Yu CY, Blaine T, Panagos PD, et al. - Since demographic disparities in proximity to stroke care influence time to treatment and clinical outcome but remain understudied at the national level, researchers conducted this cross-sectional study to quantify the association between distance to the nearest certified stroke hospital and census-derived demographics. This investigation involved population data by census tract from the United States Census Bureau’s 2014–2018 American Community Survey, stroke hospitals certified by a state or national body and providing intravenous thrombolysis, and geographic data from a public mapping service. Two thousand three hundred eighty-eight stroke centers and 71,929 census tracts with a total population of 316,995 649 people were included. Data reported that 4,9918 (69%) tracts were urban. Higher representation of individuals with age ≥ 65 years was linked to increased median distance to a certified stroke center in nonurban areas but not in urban areas. In nonurban areas, disparities were greater than in urban areas. Nonurban census tracts with a higher proportion of elderly, American Indian, or uninsured people, or a low median income, were significantly further away from certified stroke care.