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Socioeconomic gap between neighborhoods of Budapest: Striking impact on stroke and possible explanations

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  • Ildikó Szőcs
  • Dániel Bereczki
  • András Ajtay
  • Ferenc Oberfrank
  • Ildikó Vastagh

Abstract

Introduction: Hungary has a single payer health insurance system offering free healthcare for acute cerebrovascular disorders. Within the capital, Budapest, however there are considerable microregional socioeconomic differences. We hypothesized that socioeconomic deprivation reflects in less favorable stroke characteristics despite universal access to care. Methods: From the database of the National Health Insurance Fund, we identified 4779 patients hospitalized between 2002 and 2007 for acute cerebrovascular disease (hereafter ACV, i.e. ischemic stroke, intracerebral hemorrhage, or transient ischemia), among residents of the poorest (District 8, n = 2618) and the wealthiest (District 12, n = 2161) neighborhoods of Budapest. Follow-up was until March 2013. Results: Mean age at onset of ACV was 70±12 and 74±12 years for District 8 and 12 (p

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  • Ildikó Szőcs & Dániel Bereczki & András Ajtay & Ferenc Oberfrank & Ildikó Vastagh, 2019. "Socioeconomic gap between neighborhoods of Budapest: Striking impact on stroke and possible explanations," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-19, February.
  • Handle: RePEc:plo:pone00:0212519
    DOI: 10.1371/journal.pone.0212519
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    Cited by:

    1. Ildikó Szőcs & Balázs Dobi & Judit Lám & Károly Orbán-Kis & Unto Häkkinen & Éva Belicza & Dániel Bereczki & Ildikó Vastagh, 2020. "Health related quality of life and satisfaction with care of stroke patients in Budapest: A substudy of the EuroHOPE project," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-22, October.

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