Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection
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 ru...
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| Format: | Article |
| Language: | English |
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Wiley
2024-04-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.123.031309 |
| _version_ | 1797229260732104704 |
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| author | George Howard |
| author_facet | George Howard |
| author_sort | George Howard |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T15:09:46Z |
| format | Article |
| id | doaj.art-96aecf4cc8b44abd816bdb96baa0e10d |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-24T15:09:46Z |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-96aecf4cc8b44abd816bdb96baa0e10d2024-04-02T11:49:51ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-04-0113710.1161/JAHA.123.031309Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and RedirectionGeorge Howard0University of Alabama at Birmingham Birmingham AL USAAlthough 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.https://www.ahajournals.org/doi/10.1161/JAHA.123.031309cardiovascular diseaseracial disparityrisk scoreruralStroke Beltstroke disparities |
| spellingShingle | George Howard Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiovascular disease racial disparity risk score rural Stroke Belt stroke disparities |
| title | Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection |
| title_full | Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection |
| title_fullStr | Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection |
| title_full_unstemmed | Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection |
| title_short | Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection |
| title_sort | sherman lecture are we aiming at the correct targets to reduce disparities in stroke mortality celebration reflection and redirection |
| topic | cardiovascular disease racial disparity risk score rural Stroke Belt stroke disparities |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.123.031309 |
| work_keys_str_mv | AT georgehoward shermanlectureareweaimingatthecorrecttargetstoreducedisparitiesinstrokemortalitycelebrationreflectionandredirection |