ArticleJournal of the American Heart Association2026
Trends in the Association of Neighborhood Socioeconomic Status With Stroke Incidence and Mortality From 2000 to 2022: A Population-Based Study.
Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundPoverty is associated with increased stroke risk. It is unclear how this has changed over time. We evaluated temporal trends in stroke incidence and 30-day poststroke mortality by neighborhood socioeconomic status (nSES) from 2000 to 2022.
methodsAll ischemic and hemorrhagic strokes from a population-based stroke surveillance study in Nueces County, Texas from 2000 to 2022 were ascertained and geocoded to census tracts. A composite nSES score was assigned to each tract for each year using data from the US Census Bureau and American Community Survey. Incidence rates at the group level were estimated using Poisson regression. Model 1 included annual nSES percentile, age, sex, and ethnicity. Model 2 added nSES-time, age-time, and ethnicity-time interactions. Trends in 30-day mortality at the individual level were evaluated similarly using multivariable logistic regression, adjusting for clinical and sociodemographic factors.
resultsA total of 5536 stroke cases occurred during the study period and were successfully geocoded. Poorer nSES was associated with greater stroke incidence (incidence rate ratio for 10th versus 90th percentile nSES, 1.37 [95% CI, 1.22-1.54]) at the group level. The magnitude of this association changed over time (nSES*time interaction
conclusionsResidents of poorer neighborhoods had an excess risk of incident stroke that fluctuated in magnitude over time. Ongoing stroke prevention efforts are needed, particularly among residents of low SES neighborhoods.
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