The Burden of Stroke in Texas Weihua Li, MD, MPH, MS, Jane Osmond, MPH, RRT, Cardiovascular Health & Wellness Program; Texas.
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The Burden of Stroke in Texas Weihua Li, MD, MPH, MS, Jane Osmond, MPH, RRT, Cardiovascular Health & Wellness Program; Texas Department of State Health Services Stroke is the third leading cause of death in Texas and the leading cause of serious long-team disability in adults. In 2009, about 400,000 Texas adults were diagnosed with stroke. The overall ageadjusted mortality rate for stroke in Texas declined significantly between 1999 and 2006. About 14% of Texas adults do not know to call 911 in the event of heart attack or stroke. Recognizing the sign and symptoms of stroke and calling 911 is critical in saving and reducing disability. Prevalence of Stroke, Adults 18+— U.S & Texas, 1999- 2009 Percentage of Adults Recognizing Stroke Signs & Symptoms, Texas, 2005 & 2009 6 Year Average Age-Adjusted Mortality Rates for Stroke, Texas, 2001—2006 5.0 120.0 4.0 92.7 Percent (%) Prevalence (%) 90.0 3.0 2.0 84.4 78.2 76.3 70.9 61.6 60.0 57.4 61.1 37.0 38.4 30.0 1.0 0.0 87.0 86.5 1999 2001 2003 2005 2006 2007 2008 2009 U.S 2.4 2.4 2.3 2.6 2.7 2.7 2.7 2.5 Texas 2.8 2.2 2.1 2.8 2.6 2.8 2.5 2.2 16.9 21.0 0.0 Numbness or Sudden confusion Trouble walking, Sudden trouble Severe headache Sudden chest pain Recgnizes all weakness of or trouble dizziness/loss of seeing with no known or discomfort stroke symptoms arm/face/leg speaking balance cause 2005 2009 Data source: 2009 Texas Behavioral Risk Factor Surveillance System, Center for Health Statistics, DSHS Data source: 2005, 2009 Texas Behavioral Risk Factor Surveillance System, Center for Health Statistics, DSHS Data Source: Texas Vital Statistics Unit, Center for Health Statistics, DSHS, 1999-2006 Prevalence of Stroke by Gender & Race, Adults 18+— Texas, 2009 Age-Adjusted Mortality Rates per 100,000, Stroke, Texas, 1999-2006 10.0 8.0 120 Age-adjusted Rates Per 100,000 7.0 6.0 80 2.6 4.0 3.0 2.7 2.5 2.2 1.9 2.5 1.3 60 40 0.7 2.0 0.4 20 Data source: 2009 Texas Behavioral Risk Factor Surveillance System, Center for Health Statistics, DSHS 65 + 0 18 -2 9 30 -4 4 45 -6 4 W hi te Bl ac Hi k sp an ic al e Fe m ale M id e To ta l 0.0 Na ti o nw Prevalence (%) 100 Tota l Ma les Fema les 1999 2000 Whites 2001 2002 Data Source: Texas Vital Statistics Unit, Center for Health Statistics, DSHS, 1999-2006 2003 Bla cks 2004 2005 Hispa nics Other 2006 For more information: CHW Program, Health Promotion Unit, DSHS, www.dshs.state.tx.us/wellness/data