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Addressing disparities in the global epidemiology of stroke.
Prust, Morgan L; Forman, Rachel; Ovbiagele, Bruce.
Afiliação
  • Prust ML; Department of Neurology, Yale School of Medicine, New Haven, CT, USA. morgan.prust@yale.edu.
  • Forman R; Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
  • Ovbiagele B; Department of Neurology, University of California-San Francisco School of Medicine, San Francisco, CA, USA.
Nat Rev Neurol ; 20(4): 207-221, 2024 04.
Article em En | MEDLINE | ID: mdl-38228908
ABSTRACT
Stroke is the second leading cause of death and the third leading cause of disability worldwide. Though the burden of stroke worldwide seems to have declined in the past three decades, much of this effect reflects decreases in high-income countries (HICs). By contrast, the burden of stroke has grown rapidly in low-income and middle-income countries (LMICs), where epidemiological, socioeconomic and demographic shifts have increased the incidence of stroke and other non-communicable diseases. Furthermore, even in HICs, disparities in stroke epidemiology exist along racial, ethnic, socioeconomic and geographical lines. In this Review, we highlight the under-acknowledged disparities in the burden of stroke. We emphasize the shifting global landscape of stroke risk factors, critical gaps in stroke service delivery, and the need for a more granular analysis of the burden of stroke within and between LMICs and HICs to guide context-appropriate capacity-building. Finally, we review strategies for addressing key inequalities in stroke epidemiology, including improvements in epidemiological surveillance and context-specific research efforts in under-resourced regions, development of the global workforce of stroke care providers, expansion of access to preventive and treatment services through mobile and telehealth platforms, and scaling up of evidence-based strategies and policies that target local, national, regional and global stroke disparities.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Telemedicina / Pessoas com Deficiência / Acidente Vascular Cerebral Tipo de estudo: Risk_factors_studies / Screening_studies Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Telemedicina / Pessoas com Deficiência / Acidente Vascular Cerebral Tipo de estudo: Risk_factors_studies / Screening_studies Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article