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Stroke mortality in blacks. Disturbing trends.

R F Gillum1

  • 1Centers for Disease Control and Prevention, Hyattsville, Md, USA.

Stroke
|August 6, 1999
PubMed
Summary

Stroke mortality rates are declining slower in the US, particularly among Black populations. Urgent prevention strategies targeting risk factors like high blood pressure, diabetes, and smoking are crucial to reduce premature deaths.

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Area of Science:

  • Public Health
  • Epidemiology
  • Cardiovascular Disease

Background:

  • Stroke mortality rates in the US have shown long-term declines, but the pace has slowed in recent years.
  • Targets for reducing stroke deaths in Black populations by 2000 and 2010 appear difficult to achieve.
  • This review examines critical aspects of stroke mortality, focusing on disparities in the US.

Purpose of the Study:

  • To review stroke mortality data in the US, with a focus on Black populations.
  • To highlight the persistent disparities in stroke mortality between Black and White Americans.
  • To emphasize the need for enhanced prevention strategies for stroke in Black communities.

Main Methods:

  • Review of data from the US National Center for Health Statistics.
  • Analysis of population-based studies on stroke mortality published since 1987.
  • Literature search using computerized databases.

Main Results:

  • In 1996, stroke was a leading cause of death for Black men and women in the US.
  • Age-adjusted stroke death rates were significantly higher for Black individuals compared to White individuals across most subtypes.
  • The number of stroke deaths among Black individuals increased by over 8% between 1992 and 1996.

Conclusions:

  • Increased research is essential to develop effective stroke prevention strategies for Black populations.
  • Addressing modifiable risk factors such as hypertension, diabetes, and smoking is critical for reducing stroke burden.
  • Urgent and renewed efforts are needed to prevent and control stroke risk factors among US Black individuals to reduce premature mortality and morbidity.

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