Stroke in the Lehigh Valley: racial/ethnic differences.
We investigated black/white differences in stroke rate (standardized morbidity), severity, and subtype, and the relative frequencies of 5 primary risk factors (hypertension, diabetes, myocardial infarction, other heart diseases, and transient ischemic attack [TIA]) using the Lehigh Valley Stroke Register. Blacks had a statistically significant higher, age-adjusted rate of stroke than whites. We found no differences in stroke severity using our measures but blacks had a statistically higher proportion of lacunar stroke, while whites had a higher proportion of embolic stroke. There were no differences in proportions of thrombotic stroke or intracerebral hemorrhage. The relative frequencies of hypertension, myocardial infarction, other heart diseases, and diabetes were higher for blacks, while the relative frequency of TIA was higher for whites. These observations are consistent with other reports that blacks have a higher frequency of stroke and tend to have more small-vessel cerebrovascular pathology than whites.
Published In/Presented At
Friday, G., Lai, S. M., Alter, M., Sobel, E., LaRue, L., Gil-Peralta, A., McCoy, R. L., Levitt, L. P., & Isack, T. (1989). Stroke in the Lehigh Valley: racial/ethnic differences. Neurology, 39(9), 1165–1168. https://doi.org/10.1212/wnl.39.9.1165
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
Administration and Leadership, Department of Medicine