This Article Order Full text via Infotrieve Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Yatsu, F. M. Search for Related Content PubMed PubMed Citation Articles by Yatsu, F. M.

Circulation, Vol 83, 1471-1472, Copyright © 1991 by American Heart Association

ARTICLES

Strokes in Asians and Pacific-Islanders, Hispanics, and Native Americans

FM Yatsu

Stroke in Asian and Pacific-Islander populations remains the principal cause of death among adults, but its incidence in the United States approximates that of Caucasians. Although controversial, uncontrolled hypertension in certain population groups (e.g., northern Japanese) and high dietary saturated fat in others (e.g, Pacific-Islanders) are believed to be responsible for the high stroke incidence rates. The recent reduction in stroke frequency rates in these areas is thought to be the result of better hypertension control. In the Ni-Hon-San Study, the level of hypertension and its frequency were similar in Hawaii and Japan, but ischemic infarction and intracerebral hemorrhage were less frequent in Hawaii. Reduced meat and fat intake may contribute to small vessel disease in Japan. Stroke is the third major cause of death among Hispanic-Americans and Native Americans, yet there is a paucity of information, especially about stroke, in subgroups of these populations. There is also considerable ignorance and controversy about risk factors for stroke in these populations. The need for additional research is urgent.

This article has been cited by other articles:

				K. J. Ottenbacher, G. V. Ostir, M. K. Peek, and K. S. Markides Diabetes Mellitus as a Risk Factor for Stroke Incidence and Mortality in Mexican American Older Adults J. Gerontol. A Biol. Sci. Med. Sci., June 1, 2004; 59(6): M640 - M645. [Abstract] [Full Text] [PDF]

				C. Ayala, J. B. Croft, K. J. Greenlund, N. L. Keenan, R. S. Donehoo, A. M. Malarcher, and G. A. Mensah Sex Differences in US Mortality Rates for Stroke and Stroke Subtypes by Race/Ethnicity and Age, 1995-1998 Stroke, May 1, 2002; 33(5): 1197 - 1201. [Abstract] [Full Text] [PDF]

				G. Saposnik, L. R. Caplan, L. A. Gonzalez, A. Baird, J. Dashe, A. Luraschi, R. Llinas, S. Lepera, I. Linfante, C. Chaves, et al. Differences in Stroke Subtypes Among Natives and Caucasians in Boston and Buenos Aires Stroke, October 1, 2000; 31(10): 2385 - 2389. [Abstract] [Full Text] [PDF]

				J. L. Frey, H. K. Jahnke, and E. W. Bulfinch Differences in Stroke Between White, Hispanic, and Native American Patients : The Barrow Neurological Institute Stroke Database Stroke, January 1, 1998; 29(1): 29 - 33. [Abstract] [Full Text] [PDF]

				C. L. Laffer and F. Elijovich Suboptimal Outcome of Management of Metabolic Cardiovascular Risk Factors in Hispanic Patients With Essential Hypertension Hypertension, December 1, 1995; 26(6): 1079 - 1084. [Abstract] [Full Text]

				X.-M. Cheng, D. K. Ziegler, Y.-H. C. Lai, S.-C. Li, G.-X. Jiang, X.-L. Du, W.-Z. Wang, S.-P. Wu, S.-G. Bao, and Q.-J. Bao Stroke In China, 1986 Through 1990 Stroke, November 1, 1995; 26(11): 1990 - 1994. [Abstract] [Full Text]

				R. F. Gillum Epidemiology of Stroke in Hispanic Americans Stroke, September 1, 1995; 26(9): 1707 - 1712. [Abstract] [Full Text]

				R. F. Gillum The Epidemiology of Stroke in Native Americans Stroke, March 1, 1995; 26(3): 514 - 521. [Abstract] [Full Text]

				R. M. Zweifler, P. D. Lyden, B. Taft, N. Kelly, and J. F. Rothrock Impact of Race and Ethnicity on Ischemic Stroke : The University of California at San Diego Stroke Data Bank Stroke, February 1, 1995; 26(2): 245 - 248. [Abstract] [Full Text]