Skip Navigation

American Journal of Epidemiology 2004 160(4):376-383; doi:10.1093/aje/kwh225
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (44)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Morgenstern, L. B.
Right arrow Articles by Moyé, L. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Morgenstern, L. B.
Right arrow Articles by Moyé, L. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Copyright © 2004 by the Johns Hopkins Bloomberg School of Public Health

ORIGINAL CONTRIBUTIONS

Excess Stroke in Mexican Americans Compared with Non-Hispanic Whites

The Brain Attack Surveillance in Corpus Christi Project

Lewis B. Morgenstern1,2 , Melinda A. Smith1, Lynda D. Lisabeth1, Jan M. H. Risser3, Ken Uchino4, Nelda Garcia1, Paxton J. Longwell5, David A. McFarling6, Olubumi Akuwumi7, Areej Al-Wabil4, Fahmi Al-Senani4, Devin L. Brown1 and Lemuel A. Moyé7

1 Stroke Program, University of Michigan Medical School, Ann Arbor, MI.
2 Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI.
3 Department of Epidemiology, University of Texas School of Public Health, Houston, TX.
4 Stroke Program, University of Texas Medical School, Houston, TX.
5 Corpus Christi Neurology, Corpus Christi, TX.
6 Neurology P.A., Corpus Christi, TX.
7 Department of Biometry, University of Texas School of Public Health, Houston, TX.

Mexican Americans are the largest subgroup of Hispanics, the largest minority population in the United States. Stroke is the leading cause of disability and third leading cause of death. The authors compared stroke incidence among Mexican Americans and non-Hispanic Whites in a population-based study. Stroke cases were ascertained in Nueces County, Texas, utilizing concomitant active and passive surveillance. Cases were validated on the basis of source documentation by board-certified neurologists masked to subjects’ ethnicity. From January 2000 to December 2002, 2,350 cerebrovascular events occurred. Of the completed strokes, 53% were in Mexican Americans. The crude cumulative incidence was 168/10,000 in Mexican Americans and 136/10,000 in non-Hispanic Whites. Mexican Americans had a higher cumulative incidence for ischemic stroke (ages 45–59 years: risk ratio = 2.04, 95% confidence interval: 1.55, 2.69; ages 60–74 years: risk ratio = 1.58, 95% confidence interval: 1.31, 1.91; ages ≥75 years: risk ratio = 1.12, 95% confidence interval: 0.94, 1.32). Intracerebral hemorrhage was more common in Mexican Americans (age-adjusted risk ratio = 1.63, 95% confidence interval: 1.24, 2.16). The subarachnoid hemorrhage age-adjusted risk ratio was 1.57 (95% confidence interval: 0.86, 2.89). Mexican Americans experience a substantially greater ischemic stroke and intracerebral hemorrhage incidence compared with non-Hispanic Whites. As the Mexican-American population grows and ages, measures to target this population for stroke prevention are critical.

cerebral hemorrhage; cerebrovascular accident; ethnic groups; Hispanic Americans; ischemic attack, transient; Mexican Americans; population surveillance; subarachnoid hemorrhage

Abbreviations: Abbreviation: BASIC, Brain Attack Surveillance in Corpus Christi.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J Aging HealthHome page
N. Sachs-Ericsson, E. Corsentino, and J. R. Cougle
Problems Meeting Basic Needs Predict Cognitive Decline in Community-Dwelling Hispanic Older Adults
J Aging Health, September 1, 2009; 21(6): 848 - 863.
[Abstract] [PDF]

Home page
 StrokeHome page
J. D. Easton, J. L. Saver, G. W. Albers, M. J. Alberts, S. Chaturvedi, E. Feldmann, T. S. Hatsukami, R. T. Higashida, S. C. Johnston, C. S. Kidwell, et al.
Definition and Evaluation of Transient Ischemic Attack: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease: The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists.
Stroke, June 1, 2009; 40(6): 2276 - 2293.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
G. Howard and R. L. Sacco
High-Risk Populations: Introduction
Stroke, March 1, 2009; 40(3_suppl_1): S71 - S72.
[Full Text] [PDF]

Home page
 CirculationHome page
WRITING GROUP MEMBERS, D. Lloyd-Jones, R. Adams, M. Carnethon, G. De Simone, T. B. Ferguson, K. Flegal, E. Ford, K. Furie, A. Go, et al.
Heart Disease and Stroke Statistics--2009 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Circulation, January 27, 2009; 119(3): e21 - e181.
[Full Text] [PDF]

