January 1, 1997Stroke
African Americans and Women Have the Highest Stroke Mortality in Texas
Why the study?
Are there race/ethnic and sex differences in stroke mortality in Texas?
Population
40,346 stroke deaths in Texas from 1988 through 1992, including Hispanic American, African American, and…
Design
Cross-sectional
Follow-up
5 years (1988-1992)
Authors
Discussion
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Implication
Disparities suggest targeted prevention in Texas; hypothesis-generating and requires longitudinal confirmation before practice change.
Key Points
- To investigate stroke mortality rates among Hispanic American, African American, and non-Hispanic white populations in Texas, focusing on sex and age differences.
- Analyzed Texas vital statistics data for stroke deaths from 1988 to 1992 using specific ICD-9 codes.
- Presented findings in an age- and sex-specific format to highlight interactions with stroke mortality.
- 61% of stroke deaths were among women, consistent with population ratios.
- African Americans experienced threefold to fourfold increased stroke mortality compared to non-Hispanic whites at younger ages.
- Hispanic Americans showed higher stroke mortality compared to non-Hispanic whites at younger ages but lower rates at older ages.
Structured PICO
Are there race/ethnic and sex differences in stroke mortality in Texas?
P
Population
40,346 stroke deaths in Texas from 1988 through 1992, including Hispanic American, African American, and non-Hispanic white populations.
O
Outcome
Stroke mortality (ICD-9 codes 430 to 438)hard clinical
Stroke mortality disproportionately affects young African Americans and women in Texas, highlighting the need for targeted prevention efforts.
Limitations
- Potential underestimation of stroke mortality in the Hispanic American population
Cite This Study
Morgenstern et al. (1997) studied this question.