Featured Research

from universities, journals, and other organizations

Disparities in stroke care prevail among US racial/ethnic groups, experts say

Date:
May 30, 2011
Source:
American Heart Association
Summary:
Disparities based on race and ethnic origin exist in every aspect of stroke care, according to experts. Minority groups represent at least 28 percent of the US population, and the percent is expected to nearly double by the year 2050 -- increasing the need to close health care gaps. Education can significantly improve stroke care for minority groups. Programs to reach young minorities can help raise awareness that stroke is preventable and treatable.

Disparities between racial/ethnic minorities and whites cross all aspects of stroke care, according to an American Heart Association/American Stroke Association scientific statement.

Related Articles


The statement, published online in Stroke: Journal of the American Heart Association, is a comprehensive analysis of the role of race and ethnicity in stroke care and its impact on the numbers of people who have a stroke, live with its effects or die among minority groups compared to whites. It also addresses how access to care, response to treatment and participation in clinical research affects these groups.

"We see disparities in every aspect of stroke care, from lack of awareness of stroke risk factors and symptoms to delayed arrival to the emergency room and increased waiting time," said Salvador Cruz-Flores, M.D., M.P.H., lead author of the statement and professor of neurology and director of the Souers Stroke Institute at St. Louis University in Missouri. "These disparities continue throughout the spectrum of the delivery of care from acute treatment to rehabilitation."

Experts in different areas of stroke care analyzed the issue of racial and ethnic disparities in current scientific literature. Hispanic-Americans, African-Americans, Asian-Americans and Native-Americans constitute 28 percent of the U.S. population.

Because that is expected to almost double by the year 2050, "there is an increasing need to reduce racial and ethnic disparities in health care," the authors said.

The review also included Alaskan Natives, and Native Hawaiians/other Pacific Islanders.

The burden of risk factors is different among racial and ethnic groups according to the statement. For example, African-Americans have a high prevalence of hypertension, diabetes and obesity as well as other risk factors for stroke, while Hispanic-Americans have a high prevalence of metabolic syndrome and diabetes compared to whites and African-Americans. The metabolic syndrome is a cluster of risk factors that include three or more of the following: elevated waist circumference, elevated triglycerides, reduced good cholesterol, elevated blood pressure and elevated fasting glucose.

Other factors that impact these disparities range from economic and social issues to cultural and language barriers. In addition, attitudes, beliefs and compliance among populations differ and the perceived or true presence of racial bias within the healthcare system can negatively impact a patient's compliance with a healthcare provider's advice, medications or treatment, according to the statement.

"It is important for members of ethnic and racial minority groups to understand they are particularly predisposed to have risk factors for heart disease and stroke," Cruz-Flores said. "They need to understand these diseases are preventable and treatable."

Educating the public and healthcare community can improve stroke care for minorities, he said.

Some of the statement recommendations include:

  • Development of public health policies to close the gap between minorities and whites in all aspects of stroke prevention, incidence and care;
  • More education and research to reduce disparities in stroke care;
  • Increased access to insurance coverage in minority populations; and
  • More research on American Indians, Asian Americans and Pacific Islanders.

"It is striking that we are in the 2lst century, with many advances in stroke care, yet we are still struggling to fix the differences that are present not only in the distribution of the disease but also in the level of care we provide to the different racial and ethnic groups," Cruz-Flores said.

Co-writers are Alejandro A. Rabinstein, M.D.; Jose Biller, M.D.; Mitchell S.V. Elkind, M.D.; Patrick Griffin, M.D.; Philip B. Gorelick, M.D.; George Howard, DrPH; Enrique C. Leira, M.D.; Lewis B. Morgenstern, M.D., and representatives of the American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care Outcomes in Research.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Journal Reference:

  1. Salvador Cruz-Flores, Alejandro Rabinstein, Jose Biller, Mitchell S.V. Elkind, Patrick Griffith, Philip B. Gorelick, George Howard, Enrique C. Leira, Lewis B. Morgenstern, Bruce Ovbiagele, Eric Peterson, Wayne Rosamond, Brian Trimble, Amy L. Valderrama, and on behalf of the American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Epidemiology and Prevention, and Council on Quality of Care and Outcomes Research. Racial-Ethnic Disparities in Stroke Care: The American Experience: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke: Journal of the American Heart Association, 2011; DOI: 10.1161/STR.0b013e3182213e24

Cite This Page:

American Heart Association. "Disparities in stroke care prevail among US racial/ethnic groups, experts say." ScienceDaily. ScienceDaily, 30 May 2011. <www.sciencedaily.com/releases/2011/05/110526161231.htm>.
American Heart Association. (2011, May 30). Disparities in stroke care prevail among US racial/ethnic groups, experts say. ScienceDaily. Retrieved January 26, 2015 from www.sciencedaily.com/releases/2011/05/110526161231.htm
American Heart Association. "Disparities in stroke care prevail among US racial/ethnic groups, experts say." ScienceDaily. www.sciencedaily.com/releases/2011/05/110526161231.htm (accessed January 26, 2015).

Share This


More From ScienceDaily



More Science & Society News

Monday, January 26, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Mistakes Should Serve a Lesson Says WHO

Ebola Mistakes Should Serve a Lesson Says WHO

AFP (Jan. 25, 2015) — The World Health Organization&apos;s chief on Sunday admitted the UN agency had been caught napping on Ebola, saying it should serve a lesson to avoid similar mistakes in future. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
How Technology Is Ruining Snow Days For Students

How Technology Is Ruining Snow Days For Students

Newsy (Jan. 25, 2015) — More schools are using online classes to keep from losing time to snow days, but it only works if students have Internet access at home. Video provided by Newsy
Powered by NewsLook.com
Obama Reveals Nuclear Breakthrough on Landmark India Trip

Obama Reveals Nuclear Breakthrough on Landmark India Trip

Reuters - News Video Online (Jan. 25, 2015) — In a glow of bonhomie, U.S. President Barack Obama and Indian Prime Minister Narendra Modi unveil a deal aimed at unlocking billions of dollars in nuclear trade. Pavithra George reports. Video provided by Reuters
Powered by NewsLook.com
Florida Might Legalize Black Bear Hunting

Florida Might Legalize Black Bear Hunting

Newsy (Jan. 24, 2015) — A string of black bear attacks has Florida officials considering lifting the ban on hunting the animals to control their population. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Science & Society

Business & Industry

Education & Learning

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins