A new study by Dress has just pointed out that poor people are more likely to have a stroke.
During the year 20219, France recorded more than 123,000 people hospitalized following a accident cerebrovascular (CVA). By taking into account the data concerning the occurrence of these strokes, their frequency and their sequelae, the Department of Research, Studies, Evaluation and Statistics (DREES) has just determined a strong inequality in the risk of having a stroke, but also concerning their care. The frequency of occurrence would be particularly higher in people with low incomes.
The occurrence of stroke is more frequent in the poorest people
In his new studythe Dress draws up a worrying assessment: “ between 2014 and 2017, the frequency of occurrence of a stroke among people belonging to the poorest 25% is 40% higher than among those belonging to the richest 25% “. This disparity is much more marked among people aged between 45 and 64 years. This age group has a risk of hemorrhagic stroke almost twice as high among the poorest compared to the wealthiest.
In addition to this, it is emphasized that the risk of sequelae is higher, with in particular a more frequent appearance of paralysis and language disorders. People in the poorest 25% have a 22% increased risk of suffering from paralysis beyond 24 hours and 11% of language disorders. La Dress also highlights a disparity in hospital care, which might cause these differences in sequelae. She explains that belonging to the poorest 25% of people decreased by 10% the probability of being cared for in a dedicated care unit.
The Dress also revealed that 27% of patients died the year following their stroke. The percentage rises to 41% for hemorrhagic strokes and 23% for ischemic strokes. It is then concluded: If we compare this risk of death with comparable demographic characteristics (age, sex, living alone, state of health and type of care), it appears that a high standard of living is associated with an 11% reduction in one-year risk of death. Among ischemic strokes, the reduction in the risk of death at one year among the wealthiest is 13% ».