Stroke Surveillance in a Biethnic Community

描述(由申请人提供)：有针对性的公共卫生干预策略在清楚了解疾病负担和在人群中调解这种疾病的相关因素的情况下进行得最好。我们正在研究的疾病是中风：美国第一大致残原因和第三大死亡原因。我们正在研究的人口是墨西哥裔美国人：占压倒性多数的拉美裔美国人，也是美国最大的少数民族人口。科珀斯克里斯蒂的大脑攻击监测(BASIC)项目于2000年1月在德克萨斯州东南部开始了严格的、以人群为基础的中风监测。招募研究对象的进度远远超过了计划。社区、当地公共卫生部门和调查人员之间的巨大合作使中风病例的完全查明和确认其诊断的详细程序成为可能。 BASIC项目旨在向科学界和公共卫生界提供关于墨西哥裔美国人中风的两个互补领域的信息。第一个目标是提供短暂性脑缺血发作、首次和完全缺血性卒中、脑间出血和蛛网膜下腔出血的准确率。这些疾病在墨西哥裔美国人和非西班牙裔白人中的相对负担将以一种只有在基于人群的研究中才会发生的挑剔方式来确定。该项目的第二个方面是深入研究获得护理的机会、文化适应、中风风险因素和健康的社会决定因素之间的关系，因为这些因素与种族相互作用，与中风有关。我们相信，我们在这两种解决健康差距的方法中所做的努力将产生关键信息，这些信息将成为科学家今后缩小种族/民族健康差距的基础。 墨西哥裔美国人的人口正在迅速增长和老龄化。在接下来的几十年里，中风给这一人群带来的身体和精神负担将呈指数级增长。因此，中风给所有纳税人带来的经济负担将会增加。基本项目反映了多年的规划、试点工作，以及现在在促进社区关系、协作、数据获取和分析方面的详细实践经验。这个项目开始了，我们正在进行我们的冲刺。将该项目再延长五年将使我们能够完成我们已经开始的任务。我们将以最高的科学诚信完成这一目标，并提供全国各地目睹我们项目发展的人们所期待的丰富数据。

DESCRIPTION (provided by applicant): Targeting public health intervention strategies proceeds best with a clear understanding of the burden of disease and the associated factors that mediate this disease within a population. The disease that we are studying is stroke: the nation's number one cause of disability and third leading cause of death. The population we are studying is Mexican Americans: the overwhelming largest component of Hispanic Americans, the nation's largest minority population. The Brain Attack Surveillance In Corpus Christi (BASIC) Project began rigorous, population-based stroke surveillance in southeastern Texas in January 2000. Recruitment of study subjects has progressed far ahead of schedule. The tremendous collaboration among community, local Public Health Department and investigators has enabled complete ascertainment of stroke cases and detailed procedures to confirm their diagnosis. The BASIC Project aims to provide information to the scientific and public health community regarding stroke in Mexican Americans in two complementary areas. The first objective is to provide accurate rates of transient ischemic attack, first ever and total ischemic stroke, intercerebral hemorrhage and subarachnoid hemorrhage. The relative burden of these diseases in Mexican Americans and non-Hispanic whites will be determined in the fastidious manner that can only occur in a population-based study. The second aspect of the project is to delve deeply into the relationships of access to care, acculturation, stroke risk factors and social determinants of health as these factors interact with ethnicity in their association with stroke. We are confident that our efforts in these two approaches to health disparities will yield critical information that will form a foundation for scientists in the future to reduce race/ethnic health disparities. The Mexican American population is growing and aging quickly. The physical and emotional burden from stroke to this population will grow exponentially over the next few decades. Consequently, the economic burden for stroke will mount for all taxpayers. The BASIC Project reflects years of planning, pilot work, and now detailed, hands-on experience in fostering community relations, collaboration, data acquisition, and analysis. This project began running right out of the blocks and we are in the middle of our sprint. Renewal of this project for an additional five years will enable us to complete the mission we have begun. We will accomplish this with the highest scientific integrity and provide the rich data that people around the country who have seen our project grow have come to expect.