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Language discordance as a marker of disparities in cerebrovascular risk and stroke outcomes: A multi-center Canadian study

التفاصيل البيبلوغرافية
العنوان: Language discordance as a marker of disparities in cerebrovascular risk and stroke outcomes: A multi-center Canadian study
المؤلفون: Ryan T. Muir, Arunima Kapoor, Megan L. Cayley, Michelle N Sicard, Karen Lien, Alisia Southwell, Dar Dowlatshahi, Demetrios J. Sahlas, Gustavo Saposnik, Jennifer Mandzia, Leanne K. Casaubon, Ayman Hassan, Yael Perez, Daniel Selchen, Brian J. Murray, Krista Lanctot, Moira K. Kapral, Nathan Herrmann, Stephen Strother, Amy．Y．X Yu, Peter C. Austin, Susan E. Bronskill, Richard H. Swartz
المصدر: Cerebral Circulation - Cognition and Behavior, Vol 4, Iss , Pp 100163- (2023)
بيانات النشر: Elsevier, 2023.
سنة النشر: 2023
المجموعة: LCC:Specialties of internal medicine
LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
مصطلحات موضوعية: Stroke, Transient ischemic attack, Vascular risk factors, Depression, Obstructive sleep apnea, Cognitive impairment, Specialties of internal medicine, RC581-951, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Background: Differences in ischemic stroke outcomes occur in those with limited English proficiency. These health disparities might arise when a patient's spoken language is discordant from the primary language utilized by the health system. Language concordance is an understudied concept. We examined whether language concordance is associated with differences in vascular risk or post-stroke functional outcomes, depression, obstructive sleep apnea and cognitive impairment. Methods: This was a multi-center observational cross-sectional cohort study. Patients with ischemic stroke/transient ischemic attack (TIA) were consecutively recruited across eight regional stroke centers in Ontario, Canada (2012 – 2018). Participants were language concordant (LC) if they spoke English as their native language, ESL if they used English as a second language, or language discordant (LD) if non-English speaking and requiring translation. Results: 8156 screened patients. 6,556 met inclusion criteria: 5067 LC, 1207 ESL and 282 LD. Compared to LC patients: (i) ESL had increased odds of diabetes (OR = 1.28, p = 0.002), dyslipidemia (OR = 1.20, p = 0.007), and hypertension (OR = 1.37, p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2666-2450
Relation: http://www.sciencedirect.com/science/article/pii/S2666245023000077; https://doaj.org/toc/2666-2450
DOI: 10.1016/j.cccb.2023.100163
URL الوصول: https://doaj.org/article/c54742c1dfb54de7988d87e790a7416f
رقم الأكسشن: edsdoj.54742c1dfb54de7988d87e790a7416f
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:26662450
DOI:10.1016/j.cccb.2023.100163