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Countries with women inequalities have higher stroke mortality

Authors
 Young Dae Kim  ;  Yo Han Jung  ;  Valeria Caso  ;  Cheryl D Bushnell  ;  Gustavo Saposnik  ;  Women's Disparities Working Group 
Citation
 INTERNATIONAL JOURNAL OF STROKE, Vol.12(8) : 869-874, 2017-10 
Journal Title
 INTERNATIONAL JOURNAL OF STROKE 
ISSN
 1747-4930 
Issue Date
2017-10
MeSH
Female ; Healthcare Disparities ; Humans ; Male ; Socioeconomic Factors ; Stroke / mortality* ; Women's Rights*
Keywords
Stroke ; gender inequality ; mortality ; outcome ; women
Abstract
Background Stroke outcomes can differ by women's legal or socioeconomic status. Aim We investigated whether differences in women's rights or gender inequalities were associated with stroke mortality at the country-level. Methods We used age-standardized stroke mortality data from 2008 obtained from the World Health Organization. We compared female-to-male stroke mortality ratio and stroke mortality rates in women and men between countries according to 50 indices of women's rights from Women, Business and the Law 2016 and Gender Inequality Index from the Human Development Report by the United Nations Development Programme. We also compared stroke mortality rate and income at the country-level. Results In our study, 176 countries with data available on stroke mortality rate in 2008 and indices of women's rights were included. There were 46 (26.1%) countries where stroke mortality in women was higher than stroke mortality in men. Among them, 29 (63%) countries were located in Sub-Saharan African region. After adjusting by country income level, higher female-to-male stroke mortality ratio was associated with 14 indices of women's rights, including differences in getting a job or opening a bank account, existence of domestic violence legislation, and inequalities in ownership right to property. Moreover, there was a higher female-to-male stroke mortality ratio among countries with higher Gender Inequality Index (r = 0.397, p < 0.001). Gender Inequality Index was more likely to be associated with stroke mortality rate in women than that in men (p < 0.001). Conclusions Our study suggested that the gender inequality status is associated with women's stroke outcomes.
Full Text
https://journals.sagepub.com/doi/full/10.1177/1747493017694389
DOI
10.1177/1747493017694389
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Dae(김영대) ORCID logo https://orcid.org/0000-0001-5750-2616
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178326
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