{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:21:37Z","timestamp":1787862097930,"version":"build-2784847793"},"reference-count":41,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Canadian Foundation for Innovation"},{"name":"Statistics Canada"},{"DOI":"10.13039\/100030898","name":"Institut canadien d'information sur la sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030898","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Canadian Research Data Centre Network Emerging Scholars Grant 2021"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To document the impact of stroke on employment income among people employed at the time of stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Population-based cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>People hospitalized for stroke in Ontario, Canada (2010\u20132014) and people without stroke matched on demographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Robust Poisson regression to estimate the effects of stroke on the probability of reporting employment income on tax returns over 3 years. Quantile regression difference-in-differences to estimate the changes in annual employment income attributable to stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Stroke survivors were increasingly less likely to report any employment income poststroke, incidence rate ratios (IRR) 0.87 at 1 year (95% confidence intervals [CI]; 0.85\u20130.88), 0.82 at 2 years (95% CI; 0.81\u20130.84) and 0.81 at 3 years (95% CI; 0.79\u20130.82). IRR for reporting at least 50% of prestroke income levels were 0.76 at 1 year (95% CI; 0.75\u20130.78), 0.75 at 2 years (95% CI; 0.73\u20130.77) and 0.73 at 3 years (95% CI; 0.71\u20130.75). IRR for reporting at least 90% of prestroke income levels were 0.72 at 1 year (95% CI; 0.70\u20130.74), 0.66 at 2 years (95% CI; 0.64\u20130.68) and again 0.66 at 3 years (95% CI; 0.64\u20130.68). Relative changes in annual employment income attributable to stroke varied from a decrease of 13.8% (95% CI; 8.7\u201318.9) at the 75th income percentile to a decrease of 43.1% (95% CI; 18.7\u201367.6) at the 25th income percentile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>It is important for healthcare and service providers to recognize the impact of stroke on return to prestroke levels of employment income. Low-income stroke survivors experience a more drastic loss in employment income and may need additional social support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155241249345","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:29:22Z","timestamp":1714523362000},"page":"1109-1117","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The impact of stroke on employment income: A cohort study using hospital and income tax data in Ontario, Canada"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7945-0551","authenticated-orcid":false,"given":"Patrick","family":"Duong","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Rehabilitation Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Egan","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Rehabilitation Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Meyer","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, University of Western Ontario, London, Canada"},{"name":"Population Health, London Health Sciences Centre, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tricia","family":"Morrison","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Rehabilitation Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrine","family":"Sauv\u00e9-Schenk","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Rehabilitation Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"bibr1-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-013-9436-y"},{"key":"bibr2-02692155241249345","volume-title":"Is Work Good for Your Health and Wellbeing?","author":"Waddell G","year":"2006"},{"key":"bibr3-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1177\/1747493017743059"},{"key":"bibr4-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-017-9713-2"},{"key":"bibr5-02692155241249345","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1141242"},{"key":"bibr6-02692155241249345","doi-asserted-by":"publisher","DOI":"10.2340\/jrm.v55.4825"},{"key":"bibr7-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2023.2170914"},{"key":"bibr8-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.09.121"},{"key":"bibr9-02692155241249345","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-131627"},{"key":"bibr10-02692155241249345","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-22-00174"},{"key":"bibr11-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000603"},{"key":"bibr12-02692155241249345","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.181238"},{"key":"bibr13-02692155241249345","unstructured":"Public Health Agency of Canada. 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