Home page
 StrokeHome page
A. Y.-J. Shen, J. F. Yao, S. S. Brar, M. B. Jorgensen, X. Wang, and W. Chen
Racial/Ethnic Differences in Ischemic Stroke Rates and the Efficacy of Warfarin Among Patients With Atrial Fibrillation
Stroke, October 1, 2008; 39(10): 2736 - 2743.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
O. Williams and J. M. Noble
'Hip-Hop' Stroke: A Stroke Educational Program for Elementary School Children Living in a High-Risk Community
Stroke, October 1, 2008; 39(10): 2809 - 2816.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
S. V. Eden, W. J. Meurer, B. N. Sanchez, L. D. Lisabeth, M. A. Smith, D. L. Brown, and L. B. Morgenstern
Gender and ethnic differences in subarachnoid hemorrhage
Neurology, September 2, 2008; 71(10): 731 - 735.
[Abstract] [Full Text] [PDF]

Home page
 AJSLPHome page
B. Lorenzen and L. L. Murray
Bilingual Aphasia: A Theoretical and Clinical Review
Am J Speech Lang Pathol, August 1, 2008; 17(3): 299 - 317.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
P. U. Heuschmann, A. P. Grieve, A. M. Toschke, A. G. Rudd, and C. D.A. Wolfe
Ethnic Group Disparities in 10-Year Trends in Stroke Incidence and Vascular Risk Factors: The South London Stroke Register (SLSR)
Stroke, August 1, 2008; 39(8): 2204 - 2210.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. B. Zahuranec, L. B. Morgenstern, N. M. Garcia, K. M. Conley, L. D. Lisabeth, G. S. Rank, M. A. Smith, W. J. Meurer, K. Resnicow, and D. L. Brown
Stroke Health and Risk Education (SHARE) Pilot Project: Feasibility and Need for Church-Based Stroke Health Promotion in a Bi-Ethnic Community
Stroke, May 1, 2008; 39(5): 1583 - 1585.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
R. Sherva, M. B. Miller, J. S. Pankow, S. C. Hunt, E. Boerwinkle, T. H. Mosley, A. B. Weder, J. D. Curb, A. Luke, A. C. Morrison, et al.
A Whole-Genome Scan for Stroke or Myocardial Infarction in Family Blood Pressure Program Families
Stroke, April 1, 2008; 39(4): 1115 - 1120.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
Writing Group Members, W. Rosamond, K. Flegal, K. Furie, A. Go, K. Greenlund, N. Haase, S. M. Hailpern, M. Ho, V. Howard, et al.
Heart Disease and Stroke Statistics--2008 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Circulation, January 29, 2008; 117(4): e25 - e146.
[Full Text] [PDF]

Home page
 Diabetes CareHome page
E. L. Air and B. M. Kissela
Diabetes, the Metabolic Syndrome, and Ischemic Stroke: Epidemiology and possible mechanisms
Diabetes Care, December 1, 2007; 30(12): 3131 - 3140.
[Full Text] [PDF]

Home page
 StrokeHome page
J. Juhl Majersik, M. A. Smith, D. B. Zahuranec, B. N. Sanchez, and L. B. Morgenstern
Population-Based Analysis of the Impact of Expanding the Time Window for Acute Stroke Treatment
Stroke, December 1, 2007; 38(12): 3213 - 3217.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
L. B. Morgenstern, N. R. Gonzales, K. E. Maddox, D. L. Brown, A. P. Karim, N. Espinosa, L. A. Moye, J. K. Pary, J. C. Grotta, L. D. Lisabeth, et al.
A Randomized, Controlled Trial to Teach Middle School Children to Recognize Stroke and Call 911: The Kids Identifying and Defeating Stroke Project
Stroke, November 1, 2007; 38(11): 2972 - 2978.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
D. B. Zahuranec, D. L. Brown, L. D. Lisabeth, N. R. Gonzales, P. J. Longwell, M. A. Smith, N. M. Garcia, and L. B. Morgenstern
Early care limitations independently predict mortality after intracerebral hemorrhage
Neurology, May 15, 2007; 68(20): 1651 - 1657.
[Abstract] [Full Text] [PDF]

Home page
 Am J EpidemiolHome page
D. L. Brown, F. Al-Senani, L. D. Lisabeth, M. A. Farnie, L. A. Colletti, K. M. Langa, A. M. Fendrick, N. M. Garcia, M. A. Smith, and L. B. Morgenstern
Defining Cause of Death in Stroke Patients: The Brain Attack Surveillance in Corpus Christi Project
Am. J. Epidemiol., March 1, 2007; 165(5): 591 - 596.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
W. Rosamond, K. Flegal, G. Friday, K. Furie, A. Go, K. Greenlund, N. Haase, M. Ho, V. Howard, B. Kissela, et al.
Heart Disease and Stroke Statistics--2007 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Circulation, February 6, 2007; 115(5): e69 - e171.
[Full Text] [PDF]

