| Titre : | Stroke incidence among white, black, and hispanic residents of an urban community the Northern Manhattan Stroke Study. (1998) |
| Auteurs : | R.L. SACCO ; B. BODEN-ALBALA ; R. GAN ; W.A. HAUSER ; D.E. KARGMAN ; M.C. PAIK ; S. SHEA ; XUN CHEN . (.) ; Department of Neurology. College of Physicians and Surgeons. Columbia University. New York NY. USA ; Division of Epidemiology. School of Public Health. Columbia University. New York NY. USA ; Gertrude H Sergievsky Center. School of Public Health. Columbia University. New York NY. USA ; Northern Mahattan Stroke Study Collaborators. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 147, n° 3, 1998) |
| Pagination : | 259-268 |
| Langues: | Anglais |
| Mots-clés : | Accident cérébrovasculaire ; Ethnie ; Epidémiologie ; Incidence ; Adulte ; Homme ; Etats Unis ; Amérique du Nord ; Amérique ; Etude prospective ; Etude comparée ; Système nerveux [pathologie] ; Vaisseau sanguin encéphale [pathologie] ; Appareil circulatoire [pathologie] ; Vaisseau sanguin [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST mFU1R0xX. Diffusion soumise à autorisation]. Stroke mortality is reported to be greater in blacks than in whites, but stroke incidence data for blacks and Hispanics are sparse. The aim of this study was to determine and compare stroke incidence rates among whites, blacks, and Hispanics living in the same urban community. A population-based incidence study was conducted to identify all cases of first stroke occurring in northern Manhattan, New York City, between July 1,1993, and June 30,1996. The population of this area was approximately 210,000 at that time, based on 1990 US Census data. Surveillance for hospitalized and nonhospitalized stroke consisted of daily screening of all admissions, discharges, and computed tomography logs at Columbia-Presbyterian Medical Center, the only hospital in the region, and review of discharge lists from outside hospitals, telephone surveys of random households, and contacts with community physicians, Visiting Nurses'Services, and community agencies. Stroke incidence increased with age and was greater in men than in women. The average annual age-adjusted stroke incidence rate at age 20 years, per 100,000 population, was 223 for blacks, 196 for Hispanics, and 93 for whites. Blacks had a 2.4-fold and Hispanics a twofold increase in stroke incidence compared with whites. Cerebral infarct accounted for 77 percent of all strokes, intracerebral hemorrhage for 17 percent, and subarachnoid hemorrhage for 6 percent. (...) |
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