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Updated: May 29, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Ethnic and geographic variation in stroke mortality trends
Richard F Gillum1, John Kwagyan, Thomas O Obisesan
1Division of Geriatrics, Howard University College of Medicine, Washington, DC, USA. rfg2.howard.edu@gmail.com
Stroke mortality declined across ethnic groups in the US from 1999-2007. However, the rate of decline for stroke varied by geographic region and ethnicity, particularly for African American males in certain divisions.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities Research
Background:
- Stroke trends in the US exhibit variations across geographic, ethnic, and demographic lines.
- Updated data are crucial for effective health services and addressing health disparities.
Purpose of the Study:
- To analyze recent trends in stroke mortality.
- To investigate geographic and ethnic variations in stroke mortality rates.
- To inform health services and disparities research.
Main Methods:
- Utilized US mortality files from 1999 to 2007.
- Calculated age-adjusted death rates for stroke.
- Stratified analysis by ethnicity (non-Hispanic African Americans, European Americans) and gender, for individuals aged 45 years and older.
Main Results:
- Overall decline in age-adjusted stroke death rates observed for both African Americans and European Americans (1999-2007).
- Significant annual decline of at least 2% in stroke mortality for most demographic groups across all divisions.
- African American males showed minimal decline in the East and West South Central divisions, with disparities linked to urbanization levels.
Conclusions:
- Stroke mortality decline rates between 1999 and 2007 were not uniform.
- Geographic region and ethnic group significantly influenced the trends in stroke mortality decline.
- Identified specific areas and demographic groups requiring targeted public health interventions.
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