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. 2024 Aug;(505):10.15620/cdc/158326. doi: 10.15620/cdc/158326

Stroke Death Rates Among Adults Ages 45-64 by Region and Race and Hispanic Origin: United States, 2002-2022.

Sally C Curtin
PMCID: PMC11615959  PMID: 39302269

Abstract

INTRODUCTION

This Data Brief presents trends in stroke death rates among people ages 45-64, in total and by sex, for 2002 to 2022. Trends are also presented for men and women by region (Northeast, Midwest, South, and West) from 2002 to 2022. For 2022, stroke death rates are presented for men and women by race and Hispanic origin within each region.

METHODS

Mortality data for 2002-2017 are from the National Center for Health Statistics' 1999-2020 Underlying Cause of Death by Bridged-Race Categories and data for 2018-2022 are from the 2018-2022 Underlying Cause of Death by Single-Race Categories. Stroke deaths are for people ages 45-64 and are identified by International Classification of Diseases, 10th Revision underlying cause-of-death codes I60-I69. The four regions of the United States are: Northeast, Midwest, South, and West. The four race and Hispanic-origin groups in this report are: Asian non-Hispanic; Black non-Hispanic; White non-Hispanic, and Hispanic. These groups had at least 20 stroke deaths among men and women in all regions to compute reliable rates. Line trends were evaluated using the National Cancer Institute's Joinpoint Regression Program. Pairwise comparisons were tested using the z test statistic at p < 0.05.

KEY FINDINGS

After declines between 2002 and 2012, stroke death rates for adults ages 45-64 increased 7% between 2012 (20.2 per 100,000) and 2019 (21.7) and an additional 12% through 2021 (24.4). Throughout the period, the highest stroke death rates for both men and women were in the South and the lowest were in the Northeast. In each region, differences in stroke death rates by race and Hispanic origin were seen, as Black men and women had rates that were at least twice those of all other groups.

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References

  1. Tsao CW, Aday AW, Almarzooq ZI, Anderson CAM, Arora P, Avery CL, et al. . Heart disease and stroke statistics—2023 update: A report from the American Heart Association. Circulation 147(8):e93–621. 2023. doi: 10.1161/CIR.0000000000001123. [DOI] [PubMed]
  2. Curtin SC, Tejada-Vera B, Bastian BA. Deaths: Leading causes for 2020. National Vital Statistics Reports; vol 72 no 13. Hyattsville, MD: National Center for Health Statistics. 2023. DOI: 10.15620/cdc:133059. doi: 10.15620/cdc:133059. [DOI] [PubMed]
  3. Howard G, Howard VJ. Twenty years of progress toward understanding the stroke belt. Stroke 51(3):742–50. 2020. doi: 10.1161/STROKEAHA.119.024155. [DOI] [PubMed]
  4. Bonow RO, Grant AO, Jacobs AK. The cardiovascular state of the union: Confronting healthcare disparities. Circulation 111(10):1205–7. 2005. DOI: 10.1161/01.CIR.0000160705.97642.92. doi: 10.1161/01.CIR.0000160705.97642.92. [DOI] [PubMed]
  5. Imoisili OE, Chung A, Tong X, Hayes DK, Loustalot F. Prevalence of stroke — Behavioral Risk Factor Surveillance System, United States, 2011–2022. MMWR Morb Mortal Wkly Rep 73(20):449–55. 2024. DOI: 10.15585/mmwr.mm7320a1. 10.15585/mmwr.mm7320a1PMC11115433 [DOI] [PubMed]
  6. National Center for Health Statistics. CDC WONDER. 1999–2020 Underlying Cause of Death by Bridged-Race Categories and 2018–2021 Underlying Cause of Death by Single-Race Categories. 2023. Available from: https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html.
  7. U.S. Census Bureau. Methodology for the United States population estimates: Vintage 2021 nation, states, counties, and Puerto Rico–April 1, 2020 to July 1, 2021. 2021. Available from: https://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/2020-2021/methods-statement-v2021.pdf.
  8. World Health Organization. International statistical classification of diseases and related health problems, 10th revision (ICD–10). 2008 ed. 2009.
  9. National Cancer Institute. Joinpoint Regression Program (Version 4.9.0.0) [computer software]. 2021.
  10. Arias E, Heron M, Hakes JK. The validity of race and Hispanic-origin reporting on death certificates in the United States: An update. National Center for Health Statistics. Vital Health Stat 2(172). 2016. Available from: https://www.cdc.gov/nchs/data/series/sr_02/sr02_172.pdf. [PubMed]
  11. Heron M. Comparability of race-specific mortality data based on 1977 versus 1997 reporting standards. National Vital Statistics Reports; vol 70 no 3. Hyattsville, MD: National Center for Health Statistics. 2021. DOI: 10.15620/cdc:103476. doi: 10.15620/cdc:103476. [DOI] [PubMed]

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