Strata emr3/1/2023 This study aimed to estimate prehospital delay and to identify the factors associated with the late arrival of patients with ischemic stroke at the Souss Massa Regional Hospital Center in Morocco.Īn observational, prospective, cross-sectional study was conducted from March 2019 to September 2019 in the Souss Massa regional hospital center, which is a public hospital structure. This result can be explained to a certain extent by the higher presence of behavioral risk factors in this specific category of the population, which leads in turn to metabolic and physiological risk factors of stroke, such as obesity, diabetes, and hypertension. When taking into account the urban population only, we observed that a third of poorest households experienced a significantly higher prevalence of stroke compared to the richest third (OR = 2.06 CI 95%: 1.09 3.89).Ĭonclusion: We conclude that individuals from the most deprived urban households bear a higher risk of stroke than the rest of the population in Morocco. The latter belonged mainly to urban households with a lower socioeconomic status. This relationship was non-linear, with individuals from both the poorest (mainly rural) and richest (mainly urban) households having a lower prevalence of stroke as compared to individuals with medium wealth level. We used logistic regressions controlling for multiple variables to assess the statistical association between socioeconomic status and stroke.įindings: Our results showed a significant association between household socioeconomic status and the prevalence of stroke. We used Multiple Correspondence Analysis to develop a wealth index based on characteristics of the household dwelling as well as ownership of selected assets. The diagnosis of stroke in surviving patients was confirmed by neurologists while health, demographic, and socioeconomic characteristics of households were collected using structured questionnaires. Methods: Data on the prevalence of stroke and stroke-related risk factors were collected during a large population-based survey. This study presents the association between socioeconomic status and the prevalence of stroke in Morocco, a lower middle-income country. Improved knowledge about the association between socioeconomic status and stroke in these countries would enable the development of effective stroke prevention and management strategies. Background: Stroke is a growing public health concern in low- and middle- income countries.
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