Evidence map›Paper›PMID 38460776›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2024

Trends in American Indian/Alaskan native self-reported stroke prevalence and associated modifiable risk factors in the United States from 2011-2021.

Tyria Heath, Neha Shrishail, Ka-Ho Wong, Karen C Johnston, Richa Sharma, John P Ney, Kevin N Sheth, Adam H de Havenon

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Stroke care in indigenous populations: A World Stroke Organization (WSO) scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Tyria HeathThe Native American Summer Research Internship and Department of Neurology, University of Utah, USA.
Neha ShrishailThe Department of Neurology, Center for Brain & Mind Health, Yale University, USA. Electronic address: neha.shrishail@yale.edu.
Ka-Ho WongDepartment of Neurology, University of Utah, USA.
Karen C JohnstonThe Department of Neurology, University of Virginia, Department of Neurology, Brown University, USA.
Richa SharmaThe Department of Neurology, Center for Brain & Mind Health, Yale University, USA.
John P NeyDepartment of Neurology, Boston University, USA.
Kevin N ShethThe Department of Neurology, Center for Brain & Mind Health, Yale University, USA.
Adam H de HavenonThe Department of Neurology, Center for Brain & Mind Health, Yale University, USA.
Yale University · USUniversity of Utah · USBoston University · USJohn Brown University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NSTN National Clinical Coordinating CenterU01NS086872 · NINDS · UNIVERSITY OF CINCINNATI · PI Joseph Paul Broderick, Pooja Khatri · 2013 to 2026
$32.3M
Anticoagulation in ICH Survivors for Prevention and Recovery (ASPIRE)U01NS106513 · NINDS · YALE UNIVERSITY · PI Hooman Kamel, Kevin Navin Sheth · 2019 to 2026
$20.6M
The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
Social networks and risk of delayed arrival to the hospital during strokeR01MD016178 · NIMHD · BRIGHAM AND WOMEN'S HOSPITAL · PI Amar Dhand, Kevin Navin Sheth · 2022 to 2026
$3.7M
The Recovery in Stroke Using PAP (RISE UP) StudyR01NR018335 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S, SHETH, KEVIN NAVIN · 2019 to 2023
$3.4M
Southern New England Partnership In Stroke Research, Innovation and Treatment (SPIRIT)U24NS107215 · NINDS · YALE UNIVERSITY · PI MARK Jay ALBERTS, Karen L Furie · 2018 to 2026
$3.0M
CAPTIVA-MRIUH3NS130228 · NINDS · YALE UNIVERSITY · PI Sepideh Amin-Hanjani, Arindam Rano Chatterjee · 2025 to 2026
$2.8M
Real-time three-dimensional spinal navigation system for bedside lumbar puncture placementR44NS120798 · NINDS · RIVANNA MEDICAL, INC. · PI MAULDIN, FRANK WILLIAM · 2021 to 2023
$2.7M
Blood Pressure Variability and Ischemic Stroke Outcome (BP-VISO)R01NS130189 · NINDS · YALE UNIVERSITY · PI Adam H. de Havenon · 2023 to 2026
$2.0M
CAPTIVA-MRIUG3NS130228 · NINDS · YALE UNIVERSITY · PI AMIN-HANJANI, SEPIDEH, CHATTERJEE, ARINDAM R. · 2023 to 2023
$1.9M
Yale Clinical Site: Investigations For Improved Neurological Treatments at Yale (INFINITY)U24NS107136 · NINDS · YALE UNIVERSITY · PI SHETH, KEVIN NAVIN, SPUDICH, SERENA S · 2018 to 2022
$1.7M
NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR003015NICHD NIH HHS R25 HD097676NIDDK NIH HHS R25 DK109894NIMHD NIH HHS R01 MD016178NINDS NIH HHS K23 NS105924NINDS NIH HHS K23 NS121634NINDS NIH HHS R01 NS130189NINDS NIH HHS R03 NS112859NINDS NIH HHS R44 NS120798NINDS NIH HHS U01 NS086872NINDS NIH HHS U01 NS106513NINDS NIH HHS U24 NS107136NINDS NIH HHS U24 NS107215NINDS NIH HHS UG3 NS130228NINDS NIH HHS UH3 NS130228NINR NIH HHS R01 NR018335
6 · The paper itself

Abstract

backgroundStroke prevalence varies by race/ethnicity, as do the risk factors that elevate the risk of stroke. Prior analyses have suggested that American Indian/Alaskan Natives (AI/AN) have higher rates of stroke and vascular risk factors.

methodsWe included biyearly data from the 2011-2021 Behavioral Risk Factor Surveillance System (BRFSS) surveys of adults (age ≥18) in the United States. We describe survey-weighted prevalence of stroke per self-report by race and ethnicity. In patients with self-reported stroke (SRS), we also describe the prevalence of modifiable vascular risk factors.

resultsThe weighted number of U.S. participants represented in BRFSS surveys increased from 237,486,646 in 2011 to 245,350,089 in 2021. SRS prevalence increased from 2.9% in 2011 to 3.3% in 2021 (p<0.001). Amongst all race/ethnicity groups, the prevalence of stroke was highest in AI/AN at 5.4% and 5.6% in 2011 and 2021, compared to 3.0% and 3.4% for White adults (p<0.001). AI/AN with SRS were also the most likely to have four or more vascular risk factors in both 2011 and 2021 at 23.9% and 26.4% compared to 18.2% and 19.6% in White adults (p<0.001).

conclusionFrom 2011-2021 in the United States, AI/AN consistently had the highest prevalence of self-reported stroke and highest overall burden of modifiable vascular risk factors. This persistent health disparity leaves AI/AN more susceptible to both incident and recurrent stroke.

Indexed as

American Indian or Alaska NativeStrokeAdultAgedAlaska NativesBehavioral Risk Factor Surveillance SystemFemaleHealth Status DisparitiesHumansIndians, North AmericanMaleMiddle AgedPrevalenceRace FactorsRisk AssessmentRisk FactorsAmerican Indian/Alaskan Natives (AI/AN)Behavioral risk factor surveillance system (BRFSS)Health inequitiesModifiable vascular risk factorsRecurrent strokeSocial determinants of healthStroke prevalence

Identifiers

PMID38460776
PMCPMC11253029
OpenAlexW4392591828

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.