had higher risk of depression. Time since last stroke/transient ischemic attack did not affect the chance of depression. After adjusting for all above risk factors, latinos had 3× the odds of depression (95% confidence interval: 1.18-6.35) than whites; blacks and whites had similar odds of depression. CONCLUSIONS: This study reveals that latino stroke survivors have a significantly higher prevalence of depression compared with their non-latino counterparts.
Authors: Judith Z Goldfinger; Ian M Kronish; Kezhen Fei; Albert Graciani; Peri Rosenfeld; Kate Lorig; Carol R Horowitz Journal: Contemp Clin Trials Date: 2012-06-15 Impact factor: 2.226
Authors: Feng Qian; Gregg C Fonarow; Eric E Smith; Ying Xian; Wenqin Pan; Edward L Hannan; Benjamin A Shaw; Laurent G Glance; Eric D Peterson; Zubin J Eapen; Adrian F Hernandez; Lee H Schwamm; Deepak L Bhatt Journal: Circ Cardiovasc Qual Outcomes Date: 2013-05-16
Authors: Kurt Kroenke; Tara W Strine; Robert L Spitzer; Janet B W Williams; Joyce T Berry; Ali H Mokdad Journal: J Affect Disord Date: 2008-08-27 Impact factor: 4.839
Authors: Terrence Pugh; Mark A Hirsch; Vu Q C Nguyen; Charles F Rhoads; Gabrielle M Harris; Qing Yang; J George Thomas; Tami Guerrier; Deanna Hamm; Carol Pereira; Jia Yao; Janet A Prvu Bettger Journal: Am J Phys Med Rehabil Date: 2019-04 Impact factor: 2.159
Authors: James R Carey; Diane M Chappuis; Marsha J Finkelstein; Kate L Frost; Lynette K Leuty; Allison L McNulty; Lars I E Oddsson; Erin M Seifert; Teresa J Kimberley Journal: Phys Ther Date: 2017-03-01
Authors: Monique R Pappadis; Shilpa Krishnan; Catherine C Hay; Beata Jones; Angelle M Sander; Susan C Weller; Timothy A Reistetter Journal: Aging Ment Health Date: 2018-10-27 Impact factor: 3.658