Abstract
Mexican Americans are the largest subgroup of Hispanics, the largest minority population in the United States. Stroke is the leading cause of disability and third leading cause of death. The authors compared stroke incidence among Mexican Americans and non-Hispanic Whites in a population-based study. Stroke cases were ascertained in Nueces County, Texas, utilizing concomitant active and passive surveillance. Cases were validated on the basis of source documentation by board-certified neurologists masked to subjects' ethnicity. From January 2000 to December 2002, 2,350 cerebrovascular events occurred. Of the completed strokes, 53% were in Mexican Americans. The crude cumulative incidence was 168/10,000 in Mexican Americans and 136/10,000 in non-Hispanic Whites. Mexican Americans had a higher cumulative incidence for ischemic stroke (ages 45-59 years: risk ratio = 2.04, 95% confidence interval: 1.55, 2.69; ages 60-74 years: risk ratio = 1.58, 95% confidence interval: 1.31, 1.91; ages >or=75 years: risk ratio = 1.12, 95% confidence interval: 0.94, 1.32). Intracerebral hemorrhage was more common in Mexican Americans (age-adjusted risk ratio = 1.63, 95% confidence interval: 1.24, 2.16). The subarachnoid hemorrhage age-adjusted risk ratio was 1.57 (95% confidence interval: 0.86, 2.89). Mexican Americans experience a substantially greater ischemic stroke and intracerebral hemorrhage incidence compared with non-Hispanic Whites. As the Mexican-American population grows and ages, measures to target this population for stroke prevention are critical.
MeSH Terms
Age Distribution
Aged
Aged, 80 and over
Cerebral Hemorrhage/ethnology
Fibrinolytic Agents/therapeutic use
Humans
Incidence
Ischemic Attack, Transient/ethnology
Mexican Americans/statistics & numerical data
Middle Aged
Platelet Aggregation Inhibitors/therapeutic use
Population Surveillance
Risk Factors
Stroke/ethnology
Texas/epidemiology
Whites/statistics & numerical data
Chemicals
Fibrinolytic Agents
Platelet Aggregation Inhibitors
Authors & Affiliations
13 authors, click to expand affiliations / ORCID
Morgenstern Lewis B
Stroke Program, University of Michigan Medical School, Ann Arbor, MI 48109-0316, USA. lmorgens@umich.edu
Smith Melinda A
Lisabeth Lynda D
Risser Jan M H
Uchino Ken
Garcia Nelda
Longwell Paxton J
McFarling David A
Akuwumi Olubumi
Al-Wabil Areej
Al-Senani Fahmi
Brown Devin L
Moyé Lemuel A
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