Stroke Mortality Disparities in the Population of the Appalachian Mountain Region

Details

• Personal Author:
  Sergeev AV
• Description:
  OBJECTIVES: Racial and rural-urban differences in stroke were previously reported in demographically and socioeconomically heterogeneous populations. However, it is not clear whether they exist in more homogeneous populations. Compared to the rest of the United States, the Appalachian region is highly rural and more homogeneous, with a predominantly White and socioeconomically disadvantaged population. The goal of our study was to investigate whether racial disparities in stroke mortality exist among the Appalachian population. DESIGN, SETTING, PARTICIPANTS: Patterns of stroke mortality for a seven-year period (2000-2006) were investigated in the Appalachian adult population of > or = 25 years. Data on stroke deaths were obtained from the Centers for Disease Control and Prevention, National Center for Health Statistics. Multivariable Poisson regression models were used to estimate adjusted relative risks (RR), adjusting for confounding factors. MAIN OUTCOME MEASURE: Stroke death rates. RESULTS: Stroke mortality in Appalachia was 20.5% higher than outside Appalachia (96.67 and 80.25 per 100,000 person-years, P < .001). Stroke mortality was statistically significantly higher in African Americans than in other racial groups: Caucasians (adjusted RR = 1.428, P < .001), Asians (adjusted RR = 2.821, P < .001), and Native American Indians (adjusted RR = 3.571, P < 0.001). Rural-urban stroke mortality disparities were statistically significant outside Appalachia but not within Appalachia. CONCLUSIONS: Racial disparities in stroke mortality exist in the Appalachian region. Further studies are warranted to investigate the rationale for possible health policy interventions and socioeconomic measures. [Description provided by NIOSH]
• Subjects:
  Aging Demography Epidemiology Men Morbidity Mortality Occupational Health Risk Assessment Risk Factors Safety Women

  More +
• Keywords:
  African Americans Age Groups Appalachian Mountain Population Author Keywords: Stroke Blacks Demographic Characteristics Health Status Disparities Humans Models Morbidity Rates Mortality Rates Risk Factors Socioeconomics Sociological Factors Statistical Analysis

  More +
• ISSN:
  1049-510X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  286-291
• Volume:
  23
• Issue:
  3
• NIOSHTIC Number:
  nn:20050159
• Citation:
  Ethn Dis 2013 Jun; 23(3):286-291
• Contact Point Address:
  Alexande V. Sergeev, Department of Social and Public Health, Ohio University, Grover Center W343, Athens, OH 45701
• Email:
  sergeev@ohio.edu
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Cincinnati
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Ethnicity and Disease
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9effca372f41b4a0a7bbbfb9777a2eac4b83673eca22cda00753f35db30cd5c6eb63e1ce77e92b7fc0b11506c30e341abdf4ac0df32afb6b582de28b0ec5fb99
• Download URL:
  https://stacks.cdc.gov/view/cdc/210633/cdc_210633_DS1.pdf
• File Type:
  [PDF - 98.68 KB ]