University of Alabama at Birmingham Birmingham AL USA.
J Am Heart Assoc. 2024 Apr 2;13(7):e031309. doi: 10.1161/JAHA.123.031309. Epub 2024 Mar 26.
Although deaths from stroke have been reduced by 75% in the past 54 years, there has been virtually no reduction in the relative magnitude of Black-to-White disparity in stroke deaths, or the heavier burden of stroke deaths in the Stroke Belt region of the United States. Furthermore, although the rural-urban disparity has decreased in the past decade, this reduction is largely attributable to an increased stroke mortality in the urban areas, rather than reduced stroke mortality in rural areas. We need to focus our search for interventions to reduce disparities on those that benefit the disadvantaged populations, and support this review using relatively recently developed statistical approaches to estimate the magnitude of the potential reduction in the disparities.
尽管过去 54 年来，中风导致的死亡人数已经减少了 75%，但黑种人和白种人之间在中风死亡率方面的相对差距实际上并没有缩小，中风死亡在美国的“中风带”地区的负担也更重。此外，尽管过去十年城乡差距有所缩小，但这种缩小在很大程度上归因于城市地区中风死亡率的上升，而不是农村地区中风死亡率的降低。我们需要将减少差异的干预措施的重点放在那些有利于弱势群体的措施上，并使用最近开发的统计方法来支持这项审查，以估计减少差异的幅度。
