Trends in American Indian/Alaskan native self-reported stroke prevalence and associated modifiable risk factors in the United States from 2011-2021.
Trends in American Indian/Alaskan native self-reported stroke prevalence and associated modifiable risk factors in the United States from 2011-2021.
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2011-2021 年美国印第安人/阿拉斯加原住民自我报告的卒中患病率及相关可改变危险因素的趋势。
DOI：
10.1016/j.jstrokecerebrovasdis.2024.107650
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
deHavenon,AdamH
中科院分区：
文献类型：
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作者：
Heath,Tyria;Shrishail,Neha;Wong,Ka-Ho;Johnston,KarenC;Sharma,Richa;Ney,JohnP;Sheth,KevinN;deHavenon,AdamH
背景中风患病率因种族/民族不同而不同，增加中风风险的危险因素也不同。先前的分析表明，美国印第安人/阿拉斯加原住民(AI/AN)中风和血管危险因素的发生率更高。方法我们纳入了2011年至2021年美国成年人(18岁≥)行为危险因素监测系统调查的两年一次的数据。我们描述了调查加权的中风患病率，每个自我报告按种族和民族。在自我报告的中风(SRS)患者中，我们还描述了可改变的血管危险因素的患病率。结果美国参与BRFSS调查的加权人数从2011年的237,486,646人增加到2021年的245,350,089人。自闭症患病率从2011年的2.9%上升到2021年的3.3%(p<；0.001)。在所有种族/民族群体中，中风患病率在AI/AN中最高，2011年和2021年分别为5.4%和5.6%，而白人成年人的这一比例分别为3.0%和3.4%(p<；0.001)。患有SRS的AI/AN在2011年和2021年都最有可能有四个或更多的血管危险因素，分别为23.9%和26.4%，而白人成年人分别为18.2%和19.6%(p<；0.001)。结论从2011年到2021年，AI/AN一直是美国自报中风患病率最高的人群，也是可改变的血管危险因素总负担最高的人群。这种持续的健康差距使AI/AN更容易发生和复发中风。
BackgroundStroke prevalence varies by race/ethnicity, as do the risk factors that elevate the risk of stroke. Prior analyses have suggested that American Indian/Alaskan Natives (AI/AN) have higher rates of stroke and vascular risk factors.MethodsWe included biyearly data from the 2011-2021 Behavioral Risk Factor Surveillance System (BRFSS) surveys of adults (age ≥18) in the United States. We describe survey-weighted prevalence of stroke per self-report by race and ethnicity. In patients with self-reported stroke (SRS), we also describe the prevalence of modifiable vascular risk factors.ResultsThe weighted number of U.S. participants represented in BRFSS surveys increased from 237,486,646 in 2011 to 245,350,089 in 2021. SRS prevalence increased from 2.9% in 2011 to 3.3% in 2021 (p<0.001). Amongst all race/ethnicity groups, the prevalence of stroke was highest in AI/AN at 5.4% and 5.6% in 2011 and 2021, compared to 3.0% and 3.4% for White adults (p<0.001). AI/AN with SRS were also the most likely to have four or more vascular risk factors in both 2011 and 2021 at 23.9% and 26.4% compared to 18.2% and 19.6% in White adults (p<0.001).ConclusionFrom 2011-2021 in the United States, AI/AN consistently had the highest prevalence of self-reported stroke and highest overall burden of modifiable vascular risk factors. This persistent health disparity leaves AI/AN more susceptible to both incident and recurrent stroke.