Neco Johnson|María Marquine|Ilse Flores|Anya Umlauf|Carolyn Baum|Alex Wong|Alexis Young|Jennifer J. Manly|Allen W. Heinemann|Susan Magasi|Robert K. Heaton
Racial Differences in Neurocognitive Outcomes Post-Stroke: The Impact of Healthcare Variables
San Diego State University|University of California, San Diego|San Diego State University|University of California, San Diego|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Columbia University|Shirley Ryan AbilityLab|Northwestern University|University of Illinois at Chicago|University of California, San Diego
present study examined differences neurocognitive outcomes among nonhispanic black white stroke survivors using nih toolboxcognition battery nihtbcb investigated roles healthcare variables explaining racial differences neurocognitive outcomes poststrokeonehundred seventy adults 91 black 79 white participated multisite study included age m564 sd126 education m137 sd25 50 male years poststroke 118 stroke type 72 ischemic 28 hemorrhagic neurocognitive function assessed nihtbcb using demographically corrected norms participants completed measures sociodemographic characteristics health literacy healthcare use access stroke severity assessed modified rankin scalean independent samples test indicated blacks showed neurocognitive impairment nihtbcb fluid composite tscore m3763 sd1167 whites fluid tscore m4259 sd1154 p006 difference remained significant adjusting reading level nihtbcb oral reading stratified stroke severity blacks also scored lower health literacy reported differences insurance type reported decreased confidence doctors treating multivariable models adjusting reading level injury severity showed health literacy insurance type statistically significant predictors fluid cognitive composite p001 p02 respectively significantly mediated racial differences neurocognitive impairmentwe replicated prior work showing blacks increased risk poorer neurocognitive outcomes poststroke whites health literacy insurance type might important modifiable factors influencing differences jins 2017 23 640652