Editors' note: Racial/ethnic disparities in the risk of intracerebral hemorrhage recurrence

Abstract

In “Racial/ethnic disparities in the risk of intracerebral hemorrhage recurrence,” Leasure et al. evaluated the risk of intracerebral hemorrhage (ICH) recurrence in 31,355 California residents with first-recorded ICH who survived until discharge between 2005 and 2011. They found that being Black or Asian was associated with a higher risk of recurrence compared with being White and being on Medicare was associated with a higher risk of recurrence compared with having private insurance. Hinson noted that the explanation for this is complex because medication compliance may be affected by the delivery of disease-specific education and poverty, which is more common in communities of color. Leasure and Sheth agreed that the use of an administrative data set for this study precludes the ability to assess all social, economic, and structural variables that may be related to ICH recurrence. Hinson and Leasure and Sheth emphasized the need for culturally competent interventions to address barriers to medication compliance and eliminate racial and ethnic disparities in ICH recurrence. In “Racial/ethnic disparities in the risk of intracerebral hemorrhage recurrence,” Leasure et al. evaluated the risk of intracerebral hemorrhage (ICH) recurrence in 31,355 California residents with first-recorded ICH who survived until discharge between 2005 and 2011. They found that being Black or Asian was associated with a higher risk of recurrence compared with being White and being on Medicare was associated with a higher risk of recurrence compared with having private insurance. Hinson noted that the explanation for this is complex because medication compliance may be affected by the delivery of disease-specific education and poverty, which is more common in communities of color. Leasure and Sheth agreed that the use of an administrative data set for this study precludes the ability to assess all social, economic, and structural variables that may be related to ICH recurrence. Hinson and Leasure and Sheth emphasized the need for culturally competent interventions to address barriers to medication compliance and eliminate racial and ethnic disparities in ICH recurrence.