142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Stroke Rates Decline Yet Burden of Stroke Remains High for African Americans

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Baqar Husaini, PhD , Center for Prevention Research, Tennesse State University, Nashville, TN
Van Cain , Center for Prevention Research, Tennessee State University, Nashville, TN
Meggan Novotny , Center for Prevention Research, Tennessee State University, Nashville, TN
Robert S. Levine, MD , Department of Family & Community Medicine, Meharry Medical College, Nashville, TN
Majaz Moonis , U Mass Memorial Medical Center, University of Massachusetts, Worcester, MA
Objective: Examine race variation in the burden of stroke and associated risk factors among hospital-discharged patients.  Methods: We examined Tennessee Hospital Discharge Data from 1997-2008 for discharged patients with a primary diagnosis of stroke along with their cardiovascular risk factors (nearly 17,000 patients per year). Age-adjusted prevalence of hospitalization for stroke per 100K for white and African American patient groups was developed per CDC procedures of at risk population. Race specific prevalence of stroke and associated risk factors were examined using multivariate logistic models. To examine consistency, we compared the two groups at three different points: 1997, 2003, and 2008 regarding the prevalence of stroke and their associated risk factors. Results: Our analyses of hospitalized stroke patients revealed three major trends: (1) stroke rate declined by 13.8% over a 12-year period (from 466.8 per 100K in 1997 to 402.2 per 100K in 2008); this decline occurred for both black and white patients; (2) the stroke rates among African Americans remained consistently higher compared to whites (African American-white rate ratios of 1.60 in 1997, 1.40 in 2003, and 1.60 in 2008); and (3) four risk factors consistently predicted stroke for both African American and white patients at three points of comparison, namely, hypertension, diabetes, high cholesterol, and cardiac arrhythmia. Conclusion: Aggressive management of two cardiovascular risk factors (Hypertension and Diabetes) may subsequently reduce the burden of stroke hospitalization among African Americans.

Learning Areas:

Chronic disease management and prevention
Diversity and culture

Learning Objectives:
Describe the difference between white and African American Stroke rates; Identify the cost of hospitalization for stroke patients; Identify risk factors that contribute to stroke in two racial groups.

Keyword(s): Heart Disease, Strokes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as PI on multiple federal, state, and local grants regarding health disparities for over 30 years. Topics have included cancer, heart diseases, nutrition, food deserts, and more. Whether PI or Co-PI, the Center for Prevention Research which I founded continues to examine and address the topic of health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.