Stroke incidence among white, black, and hispanic residents of an urban community the Northern Manhattan Stroke Study.
Stroke mortality is reported to be greater in blacks than in whites, but stroke incidence data for blacks and Hispanics are sparse.
The aim of this study was to determine and compare stroke incidence rates among whites, blacks, and Hispanics living in the same urban community.
A population-based incidence study was conducted to identify all cases of first stroke occurring in northern Manhattan, New York City, between July 1,1993, and June 30,1996.
The population of this area was approximately 210,000 at that time, based on 1990 US Census data.
Surveillance for hospitalized and nonhospitalized stroke consisted of daily screening of all admissions, discharges, and computed tomography logs at Columbia-Presbyterian Medical Center, the only hospital in the region, and review of discharge lists from outside hospitals, telephone surveys of random households, and contacts with community physicians, Visiting Nurses'Services, and community agencies.
Stroke incidence increased with age and was greater in men than in women.
The average annual age-adjusted stroke incidence rate at age =20 years, per 100,000 population, was 223 for blacks, 196 for Hispanics, and 93 for whites.
Blacks had a 2.4-fold and Hispanics a twofold increase in stroke incidence compared with whites.
Cerebral infarct accounted for 77 percent of all strokes, intracerebral hemorrhage for 17 percent, and subarachnoid hemorrhage for 6 percent. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Ethnie, Caucasoïde, Négroïde, Espagnol, Zone urbaine, Epidémiologie, Incidence, Adulte, Homme, Etats Unis, Amérique du Nord, Amérique, Prospective, Etude comparative, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Ethnic group, Caucasoid, Negroid, Spanish, Urban area, Epidemiology, Incidence, Adult, Human, United States, North America, America, Prospective, Comparative study, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0150340
Code Inist : 002B17C. Création : 21/07/1998.