Abstract Details

Title High �鶹��ýӳ�� Better Protects Non-Hispanic than Hispanic Americans against Risk of Stroke: National Health Interview Survey

Topic General Neurology

Presentation(s) P10 - Poster Session 10 (5:30 PM-6:30 PM)

Poster/Presentation
Number 6-005

Objective Using data from the National Health Interview Survey (NHIS 2015), a nationally representative study, we investigated ethnic variation in the association between education and prevalence of stroke among American adults.

Background �鶹��ýӳ�� level is among the strongest protective factors against risk of chronic
diseases (CDs) including stroke. Minorities’ Diminished Returns (MDRs), however, refer to weaker effects of socioeconomic status (SES) indicators for ethnic minorities compared to the general population. Scarce knowledge, however, exists on whether MDRs also apply to the protective effect of educational attainment against the risk of stroke of American adults.

Design/Methods We analyzed data of 25,488 American adults who participated in the
NHIS 2015. �鶹��ýӳ�� was the independent variable. Stroke was the dependent variable. Age, gender, and employment, smoking, body mass index, and health (diabetes, hypertension, and lipid disorder) were the covariates. Ethnicity was the moderator.

Results Overall, high education was associated with lower odds of stroke. A statistically significant interaction was found between ethnicity and education on odds of stroke, indicating smaller protective effect of education for Hispanic compared to non-Hispanic individuals.

Conclusions In line with the Minorities Diminished Returns (MDRs), highly educated Hispanic Americans remain at a high risk for stroke than their non-Hispanic counterparts. Policies that address ethnic inequalities in stroke should go beyond SES gap across ethnic groups. Research is needed on multi-level interventions that
reduce additional risk of stroke in highly educated Hispanic Americans.
Keywords: stroke, socioeconomic status; educational attainment; ethnicity; race; ethnic groups

Authors/Disclosures
Golnoush Akhlaghipour, MD PRESENTER	Dr. Akhlaghipour has nothing to disclose.
	No disclosure on file
	No disclosure on file