Stroke in American Indians and Alaska Natives

A Systematic Review

Bibliographic Data

ID14600930
AuthorsRaymond Harris (Raymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.), Lonnie A Nelson (0000-0001-9865-4114, Raymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.), Clemma Muller (0000-0001-5379-8747, Raymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.), Dedra Buchwald (0000-0002-9005-0110, Raymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.)
Year2015
Volume105
Issue8
Pagese16-e26
Publication date2015-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2015.302698
PMID26066955
PMCIDPMC4504319
LanguageEN
Citations received6
References cited64

We conducted a systematic review of published studies on stroke epidemiology in American Indians and Alaska Natives (AI/ANs). We used MeSH terms and strict inclusion criteria to search PubMed, identifying a relevant sample of 57 refereed publications. We report a consensus view in which prevalent stroke is more common, and estimates of cerebrovascular risk factors are higher, among AI/ANs than among other US populations. Like other minority groups, AI/ANs suffer stroke at younger ages than do non-Hispanic Whites. However, data on AI/AN stroke mortality are significantly compromised by racial misclassification and nonrepresentative sampling. Studies correcting for these problems have found that stroke mortality rates among AI/ANs are among the highest of all US racial and ethnic groups. As with Black and non-Hispanic White stroke mortality, AI/AN stroke mortality varies by geographic region, with the highest rates in Alaska and the Northwest and the lowest in the Southwest. Our results underscore the need for a concerted national effort to collect accurate cross-sectional and longitudinal data on stroke in AI/ANs

Tools

Open DOISci-Hub