Ethnic and Geographic Variation in Stroke Mortality Trends
Open accessAbstract
Background and Purpose—: Magnitude, geographic, and ethnic variation in trends in stroke within the United States require updating for health services and health disparities research. Methods—: Data for stroke were analyzed from the US mortality files for 1999 to 2007. Age-adjusted death rates were computed for non-Hispanic African Americans and European Americans aged ≥45 years. Results—: Between 1999 and 2007, the age-adjusted death rate per 100 000 for stroke declined both in African Americans and in European Americans of both genders. Among African American females, European American females, and European American males, rates declined by at least 2% annually in every division. Among African American males, rates declined little in the East and West South Central divisions where disparities in trends by urbanization level were found. Conclusions—: Between 1999 and 2007, the rate of decline in stroke mortality varied by geographic region and ethnic group.
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The reduction in stroke mortality in high-income countries is not surprising because it has been consistently reported in most countries of this income level.
“Although the reduction in stroke mortality in high-income countries is not surprising because it has been consistently reported in most countries of this income level,25–28”
From Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010 (2014) · cites this paper as [26]
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- Authors
- Gillum, R. F., Kwagyan, J., & Obisesan, T. O.
- Affiliations
- Howard University (US)
- Venue
- Stroke
- Published
- 2011-11
- Volume
- 42
- Issue
- 11
- Pages
- 3294-3296
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- PMC
- PMC3202033
- OpenAlex
- W2158885688
- Cited by
- 61
- References
- 16
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 4 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 10 · 2014: 8 · 2013: 6 · 2012: 3
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Stroke (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (AG00980, K23AG000980, R01AG031517)
- National Center for Research Resources (UL1RR031975)
- Topics
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- stroke mortality, mortality trends, ethnic disparities, African Americans, European Americans, regional variation, urbanization, age-adjusted death rates, health disparities, sex differences
- MeSH terms
- Black or African American, Ethnicity, Female, Humans, Male, Middle Aged, Mortality, United States, Stroke, White People
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