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. 1993 Jul-Aug;108(4):454–458.

Stroke mortality and its socioeconomic, racial, and behavioral correlates in Florida.

P Z Siegel 1, L C Deeb 1, L E Wolfe 1, D Wilcox 1, J S Marks 1
PMCID: PMC1403408  PMID: 8341779

Abstract

Stroke mortality is associated both with being black and with having low socioeconomic status. However, it is uncertain to what extent that increased risk is related to rates of behavior-related risk factors, such as hypertension, cigarette smoking, obesity, or alcohol consumption. The investigators performed an ecologic analysis to estimate the contributions of behavioral risks, socioeconomic status, and black race to regional variations in stroke mortality rates among persons 55-84 years of age in Florida. They used data from the 1980 census and from the Behavioral Risk Factor Surveillance System (BRFSS) for 1986 through 1988. Weighted multiple linear regression models indicated that regions in Florida with high stroke mortality rates were characterized by high prevalences of poverty, obesity, and hypertension. Although limited by its ecologic design, this study suggests that socioeconomic status and prevalence of behavioral risks contribute independently to interregional disparities in stroke mortality rates in Florida. BRFSS data, now available for more than 45 States, can be used to help clarify the relative contributions of behavioral and other risks to population-based mortality rates.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cornoni-Huntley J., LaCroix A. Z., Havlik R. J. Race and sex differentials in the impact of hypertension in the United States. The National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Arch Intern Med. 1989 Apr;149(4):780–788. [PubMed] [Google Scholar]
  2. Gentry E. M., Kalsbeek W. D., Hogelin G. C., Jones J. T., Gaines K. L., Forman M. R., Marks J. S., Trowbridge F. L. The behavioral risk factor surveys: II. Design, methods, and estimates from combined state data. Am J Prev Med. 1985 Nov-Dec;1(6):9–14. [PubMed] [Google Scholar]
  3. Gillum R. F. Stroke in blacks. Stroke. 1988 Jan;19(1):1–9. doi: 10.1161/01.str.19.1.1. [DOI] [PubMed] [Google Scholar]
  4. Hahn R. A., Teutsch S. M., Rothenberg R. B., Marks J. S. Excess deaths from nine chronic diseases in the United States, 1986. JAMA. 1990 Nov 28;264(20):2654–2659. [PubMed] [Google Scholar]
  5. Harrell F. E., Jr, Lee K. L., Matchar D. B., Reichert T. A. Regression models for prognostic prediction: advantages, problems, and suggested solutions. Cancer Treat Rep. 1985 Oct;69(10):1071–1077. [PubMed] [Google Scholar]
  6. James S. A., Kleinbaum D. G. Socioecologic stress and hypertension related mortality rates in North Carolina. Am J Public Health. 1976 Apr;66(4):354–358. doi: 10.2105/ajph.66.4.354. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kannel W. B. Current status of the epidemiology of brain infarction associated with occlusive arterial disease. Stroke. 1971 Jul-Aug;2(4):295–318. doi: 10.1161/01.str.2.4.295. [DOI] [PubMed] [Google Scholar]
  8. Morgenstern H. Uses of ecologic analysis in epidemiologic research. Am J Public Health. 1982 Dec;72(12):1336–1344. doi: 10.2105/ajph.72.12.1336. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Neser W. B., Tyroler H. A., Cassel J. C. Social disorganization and stroke mortality in the black population of North Carolina. Am J Epidemiol. 1971 Mar;93(3):166–175. doi: 10.1093/oxfordjournals.aje.a121243. [DOI] [PubMed] [Google Scholar]
  10. Otten M. W., Jr, Teutsch S. M., Williamson D. F., Marks J. S. The effect of known risk factors on the excess mortality of black adults in the United States. JAMA. 1990 Feb 9;263(6):845–850. [PubMed] [Google Scholar]
  11. Pincus T., Callahan L. F., Burkhauser R. V. Most chronic diseases are reported more frequently by individuals with fewer than 12 years of formal education in the age 18-64 United States population. J Chronic Dis. 1987;40(9):865–874. doi: 10.1016/0021-9681(87)90186-x. [DOI] [PubMed] [Google Scholar]
  12. Rowland M. L. Reporting bias in height and weight data. Stat Bull Metrop Insur Co. 1989 Apr-Jun;70(2):2–11. [PubMed] [Google Scholar]
  13. Siegel P. Z., Wolfe L. E., Wilcox D., Deeb L. C. North Florida is part of the stroke belt. Public Health Rep. 1992 Sep-Oct;107(5):540–543. [PMC free article] [PubMed] [Google Scholar]

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