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Association between stroke risk factors and access to care

dc.contributorHoward, George
dc.contributorHardin, J. Michael
dc.contributorConerly, Michael D.
dc.contributorFoster, Pamela P.
dc.contributorHan, Luoheng
dc.contributor.advisorHigginbotham, John C.
dc.contributor.authorParton, Jason Michael
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.date.accessioned2017-03-01T14:43:23Z
dc.date.available2017-03-01T14:43:23Z
dc.date.issued2011
dc.descriptionElectronic Thesis or Dissertationen_US
dc.description.abstractA number of medically diagnosed risk factors are associated with an increased risk of having a stroke. Individuals recognized with hypertension, diabetes, and dyslipidemia all show greater probability of experiencing a stroke. Rural inhabitants are often considered to have limited access to health care, thus frequently decreasing the likelihood of their being aware of, treated, or controlled for these and other stroke-risk factors. This investigation provides an avenue for exploration into the association nontraditional risk factors for stroke, rural/urban designation, and travel time to a usual source of health care have on awareness, treatment, and control of hypertension, diabetes, and dyslipidemia. The association between awareness, treatment, and control of stroke-risk factors and an individual's rural/urban status was investigated to identify geographic disparities. Furthermore, travel time to a participant's usual source of medical care was explored for its relationship to these stages of stroke-risk factors and to investigate how travel time might influence the association between these factors and rural/urban status. No associations were identified for the main effects between the likelihood of being aware of, treated, or controlled for stroke-risk factors, and living in rural and urban settings. Drive time showed no relationship with these stages of stroke-risk factors, nor did it modify the effect rural or urban status had on the dependent variables. Disparities were noted for demographic, socioeconomic, and health behavioral traits for all three risk factors. This project made use of REGARDS study data sources to provide an understanding of stroke disparities for a certain geographic dimension. However, these data alone are unable to specifically identify rural and urban differences in stroke-risk factors and assess what effects access to health care has on the management of stroke-risk factors. The results from this investigation specify limited variability for management of these conditions by this study's measures of access to care.en_US
dc.format.extent140 p.
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.otheru0015_0000001_0000646
dc.identifier.otherParton_alatus_0004D_10814
dc.identifier.urihttps://ir.ua.edu/handle/123456789/1151
dc.languageEnglish
dc.language.isoen_US
dc.publisherUniversity of Alabama Libraries
dc.relation.hasversionborn digital
dc.relation.ispartofThe University of Alabama Electronic Theses and Dissertations
dc.relation.ispartofThe University of Alabama Libraries Digital Collections
dc.rightsAll rights reserved by the author unless otherwise indicated.en_US
dc.subjectEpidemiology
dc.subjectStatistics
dc.subjectGeography
dc.titleAssociation between stroke risk factors and access to careen_US
dc.typethesis
dc.typetext
etdms.degree.departmentUniversity of Alabama. Department of Health Science
etdms.degree.disciplineInterdisciplinary Studies
etdms.degree.grantorThe University of Alabama
etdms.degree.leveldoctoral
etdms.degree.namePh.D.

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