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Abstract Details

The relationship between individual risk factors and likelihood to list modifiable stroke risk factors amongst racial/ethnic minority seniors in Los Angeles
Cerebrovascular Disease and Interventional Neurology
P2 - Poster Session 2 (5:30 PM-6:30 PM)
3-004

To examine whether a minority senior having a personal risk factor for stroke is linked to his or her likelihood of listing that corresponding factor as a stroke risk.  

In the U.S., stroke is a leading cause of death and long-term disability. Minority seniors have a higher incidence of stroke and are least likely to be aware of stroke risk factors compared to white counterparts.  These disparities in stroke knowledge and outcomes require addressal. 

We analyzed baseline data for 233 seniors (ages 60-96, history of hypertension) recruited from four Los Angeles County community centers participating in a randomized trial of a walking intervention (“Worth the Walk”). Seniors were asked to list up to 3 stroke risk factors in an open-ended survey. We conducted unadjusted and adjusted logistic regression analyses to measure the associations between: presence of a stroke risk factor (predictor: systolic blood pressure, lifetime smoking history, non-HDL cholesterol, presence of diabetes, BMI, physical activity, age, and stress/pressure) and likelihood of listing that stroke risk factor (outcome: blood pressures, smoking, cholesterol, diabetes, obesity/overweight, lack of exercise, age, and stress/pressure).

Mean age of participants was 74 years.  69 % were female. 63 were Latino, 55 were African American, 55 were Chinese-American and 60 were Korean American.  57% completed high school.  In adjusted analyses, having diabetes was associated with a higher likelihood of listing diabetes (p = 0.0009, AOR 95% Cl: 1.39-10.04),  and having a higher BMI was associated with a higher likelihood of listing obesity/overweight (p=0.0.002, AOR 95% CI: 1.02-1.17) as stroke risk factors.
For diabetes and BMI,  having personal risk was associated with higher likelihood of listing them as stroke risk factors, respectively. These results suggest that minority seniors are acutely aware of their personal risk level for stroke, especially for diabetes and obesity.
Authors/Disclosures
Demelio A. Urbano
PRESENTER
Mr. Urbano has nothing to disclose.
No disclosure on file
No disclosure on file
No disclosure on file