Abstract P3165: Summary Measure of Social Determinants of Health/Health Equity and Stroke Burden among Mississippi Adults

Abstract

Background: In 2022, ~97,000 Mississippi adults self-reported receiving a stroke diagnosis. Social determinants of health (SDOH) contribute to stroke burden and associated disparities and mortality. We examined the association between a summary measure of SDOH and stroke burden among Mississippi adults. Methods: Using the SDOH and Health Equity (SDOH/HE) Module data from 3,994 respondents in the 2022 Mississippi Behavioral Risk Factor Surveillance System survey, we conducted multivariable logistic regression models to examine the association between a SDOH/HE summary measure and stroke. Results: Participants who received food stamps or were enrolled in the Supplemental Nutrition Assistance Program (adjusted odds ratio, AOR, 3.10), experienced food insecurity (AOR, 2.49) or mental distress (AOR, 2.20) had significantly higher odds of stroke. Mississippians experiencing three (AOR, 2.79) or more (AOR, 3.27) of SDOH/HE risk factors had higher odds of stroke compared to those experiencing no SDOH/HE risk factors. Conclusions: Mississippi adults with multiple SDOH/HE risk factors had significantly higher odds of stroke than those with no SDOH/HE risk factors. These findings highlight the importance of addressing multiple SDOH/HE factors in stroke burden and the need for targeted interventions among Mississippi adults experiencing multiple SDOH/HE risk factors.