860,861 Non- White populations have higher recurrent stroke risk,862,863 are less likely to receive guideline-recommended sec- ondary stroke prevention interventions,864 and have poorer risk factor control after stroke.10,13,819,865,866 Other populations at risk for inequities in risk factor control after stroke include women, rural dwellers, the elderly, immigrants, individuals with low socioeconomic status, and lesbian, gay, bisexual, transgender, and queer or Although standardizing CLINICAL STATEMENTS AND GUIDELINES Kleindorfer care and increasing the consistency of care have been shown to reduce race/ethnic inequities in care,874 special approaches may be required to actively reduce recur- rent stroke risk in populations at risk for inequities and to address the underlying structural determinants of ineq- uities. Several RCTs have tested secondary stroke pre- vention interventions in predominantly Black, Hispanic, and low-socioeconomic-status populations.815,856 859 The optimal approaches for reducing recurrent stroke risk in high-risk populations are unclear; however, key strate- gies include evaluating and addressing social determi- nants of health, implementing evidence-based protocols, monitoring adherence to evidence-based guidelines on a population level, enhancing health and stroke literacy and self-management skills, and using the Agency for Healthcare Research and Quality Universal Precautions Toolkit of Health Literacy. Recommendation-Specific Supportive Text 1. 