{"id":18817,"date":"2016-06-03T16:18:45","date_gmt":"2016-06-03T20:18:45","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18817"},"modified":"2016-06-03T16:18:45","modified_gmt":"2016-06-03T20:18:45","slug":"prevention-is-key-to-closing-racial-disparity-gap-in-stroke","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2016\/06\/prevention-is-key-to-closing-racial-disparity-gap-in-stroke\/","title":{"rendered":"Prevention is key to closing racial disparity gap in stroke"},"content":{"rendered":"<p>From the American Heart Association\u00a0media release:<\/p>\n<blockquote>\n<p id=\"first\" class=\"lead\"><img loading=\"lazy\" class=\"alignright size-full wp-image-16112\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2014\/01\/african-man-winter.jpg\" alt=\"african man winter\" width=\"225\" height=\"300\" \/>Forty-five year-old African-Americans are more likely to die of stroke than are whites, <strong>not because of differences in care, but because blacks are having more strokes<\/strong>, according to new research in the American Heart Association&#8217;s Journal\u00a0<em>Stroke<\/em>.<\/p>\n<div id=\"text\">\n<p>Few studies have examined whether the elevated stroke rate in blacks explains why there are more stroke deaths. The REasons for Geographic And Racial Differences in Stroke (REGARDS) Study <strong>investigated why blacks and U.S. Southerners are more likely to die from stroke<\/strong>. They found the higher number of stroke deaths is due to a greater number of strokes occurring at younger ages among blacks.<\/p>\n<p><strong>At age 45, blacks were four times more likely to die of stroke than their white counterparts in this analysis<\/strong>. By age 85, there was no difference in stroke death rates among blacks and whites.<\/p>\n<p>&#8220;The magnitude of public health burden of the racial disparity in stroke is staggering, with an estimated 22,384 &#8220;extra&#8221; stroke events i.e., above what would be expected relative to rates in whites occurring in blacks in 2014,&#8221; said George Howard, Dr.P.H., study lead author and a professor of biostatistics at the University of Alabama at Birmingham School of Public Health. &#8220;<strong>With a life-long cost of stroke of $104,000 for each of the events, this black-white difference in stroke costs America more than $2.3 billion annually<\/strong>. Obviously, efforts that would even marginally reduce this burden would pay remarkable dividends for the U.S.&#8221;<\/p>\n<p><strong>He blamed racial differences in the development and control of risk factors and encouraged more aggressive prevention efforts<\/strong>.<\/p>\n<p>&#8220;We need to do more to focus on prevention and control of risk factors before they result in a stroke. Unfortunately, <strong>most of the research resources are focused on treating stroke patients and preventing recurrent stroke<\/strong>.&#8221;<\/p>\n<p>Researchers said <strong>prevention efforts addressing risk factors like high blood pressure and diabetes that are more common in African-Americans are at the root of the problem<\/strong>; and to reduce the disparity in stroke we must &#8220;go further upstream&#8221; to make inroads on racial differences in the traditional and non-traditional risk factors that lead to stroke.<\/p>\n<p>Researchers analyzed data on 29,681 people selected at random from across the United States. Conducted between 2003 and 2007, REGARDS used a combination of mail and telephone interviews to assess risk factors, followed by regular in-home visits to collect other biological samples and measure blood pressure, height, and waist circumference.<\/p>\n<p><strong>The pattern of stroke mortality they found in their study data mirrors national data, where the black-to-white hazard ratio for dying from a stroke is about 4.0 at age 45 but falls to just 1.0 by age 85<\/strong>. The researchers found that the risk of having a stroke followed a remarkably similar pattern; however, there were no black-white differences in the risk of dying once a stroke occurred.<\/p>\n<\/div>\n<\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the American Heart Association\u00a0media release: Forty-five year-old African-Americans are more likely to die of stroke than are whites, not because of differences in care, but because blacks are having&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2016\/06\/prevention-is-key-to-closing-racial-disparity-gap-in-stroke\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[367,337,344,339],"tags":[16,366,182],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18817"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18817"}],"version-history":[{"count":2,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18817\/revisions"}],"predecessor-version":[{"id":19138,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18817\/revisions\/19138"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}