Stroke, Vol 19, 1-9, Copyright © 1988 by American Heart Association
RF Gillum
In an attempt to answer unresolved questions and to suggest directions for
future research concerning stroke in black populations, data from the
National Center for Health Statistics were examined and published studies
were reviewed. Stroke was the third leading cause of death among U.S.
blacks in 1982, accounting for 18,698 deaths, 8.25% of the total. Black men
aged 35-74 years were 2.5 times and black women 2.4 times as likely as
whites to die of stroke. A long-term decline in stroke mortality rates
continued through 1982, with the declines since 1968 probably due to
improved hypertension control. Data on morbidity trends are lacking. About
7% of black men and 11% of black women in the U.S. noninstitutionalized
population aged 65 and over reported having had a stroke in 1977, black
women having the highest prevalence of any group. In several studies, black
women had higher incidence rates of stroke than white women in each age
group. Black men had higher incidence rates than whites up to age 75 years.
Survivorship and outcome following stroke may have been poorer in blacks
than in whites. Advanced age and elevated blood pressure were the only
putative risk factors for stroke for which published data were adequate to
firmly establish the association in blacks. Thus, data are needed to
examine trends in stroke incidence and survivorship in blacks and to assess
the relation of many variables to the risk of stroke.
ARTICLES
Stroke in blacks
Office of Analysis, National Center for Health Statistics, Hyattsville, MD 20782.
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