Evidence for Decreasing Stroke Incidence Among Mexican Americans During Midlife and Implications for Targeted Stroke Prevention Efforts

Disparities in stroke incidence and mortality by race and ethnicity have been persistent across study populations and over time.1-4 For example, previous data from the Brain Attack Surveillance in Corpus Christi (BASIC) project study have demonstrated higher stroke incidence rates in Mexican Americans compared with non-Hispanic White individuals,2 and data from the Greater Cincinnati Northern Kentucky Stroke Study have demonstrated more substantial decreases in White compared with Black individuals over time.1 Past data on such disparities by race and ethnicity point to the need for increased attention to the contributors to higher stroke rates in Black and Hispanic communities, including structural inequities in access to preventative care, as well as differences in other social determinants of health such as poverty and adequate health insurance coverage.

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