Social determinants of stroke prevalence in the United States adults: Analysis of 42 states using behavioral risk factor surveillance system 2022 data.

ABSTRACT:

Objective

Social determinants of health (SDOH) significantly influence stroke outcomes and impose substantial cost burdens on the US health system. This study examined the composite effect of SDOH on prevalent stroke beyond clinical factors, highlighting comorbidity and structural inequalities using a statewide representative survey.

Methods

232,155 adults across 42 U.S. states were analyzed using the 2022 Behavioral Risk Factor Surveillance System (BRFSS). A composite index of SDOH was developed based on adverse exposures. A series of logistic regression models adjusting for sociodemographic, behavioral, and health-related covariates estimated the association between the SDOH index and prevalent stroke. An additional model examined the comorbid conditions. Weighted estimate

SUBMITTER: Abedin M 

PROVIDER: S-EPMC12808595 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature