Stroke mortality in blacks - Disturbing trends
Stroke mortality in blacks - Disturbing trends
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DOI：
10.1161/01.str.30.8.1711
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发表时间：
1999-08-01
期刊：
影响因子：
8.3
通讯作者：
Gillum, RF
中科院分区：
文献类型：
--
作者：
Gillum, RF
背景——尽管美国中风死亡率长期下降，但在过去十年中下降速度已经放缓，2000 年和 2010 年黑人的目标似乎只有通过非常措施才能实现（如果有的话）。本次审查重点关注该问题的关键方面。回顾了美国国家卫生统计中心的数据以及通过计算机文献检索检索自 1987 年以来发表的基于人群的中风死亡率研究报告。 回顾摘要——1996 年，中风是美国黑人女性的第三大死因，黑人男性的第六大死因，导致黑人中女性死亡人数为 10 509 人，男性死亡人数为 7,972 人：分别占总死亡人数的 7.92% 和 5.33%。黑人女性每 10 万名年龄调整死亡率为 39.2；白人女性，22.9；黑人男性，50.9；和白人，26.3。现有数据表明，与美国白人相比，美国黑人每种中风亚型的死亡率都较高，但颅外颈动脉闭塞导致的脑梗死可能除外。这些差异将持续到21世纪。 1992 年至 1996 年间，黑人中风死亡人数增加了 8% 以上。 结论——需要加强对黑人中风的研究，以制定更有效的中风一级和二级预防策略，以减轻过早死亡和发病的沉重负担。美国黑人需要重新努力预防和控制中风危险因素（特别是高血压、糖尿病和吸烟）。
Background-Despite long-term declines in US stroke mortality rates, declines have slowed in the past decade and targets for blacks for the years 2000 and 2010 seem attainable only by extraordinary measures, if at all. This review focuses attention on key aspects of this problem. Data from the US National Center for Health Statistics and reports of population-based studies of stroke mortality published since 1987 retrieved by computerized literature searches were reviewed.Summary of Review-The third leading cause of death in black women and the sixth in black men in the United States in 1996, stroke accounted for 10 509 deaths in women and 7972 in men among blacks: 7.92% and 5.33%, respectively, of the total deaths. Age-adjusted death rates per 100 000 were black women, 39.2; white women, 22.9; black men, 50.9; and white men, 26.3. Available data indicate that compared with US whites, US blacks have greater mortality rates for every stroke subtype, with the likely exception of cerebral infarction due to extracranial carotid artery occlusion. These differences will persist into the 21st century. The number of stroke deaths in blacks increased by >8% between 1992 and 1996.Conclusions-Increased research on stroke in blacks is needed to develop more effective strategies for primary and secondary prevention of stroke to reduce the high burden of premature mortality and morbidity. Renewed efforts to prevent and control stroke risk factors tin particular elevated blood pressure, diabetes, and smoking) are needed among US blacks.