Epidemiology of stroke in Hispanic Americans.

BACKGROUND AND PURPOSE In 1990 cerebrovascular disease was the fourth leading cause of death in Hispanics in the United States. However, little information has been published about the epidemiology of stroke in US Hispanic populations. METHODS Data from the National Center for Health Statistics were examined to characterize the pattern of stroke occurrence and risk factors among Hispanics in the United States. RESULTS In 1989 through 1991, stroke death rates were similar in Hispanics and whites aged 45 to 64 years; at ages 65 and over, Hispanics had rates that were substantially lower than those of whites. Data from national surveys suggest that the ethic differences in stroke mortality may be due in part to lower blood pressure in Hispanics than non-Hispanics. CONCLUSIONS Cohort studies, well-designed case-control studies, and continued oversampling of Hispanics in national surveys are needed to further define the epidemiological patterns of stroke in US Hispanics and to guide stroke prevention efforts.

[1]  R. Gillum.  The epidemiology of stroke in Native Americans. , 1995, Stroke.

[2]  J. Rothrock,et al.  Impact of race and ethnicity on ischemic stroke. The University of California at San Diego Stroke Data Bank. , 1995, Stroke.

[3]  P. Sorlie,et al.  Ethnic Differences in Stroke Mortality Between Non‐Hispanic Whites, Hispanic Whites, and Blacks: The National Longitudinal Mortality Study , 1994, Stroke.

[4]  J. Feldman,et al.  Health, United States, 1993 , 1994 .

[5]  J G Collins,et al.  Prevalence of selected chronic conditions: United States, 1986-88. , 1993, Vital and health statistics. Series 10, Data from the National Health Survey.

[6]  J. Desenclos,et al.  Years of potential life lost before age 65, by race, Hispanic origin, and sex--United States, 1986-1988. , 1992, MMWR. CDC surveillance summaries : Morbidity and mortality weekly report. CDC surveillance summaries.

[7]  P. Sorlie,et al.  Validity of demographic characteristics on the death certificate. , 1992, Epidemiology.

[8]  R. Sacco,et al.  Hospitalized Stroke in Blacks and Hispanics in Northern Manhattan , 1991, Stroke.

[9]  S. Syme,et al.  Blood pressure in Mexican Americans, whites, and blacks. The Second National Health and Nutrition Examination Survey and the Hispanic Health and Nutrition Examination Survey. , 1991, American journal of epidemiology.

[10]  E. Perez-stable,et al.  Prevalence of Diabetes in Mexican Americans, Cubans, and Puerto Ricans From the Hispanic Health and Nutrition Examination Survey, 1982–1984 , 1991, Diabetes Care.

[11]  R. Martorell,et al.  Prevalence of overweight and obesity in US Hispanic populations. , 1991, The American journal of clinical nutrition.

[12]  F. Yatsu.  Strokes in Asians and Pacific-Islanders, Hispanics, and Native Americans. , 1991, Circulation.

[13]  R. Sacco,et al.  One-year outcome after cerebral infarction in whites, blacks, and Hispanics. , 1991, Stroke.

[14]  B. Cohen,et al.  Patterns of cigarette smoking among Hispanics in the United States: results from HHANES 1982-84. , 1990, American journal of public health.

[15]  P. Gergen,et al.  Hypertension prevalence and the status of awareness, treatment, and control in the Hispanic Health and Nutrition Examination Survey (HHANES), 1982-84. , 1990, American journal of public health.

[16]  J. Bound,et al.  A note on the measurement of hypertension in HHANES. , 1990, American journal of public health.

[17]  M. Carroll,et al.  Serum lipids and lipoproteins of Hispanics, 1982-84. , 1990, Vital and health statistics. Series 11, Data from the National Health Survey.

[18]  P. Sorlie,et al.  Educational status and coronary heart disease in Puerto Rico: the Puerto Rico Heart Health Program. , 1990, International journal of epidemiology.

[19]  E. Perez-stable,et al.  Self-reported diabetes in Mexican Americans: HHANES 1982-84. , 1989, American journal of public health.

[20]  Najjar Mf,et al.  Anthropometric data and prevalence of overweight for Hispanics: 1982-84. , 1989 .

[21]  M. Najjar,et al.  Anthropometric reference data and prevalence of overweight, United States, 1976-80. , 1987, Vital and health statistics. Series 11, Data from the National Health Survey.

[22]  R. Gillum.  Cerebrovascular disease morbidity in the United States, 1970-1983. Age, sex, region, and vascular surgery. , 1986, Stroke.

[23]  R. Sacco,et al.  Race-ethnicity and determinants of intracranial atherosclerotic cerebral infarction. The Northern Manhattan Stroke Study. , 1995, Stroke.

[24]  J. A. Martin,et al.  ADVANCE REPORT OF FINAL NATALITY STATISTIC, 1992 , 1994 .

[25]  A. Peruga,et al.  Cardiovascular disease mortality in the Americas. , 1993, World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales.

[26]  B. Singh,et al.  Prognosis and risk assessment in cardiovascular disease , 1993 .

[27]  Kattapong Vj,et al.  Ethnic differences in mortality from cerebrovascular disease among New Mexico's Hispanics, Native Americans, and non-Hispanic whites, 1958 through 1987. , 1993 .

[28]  E. Perez-stable,et al.  Misclassification of smoking status by self-reported cigarette consumption. , 1992, The American review of respiratory disease.

[29]  R. Gillum.  Stroke in blacks. , 1988, Stroke.