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Hospitalized stroke in blacks and Hispanics in northern Manhattan

R L Sacco1, W A Hauser, J P Mohr

  • 1Neurological Institute, Columbia-Presbyterian Medical Center, New York, NY 10032.

Stroke
|December 1, 1991
PubMed

Insights

Blacks and Hispanics experience higher stroke incidence and mortality rates compared to whites. This study highlights the need for targeted stroke prevention programs for these growing populations.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Growing Black and Hispanic populations in the U.S. necessitate focused stroke prevention strategies.
  • Understanding cerebral infarction rates and prognosis is crucial for public health planning.

Purpose of the Study:

  • To investigate stroke incidence and prognosis across different race/ethnic groups.
  • To inform the development of targeted stroke prevention programs.

Main Methods:

  • Utilized Statewide Planning and Research Cooperative System discharge data.
  • Analyzed 1,034 stroke hospitalizations in Northern Manhattan residents aged 40+ (1983-1986).

Main Results:

  • Stroke incidence increased with age across all groups.
  • Age-adjusted incidence per 100,000 for men (≥40): 567 (Blacks), 306 (Hispanics), 351 (Whites).
  • Age-adjusted incidence per 100,000 for women (≥40): 716 (Blacks), 361 (Hispanics), 326 (Whites).
  • Hypertension and diabetes were more common in Black and Hispanic stroke patients.
  • In-hospital mortality was higher in younger Black and Hispanic patients.

Conclusions:

  • Stroke incidence is significantly higher in Black populations.
  • Data on Hispanic stroke incidence and mortality support public health planning.
  • Findings underscore the need for tailored stroke prevention initiatives.
Abstract

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