Stroke Mortality Among Alaska Native People
- 1 November 2009
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 99 (11), 1996-2000
- https://doi.org/10.2105/ajph.2008.148221
Abstract
We aimed to describe the epidemiology of stroke among Alaska Natives, which is essential for designing effective stroke prevention and intervention efforts for this population. We conducted an analysis of death certificate data for the state of Alaska for the period 1984 to 2003, comparing age-standardized stroke mortality rates among Alaska Natives residing in Alaska vs US Whites by age category, gender, stroke type, and time. Compared with US Whites, Alaska Natives had significantly elevated stroke mortality from 1994 to 2003 but not from 1984 to 1993. Alaska Native women of all age groups and Alaska Native men younger than 45 years of age had the highest risk, although the rates for those younger than 65 years were statistically imprecise. Over the 20-year study period, the stroke mortality rate was stable for Alaska Natives but declined for US Whites. Stroke mortality is higher among Alaska Natives, especially women, than among US Whites. Over the past 20 years, there has not been a significant decline in stroke mortality among Alaska Natives.Keywords
This publication has 16 references indexed in Scilit:
- Westernizing Diets Influence Fat Intake, Red Blood Cell Fatty Acid Composition, and Health in Remote Alaskan Native Communities in the Center for Alaska Native Health StudyJournal of the American Dietetic Association, 2008
- Prevalence of stroke--United States, 2005.2007
- Defining Cause of Death in Stroke Patients: The Brain Attack Surveillance in Corpus Christi ProjectAmerican Journal of Epidemiology, 2006
- The impact on relative risk estimates of inconsistencies between ICD-9 and ICD-10Occupational and Environmental Medicine, 2006
- Cardiovascular Health Among American Indians and Alaska NativesAmerican Journal of Preventive Medicine, 2005
- Defining Disparities in Cardiovascular Disease for American IndiansCirculation, 2005
- Disparities in deaths from stroke among persons aged <75 years--United States, 2002.2005
- Disease classification: measuring the effect of the Tenth Revision of the International Classification of Diseases on cause‐of‐death data in the United StatesStatistics in Medicine, 2003
- Hypertension in Alaska natives: Association with overweight, glucose intolerance, diet and mechanized activityEthnicity & Health, 1997
- Dietary Change and Obesity Associated with Glucose Intolerance in Alaska NativesJournal of the American Dietetic Association, 1995