关于中风发生率和结果的种族和民族差异
Hugo J Aparicio1,2, Mellanie V Springer3
1Department of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Current cardiovascular risk reports
|February 25, 2026
概括
美国中风发病率,结果和死亡率的种族和种族差异仍然存在,原因包括健康的社会决定因素和老龄化,多样化的人口.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
背景情况:
- 美国中风发病率正在平稳或下降.
- 然而,人口变化,包括人口老龄化和日益增长的种族/民族多样性,正在加剧中风的医疗保健差异.
- 在不同种族和族群中,中风发病率和结果的持续差异需要更新分析.
研究的目的:
- 审查有关中风的种族和民族差异的最新数据和趋势.
- 检查中风发病率,死亡率和功能/认知结果的差异.
- 了解健康的社会决定因素对这些差异的影响.
主要方法:
- 对最近关于中风发病率和结果的流行病学数据的审查.
- 分析跨种族和种族群体中风死亡率的趋势.
- 检查健康的社会决定因素的作用,包括社会经济地位,教育和医疗保健的获取.
主要成果:
- 美国黑人面临更高的中风风险,更差的结果,在自我护理和流动性方面面临更大的挑战.
- 拉美裔美国人中风差异在区域和子组之间存在差异,一些人群中风发病率差距正在缩小,但结果持续不足.
- 脑卒中死亡率存在差异,并受到脑卒中类型和长期存活率的影响,特别是在美国黑人中.
结论:
- 在中风发病率,死亡率和功能/认知结果方面,种族和民族差异明显.
- 健康的社会决定因素显著改变了这些差异.
- 进一步的研究对于阐明社会决定因素在推动或加剧种族和民族中风差异中的作用至关重要.
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