Stroke in American Indians and Alaska Natives: A systematic review

R. Harris, L.A. Nelson, C. Muller and D. Buchwald

American Journal of Public Health, 2015, vol. 105, issue 8, e16-e26

Abstract: We conducted a systematic review of published studies on stroke epidemiology in American Indians and Alaska Natives (AI/ANs). We used MeSH terms and strict inclusion criteria to search PubMed, identifying a relevant sample of 57 refereed publications. We report a consensus view in which prevalent stroke is more common, and estimates of cerebrovascular risk factors are higher, among AI/ANs than among other US populations. Like other minority groups, AI/ANs suffer stroke at younger ages than do non-Hispanic Whites. However, data on AI/AN stroke mortality are significantly compromised by racial misclassification and nonrepresentative sampling. Studies correcting for these problems have found that stroke mortality rates among AI/ANs are among the highest of all US racial and ethnic groups. As with Black and non-Hispanic White stroke mortality, AI/AN stroke mortality varies by geographic region, with the highest rates in Alaska and the Northwest and the lowest in the Southwest. Our results underscore the need for a concerted national effort to collect accurate cross-sectional and longitudinal data on stroke in AI/ANs. © 2015, American Public Health Association Inc. All rights reserved.

Keywords: Alaska; American Indian; Canada; ethnology; female; human; incidence; male; mortality; prevalence; risk factor; statistics and numerical data; Stroke; United States, Alaska; Canada; Female; Humans; Incidence; Indians, North American; Male; Prevalence; Risk Factors; Stroke; United States (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302698_7

DOI: 10.2105/AJPH.2015.302698

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