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Progress in reducing stroke mortality in Wisconsin, 1984-1998
Kristine Dawson1, Barbara J Gordon, Abdelhani Guend
1Wisconsin Public Health and Health Policy Institute, Madison, WI, USA.
Summary
Stroke mortality in Wisconsin decreased 11% over two decades, but progress is mixed. Significant disparities persist among racial and gender groups, with some experiencing increased mortality, indicating challenges in meeting public health goals.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Disease Research
Background:
- Stroke remains a leading cause of death nationally and in Wisconsin.
- This study examines stroke mortality trends over two decades in Wisconsin.
- It assesses progress toward the Healthier People in Wisconsin 2000 objective for stroke mortality reduction.
Purpose of the Study:
- To analyze trends in stroke mortality in Wisconsin from 1979 to 1998.
- To evaluate progress towards the state's public health goal for stroke mortality reduction.
- To identify disparities in stroke mortality across demographic subgroups.
Main Methods:
- Examined stroke mortality trends (ICD-9 430-438) in Wisconsin.
- Data extracted from the Centers for Disease Control and Prevention's WONDER database (1979-1998).
- Analysis conducted across gender, age, and racial subgroups.
Main Results:
- Overall stroke mortality decreased by 11% from 1984-1986 to 1996-1998.
- Blacks and males exhibited higher stroke mortality rates than whites and females, respectively.
- While mortality decreased more in men, Black individuals under 65 experienced increased stroke mortality.
Conclusions:
- Wisconsin shows mixed progress in reducing stroke mortality.
- The state had not met its year 2000 public health goal for stroke mortality reduction as of 1998.
- Addressing disparities in stroke mortality among specific demographic groups is crucial.