Abstract

IntroductionThere have been a number of clinical studies on diagnosed Stroke disease. However, there have been few studies on the geographical disparities for stroke. This study investigates the spatial pattern of stroke disease reflecting socio-demographic characteristics in the State.MethodsStroke patients' admissions for 22 years (from 1990 to 2012) were examined. Their socio-demographic characteristics were extracted from their health records and analyzed. The location of the stroke patients were categorized by Local Governments Areas (LGAs). Spatial maps were generated and produced in a Geographical Information System (GIS) environment. It involves the analysis of the distribution of stroke cases in relation to their underlying population to determine the areas of high and low density of diagnosed cases across the state.ResultsThe result highlighted the spatial distribution of diagnosed stroke cases and also highlighted the areas of concern regarding their spatial distribution within the state. Social inequalities in stroke were persistent as incidence rates in urban areas (North) were around 3 times higher than in the rural areas (South). However, this could be due to better healthcare access in the urban areas than in the rural areas as there were disparities in the distribution of healthcare facilities involved in administering care to stroke patients in Osun State.ConclusionThe outcome of this study appears to indicate that spatial inequalities in the access to Stroke healthcare is a concern that needs to be addressed in order to manage the disease adequately.

Highlights

  • There have been a number of clinical studies on diagnosed Stroke disease

  • A Statewide Stroke Incidence Information Registry could offer land administration officials the appropriate spatial information to focus efforts during medical and health care emergencies. This Statewide stroke disease database will create an exchange meant for sharing examples, ideas and techniques for informing policy and documenting geographical disparity, as it is demonstrated in the western world such as the United States to reduce the prevalence of stroke

  • A combination of maps, charts and table has been used to establish that: (i) the prevalence of stroke is higher among those above 70 years of age in Osun State. (ii) Social inequalities in stroke are persistence as incidence rates in urban areas (North) are around 3 times higher than in the rural area (South). (iii) There is a variation in the distribution of health care facilities involved in administering care to stroke patients in Osun State

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Summary

Introduction

There have been a number of clinical studies on diagnosed Stroke disease. there have been few studies on the geographical disparities for stroke. Spatial maps were generated and produced in a Geographical Information System (GIS) environment It involves the analysis of the distribution of stroke cases in relation to their underlying population to determine the areas of high and low density of diagnosed cases across the state. A Statewide Stroke Incidence Information Registry could offer land administration officials the appropriate spatial information to focus efforts during medical and health care emergencies This Statewide stroke disease database will create an exchange meant for sharing examples, ideas and techniques for informing policy and documenting geographical disparity, as it is demonstrated in the western world such as the United States to reduce the prevalence of stroke. In the review of studies of geographies of declining stroke morbidity in the United States [10], it shows that such variation is typical of other countries

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