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Study Finds Native Hawaiian and Pacific Islander People Have Highest Ischemic Stroke Rates in Four-State Analysis

The Neurology analysis draws on 799,150 hospitalized ischemic strokes from Florida, Georgia, Maryland and New York.

Overview

  • Researchers report an age- and sex-adjusted stroke rate of 591 per 100,000 for Native Hawaiian or Pacific Islander people, compared with 292 for Black people, 180 for white people, 145 for Hispanic people and 108 for Asian people.
  • After further adjusting for year of hospitalization, stroke rates were 3.3 times higher for Native Hawaiian or Pacific Islander people than for white people, nearly four times higher than for Hispanic people and more than five times higher than for Asian people.
  • The analysis used state hospital discharge records linked to Census population data to calculate ischemic stroke incidence by race and ethnicity.
  • Rates varied by state, with Native Hawaiian or Pacific Islander people having a lower rate than Black people in Florida but a higher rate in Georgia, Maryland and New York.
  • Authors note the study captures only strokes that resulted in hospitalization and call for disaggregated data and further research to identify causes and guide prevention.