title: [The Swedish stroke register indicates differences in stroke care. Unconscious discrimination might explain some of the differences].
abstract: In this article, results from a series of studies on the relationships between socioeconomic factors and stroke processes (stroke unit care, acute reperfusion treatment, secondary prevention with oral anticoagulants and statins) and outcomes (long-term survival, return to work and risk of suicide and suicide attempts) are summarized. The overall pattern is that acute and secondary prevention interventions and prognosis are better in patients with a high compared with a low level of education, better in people with high than low income, better in people who are cohabitant than single. As to country of birth, a more complex pattern has emerged. Unmeasured confounding may possibly explain part of the difference, but the socioeconomic gradients remain after adjustment for multiple potential confounders, leaving the possibility that there is an element of unconscious discrimination in stroke care.
authors.affiliation: Umeå Universitet - Statistik Umeå, Sweden Statistik - Umeå, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Eriksson
authors.affiliation: Umeå Universitet - Umeå, Sweden Umeå Universitet - Umeå, Sweden.
authors.forename: Eva-Lotta
authors.initials: EL
authors.lastname: Glader
authors.affiliation: Lunds universitet - Institutionen för kliniska vetenskaper, avdelningen för neurologi Lund, Sweden.
authors.forename: Bo
authors.initials: B
authors.lastname: Norrving
authors.affiliation: Statens medicinsk-etiska råd - Stockholm, Sweden Statens medicinsk-etiska råd - Stockholm, Sweden.
authors.forename: Kjell
authors.initials: K
authors.lastname: Asplund
mesh_terms: D000368:Aged; D004522:Educational Status; D054242:Emigrants and Immigrants; D005191:Family Characteristics; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D007182:Income; D008297:Male; D011785:Quality Assurance, Health Care; D012042:Registries; D063508:Social Discrimination; D012959:Socioeconomic Factors; D020521:Stroke / Q000401:mortality / Q000628:therapy; D015996:Survival Rate; D013548:Sweden / Q000453:epidemiology