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Stroke mortality in Tennessee: an eco-epidemiologic perspective
Joanne Flowers1, Balaji Vutla, Tim E Aldrich
1Department of Public Health, East Tennessee State University, Johnson City 37614-1709, USA. flowers@mail.etsu.edu
Tennessee Medicine : Journal of the Tennessee Medical Association
|May 21, 2008
Summary
Stroke mortality in Tennessee disproportionately affects Caucasian populations in Appalachian counties. Public health interventions must target specific race and socioeconomic factors for effective stroke prevention statewide.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Stroke mortality is a significant public health concern in Tennessee.
- Geographic and demographic factors influence stroke mortality rates across the state.
Purpose of the Study:
- To analyze the distribution of stroke mortality across Tennessee by race, gender, and geographic region.
- To identify high-risk populations for targeted stroke prevention strategies.
Main Methods:
- Ecological analysis of county-level stroke mortality data.
- Race- and gender-specific statistical comparisons.
- Examination of socioeconomic and geographic correlations.
Main Results:
- Caucasian stroke mortality is higher in Appalachian counties.
- African-American stroke mortality is elevated statewide, particularly in Upper East Tennessee.
- Urban and impoverished communities face higher risks, except for African-American males in poorer, rural areas.
Conclusions:
- Stroke prevention programs require tailored approaches based on race, gender, socioeconomic status, and geography.
- Strategic over-sampling of priority populations is recommended for effective monitoring of interventions.
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