Trends in American Indian/Alaskan native self-reported stroke prevalence and associated modifiable risk factors in the United States from 2011-2021.

Autor: Heath T; The Native American Summer Research Internship and Department of Neurology, University of Utah, USA., Shrishail N; The Department of Neurology, Center for Brain & Mind Health, Yale University, USA. Electronic address: neha.shrishail@yale.edu., Wong KH; Department of Neurology, University of Utah, USA., Johnston KC; The Department of Neurology, University of Virginia, Department of Neurology, Brown University, USA., Sharma R; The Department of Neurology, Center for Brain & Mind Health, Yale University, USA., Ney JP; Department of Neurology, Boston University, USA., Sheth KN; The Department of Neurology, Center for Brain & Mind Health, Yale University, USA., de Havenon AH; The Department of Neurology, Center for Brain & Mind Health, Yale University, USA.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2024 Jun; Vol. 33 (6), pp. 107650. Date of Electronic Publication: 2024 Mar 08.
DOI: 10.1016/j.jstrokecerebrovasdis.2024.107650
Abstrakt: Background: Stroke prevalence varies by race/ethnicity, as do the risk factors that elevate the risk of stroke. Prior analyses have suggested that American Indian/Alaskan Natives (AI/AN) have higher rates of stroke and vascular risk factors.
Methods: We included biyearly data from the 2011-2021 Behavioral Risk Factor Surveillance System (BRFSS) surveys of adults (age ≥18) in the United States. We describe survey-weighted prevalence of stroke per self-report by race and ethnicity. In patients with self-reported stroke (SRS), we also describe the prevalence of modifiable vascular risk factors.
Results: The weighted number of U.S. participants represented in BRFSS surveys increased from 237,486,646 in 2011 to 245,350,089 in 2021. SRS prevalence increased from 2.9% in 2011 to 3.3% in 2021 (p<0.001). Amongst all race/ethnicity groups, the prevalence of stroke was highest in AI/AN at 5.4% and 5.6% in 2011 and 2021, compared to 3.0% and 3.4% for White adults (p<0.001). AI/AN with SRS were also the most likely to have four or more vascular risk factors in both 2011 and 2021 at 23.9% and 26.4% compared to 18.2% and 19.6% in White adults (p<0.001).
Conclusion: From 2011-2021 in the United States, AI/AN consistently had the highest prevalence of self-reported stroke and highest overall burden of modifiable vascular risk factors. This persistent health disparity leaves AI/AN more susceptible to both incident and recurrent stroke.
Competing Interests: Declaration of competing interest None.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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