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Hospitalization of the aged due to stroke: An ecological perspective

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  • Marcelo de Jesus Carlos
  • Ana Carolina Lima Cavaletti
  • Célia Pereira Caldas

Abstract

Contextual variables have been associated with the incidence of stroke, but their association with hospitalization of older persons remains unclear. This study evaluated the association between social context variables and hospitalization of 60 years old and older patients due to stroke in Rio de Janeiro, Brazil. An ecological cross-sectional study was conducted, with secondary data from the Brazilian Hospital Information System from 2006 to 2014. Hospitalization rates were calculated and categorized by tertiles. For subsequent analyzes, the polar extremes method was used to select the groups with extremes values. After that, Student t or Mann-Whitney tests were used to compare the contextual variables and the hospitalization rates clusters. Then, a Binary Logistic Regression analysis was used to assess the association between hospitalization rates clusters and the contextual variables. The total number of hospitalizations was 82 796; the hospitalization rate varied in extremes groups from the lowest (3.49) to the highest (11.95) (p

Suggested Citation

  • Marcelo de Jesus Carlos & Ana Carolina Lima Cavaletti & Célia Pereira Caldas, 2019. "Hospitalization of the aged due to stroke: An ecological perspective," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0220833
    DOI: 10.1371/journal.pone.0220833
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    2. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    3. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    4. Natalia Vincens & Martin Stafström, 2015. "Income Inequality, Economic Growth and Stroke Mortality in Brazil: Longitudinal and Regional Analysis 2002-2009," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-12, September.
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