Ethnic and Geographic Variation in Stroke Mortality Trends

Author:

Gillum Richard F.1,Kwagyan John1,Obisesan Thomas O.1

Affiliation:

1. From the Division of Geriatrics, Department of Medicine, Howard University College of Medicine, Washington, DC.

Abstract

Background and Purpose— Magnitude, geographic, and ethnic variation in trends in stroke within the United States require updating for health services and health disparities research. Methods— Data for stroke were analyzed from the US mortality files for 1999 to 2007. Age-adjusted death rates were computed for non-Hispanic African Americans and European Americans aged ≥45 years. Results— Between 1999 and 2007, the age-adjusted death rate per 100 000 for stroke declined both in African Americans and in European Americans of both genders. Among African American females, European American females, and European American males, rates declined by at least 2% annually in every division. Among African American males, rates declined little in the East and West South Central divisions where disparities in trends by urbanization level were found. Conclusions— Between 1999 and 2007, the rate of decline in stroke mortality varied by geographic region and ethnic group.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialised Nursing,Cardiology and Cardiovascular Medicine,Clinical Neurology

Reference14 articles.

1. Therapeutic Milestone

2. Nationwide Trends in In-Hospital Mortality Among Patients With Stroke

3. Centers for Disease Control and Prevention National Center for Health Statistics. Multiple Cause of Death File 2005–2006. CDC WONDER online database compiled from Multiple Cause of Death File 2005–2006 Series 20 No. 2L 2009 . Available at: http://wonder.cdc.gov/mcd-icd10.html. Accessed November 23 2010.

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