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首页> 外文期刊>Annals of epidemiology >Regional differences in African Americans' high risk for stroke: the remarkable burden of stroke for Southern African Americans.
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Regional differences in African Americans' high risk for stroke: the remarkable burden of stroke for Southern African Americans.

机译:非裔美国人中风的高风险地区差异:南部非裔美国人的中风负担重。

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摘要

PURPOSE: The stroke mortality rate for African Americans aged 45 to 64 years is 3 to 4 times higher than for whites of the same age, with a decreasing black-to-white mortality ratio with increasing age. There is also a "STROKE BELT" with higher stroke mortality in the southeastern United States. This study assesses if there are also geographic variations in the magnitude of the excess stroke mortality for African Americans. METHODS: The age- and sex-specific black-to-white mortality ratio was calculated for each of 26 states with a sufficient African American population for stable estimates. The southern excess was calculated as the percentage excess of southern over nonsouthern rates. RESULTS: Across age and sex strata, the black-to-white stroke mortality ratio was consistently higher for southern states, with an average black-to-white stroke mortality ratio that ranged from 6% to 21% higher among southern states than in nonsouthern states. CONCLUSIONS: The increase in stroke mortality rates for African Americans in southern states is even larger than expected. That southern states that are not part of the "STROKE BELT" (Virginia and Florida) also have an elevated black-to-white mortality ratio suggests the mechanism of higher risk for African Americans may be independent of the causes contributing to "STROKE BELT."
机译:目的:45至64岁的非洲裔美国人的中风死亡率是同年龄白人的3至4倍,随着年龄的增长,黑人与白人的死亡率降低。在美国东南部,还有一个“卒中带”,卒中死亡率较高。这项研究评估了非裔美国人中风超额死亡率的大小是否也存在地理差异。方法:针对26个州中每个州的年龄和性别特定的黑白死亡率进行了计算,这些州有足够的非洲裔美国人口以进行稳定的估计。南部超额是指南部相对于非南部地区的超额百分比。结果:在各个年龄和性别阶层中,南部各州的黑白卒中死亡率始终较高,南部各州的平均黑白卒中死亡率比非南部地区高6%至21%状态。结论:南部各州非裔美国人的中风死亡率增加幅度甚至超过了预期。不属于“ STROKE BELT”的南部州(弗吉尼亚州和佛罗里达州)的黑白死亡率也较高,这表明非裔美国人较高风险的机制可能与导致“ STROKE BELT”的原因无关。 ”

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