The Stroke Belt Epidemiologists refer to a swath of states in the Southeast (Ala

Question

The Stroke Belt Epidemiologists refer to a swath of states in the Southeast (Alabama, Arkansas, Georgia, Mississippi, North Carolina, South Carolina, and Tennessee) as the stroke belt"because of the unusually high incidence of stroke deaths there. These states have a higher proportion of blacks and more rural residents who have limited access to medical services, compared with other states, FIGURE 33.24 compares the rates of stroke deaths in stroke-belt states and in New York State. 1. How does the rate of stroke deaths among blackslving in Stroke-Belt States New York State 63 Total American Too few to compare Indian Asian Hispanic Black White the stroke belt compare with whites in the same region? New York compare with whites in the same region? living in New York, or whites living in the stroke belt? 2. How does the rate of stroke deaths among blacks living in Female Male h group has the higher rate of stroke deaths, blacks 60 Age-adusted death rate per 100,000 people 100 80 40 20 0 0 20 40 4. Do these data support the hypothesis that the higher proportion of stroke deaths in the stroke belt is more likely to arise from differences in access to health care than from differences in ethnic composition FIGURE 33.24 Comparison of the age-adjusted rate of deaths by stroke in the stroke-belt" states of the southeastem United States and in New York State., Death risk in each region is broken down by ethnic group and by sex

Explanation / Answer

1- In stroke belt state, black are more prone to stroke death as compared to white ones living in same region. the reason behind that: socio economic status of black are low than white. blacks are generally poor; hypertension ; diabetes mellitus ; all are high in black people than white..

2--- new york states black people are of low mortality rate than stroke state black people. the main reson is that socioeconomic status of black people in newyork state is high , thats why they are less prone to hypertension status. also people living in new york states are highly educated as compared to stroke state black people , so they know how to use medical facilites etc.

3--- Black living in stroke states are of high death rate than white living in new york.

4---The higher proprtion of stroke death in stroke state is more due to differnce in health care facilities for balck and whites and also some other factors liksethnic: socioeconomic status and educational attainment also leads to these difference in stroke death rates.

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