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Stroke and African Americans

African American adults are twice as likely to have a stroke than their White adult counterparts. Further, men are 60% more likely to die from a stroke than their White adult counterparts. Analysis from a CDC health interview survey also reveals that African Americans stroke survivors are more likely to become disabled and have difficulty with activities of daily living than their non-Hispanic white counterparts.

At a glance – Diagnosed Cases of Stroke:

Age-adjusted percentages of stroke among persons 18 years of age and over, 2006

 

African American

White

African American/
White Ratio

Men and Women

4.7

2.4

2.0

Men

4.8

2.8

1.7

Women

4.5

2.1

2.1

Source:  CDC 2007.  Summary Health Statistics for U.S. Adults: 2006.  Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

 

At a glance – Death Rate:

Age-Adjusted Stroke Death Rates per 100,000 (2005)

 

African American

Non-Hispanic White

African
American/Non-
Hispanic White Ratio

Men

70.5

44.8

1.6

Women

60.7

44.4

1.4

Source:  CDC 2008. Health United States, 2008. Table 36.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 12.2MB]

 

Special Section – Stroke Related Disability

NHIS data from 2000-2001 was analyzed to examine stroke-related disability. Other races/ethnicities were excluded from the analysis due to the small sample size.

Age-adjusted percentage of stroke survivors, aged 18 years and over who report difficulty in performing activities, 2000-2001

Limitation of Activity

African
Americans

Non-Hispanic
White

African
American/Non-
Hispanic White
Ratio

Walk ¼ of a mile (3 city blocks)

45.1

36.5

1.2

Walk up 10 steps without resting

42.4

28.6

1.5

Stand or be on your feet for 2 hours

50.2

41.1

1.2

Sit for about 2 hours

16.4

10.7

1.5

Stoop, bend or kneel

44.8

37.7

1.2

Reach up over your head

21.6

14.7

1.5

Use your fingers to grasp or handle small objects

18.2

11.1

1.6

Lift or carry something as heavy as 10 pounds (e.g. grocery bag)

40.6

24.6

1.7

Push or pull large objects like a living room chair

45.2

32.5

1.4

Go out to things like shopping, movies, or sporting events

30.1

20.0

1.5

Participate in social activities like visiting friends

23.8

16.2

1.5

Do things to relax at home (reading, watching TV, sewing)

9.6

5.4

1.8

Source: CDC 2005. Differences in Disability Among Black and White Stroke Survivors – United States, 2000-2001. MMWR 54(1): 3-6.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5401a2.htm

 

At a Glance – Risk Factors:

Overweight

Age-adjusted percentage of persons 20 years of age and over who are overweight or obese, 2003-2006. (Persons are considered overweight if they have a Body Mass Index (BMI) of 25 or greater.) National Health and Nutrition Examination Survey (NHANES)

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-
Hispanic White Ratio

Men

71.6

71.8

1.0

Women

79.8

57.9

1.4

Source:  CDC 2008. Health United States, 2008. Table 75.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 12.2MB]

 

/

Obesity

Age-adjusted percentage of overweight persons 20 years of age and over who are obese, 2003-2006. (Persons are considered obese if they have a Body Mass Index (BMI) of 30 or greater.) National Health and Nutrition Examination Survey (NHANES)

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-
Hispanic White Ratio

Men

35.7

32.4

1.1

Women

53.4

31.6

1.7

Source:  CDC 2008. Health United States, 2008. Table 74.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 12.2MB]

 

Age-adjusted percentage of persons 18 years of age and over who are obese, 2006. (Persons are considered obese if they have a Body Mass Index (BMI) of 30 or greater.) National Health Interview Survey (NHIS)

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black /Non-
Hispanic White Ratio

35.3

24.7

1.4

Source:  CDC 2007.  Summary Health Statistics for U.S. Adults: 2006.  Table 31.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

 

Hypertension

Age-adjusted percentage of persons 20 years of age and over who have high blood pressure or taking antihypertensive medication, 2003-2006. National Health and Nutrition Examination Survey (NHANES)

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

Men

26.5

17.4

1.5

Women

23.9

15.9

1.5

Source:  CDC 2008. Health United States, 2008. Table 71.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 12.2MB]

 

Age-adjusted percentage of persons 18 years of age and over who have high blood pressure, 2006. National Health Interview Survey (NHIS)

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black /Non-Hispanic White Ratio

31.6

22.4

1.4

Source:  CDC 2007.  Summary Health Statistics for U.S. Adults: 2006.  Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

 

Percent of adults age 18 and over with hypertension whose blood pressure is under control, 1999-2004

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-
Hispanic White Ratio

29.2

33.1

0.9

Source:  2007 National Healthcare Disparities Report. Table 59.
http://www.ahrq.gov/qual/nhdr07/index.html

 

High Cholesterol

Age-adjusted percentage of persons 20 years of age and over who have high cholesterol, 2003-2006.

 

African American

Non-Hispanic White

African American/Non-
Hispanic White Ratio

Men

10.9

15.5

0.7

Women

13.3

18.0

0.7

Source:  CDC 2008. Health United States, 2008. Table 72.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 12.2MB]

Cigarette Smoking

Age-adjusted percentage of persons 18 years of age and over who are current cigarette smokers, 2004 - 2006.

 

African Americans

White

African Americans/White Ratio

Men

25.5

24.3

1.0

Women

17.6

20.9

0.8

Source:  CDC 2008. Health United States, 2008. Table 65.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 12.2MB]

Percentage of current smokers age 18 and over with a checkup who reported receiving advice to quit smoking, 2004

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/
Non-Hispanic White Ratio

62.5

64.8

1.0

Source:  2007 National Healthcare Quality Report. Table 1.41a.
http://www.ahrq.gov/qual/nhqr07/index.html


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