doi: 10.1161/01.STR.0000013066.24300.F9
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(Stroke. 2002;33:1016.)
© 2002 American Heart Association, Inc.
Original Contributions |
Well-Being After Stroke in Canadian Seniors
Findings From the Canadian Study of Health and Aging
From the Institute for Human Development, Life Course, and Aging (P.C.), Division of Neurology, Department of Medicine, Sunnybrook and Women’s College Health Sciences Centre (S.E.B.), and Department of Rehabilitation Science (A.C.), University of Toronto, Toronto, Ontario, Canada; and Institute on Aging and Department of Sociology, University of North Carolina at Chapel Hill (V.M.).
Correspondence to Philippa Clarke, PhD, Institute for Human Development, Life Course, and Aging, University of Toronto, 222 College St, Suite 106, Toronto, Ontario M5T 3J1, Canada. E-mail philippa.clarke{at}utoronto.ca
Background and Purpose— After a stroke many people continue to live with their residual impairments and disabilities in the community, which can pose a significant problem for survivors’ well-being. The purpose of this research was to investigate patterns of well-being in community-dwelling stroke survivors to identify those factors that restrict and enhance well-being.
Methods— A secondary analysis was conducted on data from the second wave of the Canadian Study of Health and Aging (CSHA-2). A national sample of 5395 community-dwelling Canadian seniors (aged 
65 years) was interviewed for CSHA-2, including 339 stroke survivors (6.3%). Information was collected on health, social and demographic characteristics, and well-being. Comparisons were made between the health and functional status of stroke survivors and community-dwelling seniors who have not experienced a stroke. Multiple regression was used to examine the factors associated with well-being in stroke survivors.
Results— Compared with community-dwelling seniors who have not experienced a stroke, stroke survivors report a lower sense of well-being. Stroke survivors are also more likely to be restricted in their physical and cognitive function, to report worse mental health, and to be living with a greater number of comorbid health conditions. Mental health and physical and cognitive disabilities are associated with a reduced sense of well-being in stroke survivors, but social supports and educational resources moderate the impact of functional status on well-being.
Conclusions— Community-dwelling seniors who have had a stroke experience a reduced sense of well-being. However, social resources can help to alleviate the subjective burden of this common neurological condition.
Key Words: aging • disability evaluation • quality of life • social support
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