Stroke mortality among Alaska Native people.
OBJECTIVE
We aimed to describe the epidemiology of stroke among Alaska Natives, which is essential for designing effective stroke prevention and intervention efforts for this population.


METHODS
We conducted an analysis of death certificate data for the state of Alaska for the period 1984 to 2003, comparing age-standardized stroke mortality rates among Alaska Natives residing in Alaska vs US Whites by age category, gender, stroke type, and time.


RESULTS
Compared with US Whites, Alaska Natives had significantly elevated stroke mortality from 1994 to 2003 but not from 1984 to 1993. Alaska Native women of all age groups and Alaska Native men younger than 45 years of age had the highest risk, although the rates for those younger than 65 years were statistically imprecise. Over the 20-year study period, the stroke mortality rate was stable for Alaska Natives but declined for US Whites.


CONCLUSIONS
Stroke mortality is higher among Alaska Natives, especially women, than among US Whites. Over the past 20 years, there has not been a significant decline in stroke mortality among Alaska Natives.
Horner
Ronnie D
RD
Department of Public Health Sciences, University of Cincinnati Academic Health Center, Cincinnati, OH, USA.
Day
Gretchen M
GM
Lanier
Anne P
AP
Provost
Ellen M
EM
Hamel
Rebecca D
RD
Trimble
Brian A
BA
D000328:Adult; D000368:Aged; D000413:Alaska / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D004930:Inuit; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000401:mortality*; D044465:White People