Home page
 Am J EpidemiolHome page
L. Lisabeth, A. Diez Roux, J. Escobar, M. Smith, and L. Morgenstern
Neighborhood Environment and Risk of Ischemic Stroke: The Brain Attack Surveillance in Corpus Christi (BASIC) Project
Am. J. Epidemiol., February 1, 2007; 165(3): 279 - 287.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
D. Hirtz, D. J. Thurman, K. Gwinn-Hardy, M. Mohamed, A. R. Chaudhuri, and R. Zalutsky
How common are the "common" neurologic disorders?
Neurology, January 30, 2007; 68(5): 326 - 337.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
D. L. Brown, B. Boden-Albala, K. M. Langa, L. D. Lisabeth, M. Fair, M. A. Smith, R. L. Sacco, and L. B. Morgenstern
Projected costs of ischemic stroke in the United States
Neurology, October 24, 2006; 67(8): 1390 - 1395.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
K. A. Kerber, D. L. Brown, L. D. Lisabeth, M. A. Smith, and L. B. Morgenstern
Stroke Among Patients With Dizziness, Vertigo, and Imbalance in the Emergency Department: A Population-Based Study
Stroke, October 1, 2006; 37(10): 2484 - 2487.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. Kleindorfer, J. Broderick, J. Khoury, M. Flaherty, D. Woo, K. Alwell, C. J. Moomaw, A. Schneider, R. Miller, R. Shukla, et al.
The Unchanging Incidence and Case-Fatality of Stroke in the 1990s: A Population-Based Study
Stroke, October 1, 2006; 37(10): 2473 - 2478.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
A. El-Saed, L. H. Kuller, A. B. Newman, O. Lopez, J. Costantino, K. McTigue, M. Cushman, and R. Kronmal
Geographic Variations in Stroke Incidence and Mortality Among Older Populations in Four US Communities
Stroke, August 1, 2006; 37(8): 1975 - 1979.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
D B Zahuranec, N R Gonzales, D L Brown, L D Lisabeth, P J Longwell, S V Eden, M A Smith, N M Garcia, J T Hoff, and L B Morgenstern
Presentation of intracerebral haemorrhage in a community.
J. Neurol. Neurosurg. Psychiatry, March 1, 2006; 77(3): 340 - 344.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
T. Thom, N. Haase, W. Rosamond, V. J. Howard, J. Rumsfeld, T. Manolio, Z.-J. Zheng, K. Flegal, C. O'Donnell, S. Kittner, et al.
Heart Disease and Stroke Statistics--2006 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Circulation, February 14, 2006; 113(6): e85 - e151.
[Full Text] [PDF]

Home page
 NeurologyHome page
D. B. Zahuranec, D. L. Brown, L. D. Lisabeth, N. R. Gonzales, P. J. Longwell, S. V. Eden, M. A. Smith, N. M. Garcia, and L. B. Morgenstern
Differences in intracerebral hemorrhage between Mexican Americans and non-Hispanic whites
Neurology, January 10, 2006; 66(1): 30 - 34.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
M. L. Flaherty, D. Woo, M. Haverbusch, C. J. Moomaw, P. Sekar, L. Sauerbeck, B. Kissela, D. Kleindorfer, and J. P. Broderick
Potential Applicability of Recombinant Factor VIIa for Intracerebral Hemorrhage
Stroke, December 1, 2005; 36(12): 2660 - 2664.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
M. A. Smith, L. D. Lisabeth, D. L. Brown, and L. B. Morgenstern
Gender comparisons of diagnostic evaluation for ischemic stroke patients
Neurology, September 27, 2005; 65(6): 855 - 858.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. B. Zahuranec, D. L. Brown, L. D. Lisabeth, and L. B. Morgenstern
Is It Time for a Large, Collaborative Study of Pediatric Stroke?
Stroke, September 1, 2005; 36(9): 1825 - 1829.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
D. L. Labovitz, A. Halim, B. Boden-Albala, W. A. Hauser, and R. L. Sacco
The incidence of deep and lobar intracerebral hemorrhage in whites, blacks, and Hispanics
Neurology, August 23, 2005; 65(4): 518 - 522.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
H. White, B. Boden-Albala, C. Wang, M. S.V. Elkind, T. Rundek, C. B. Wright, and R. L. Sacco
Ischemic Stroke Subtype Incidence Among Whites, Blacks, and Hispanics: The Northern Manhattan Study
Circulation, March 15, 2005; 111(10): 1327 - 1331.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.