The Hispanic population carries a disproportionate burden of stroke compared with
the non-Hispanic White population. Most studies have been conducted on Caribbean Hispanics,
indicating a need to better understand the characteristics of stroke and its prevalence
among the Hispanic populations of Mexican descent. In this report, data were collected
in the El Paso/US–Mexico border region, where 82% of the population is Mexican Hispanic,
through a retrospective study of ischemic stroke from 2005-2010. Odds ratios (ORs),
95% confidence intervals, logistic regression, and multivariate analysis of the ORs
adjusted for other variables, were used to analyze the effects of various risk factors
on ischemic stroke. The metabolic syndrome and its components, specifically hypertension,
diabetes, and dyslipidemia appeared to be strongly associated with ischemic stroke
in the Mexican Hispanic population. Mexican Hispanic ischemic stroke patients were
nearly 7 times more likely to have this syndrome, compared with Mexican Hispanic controls
from the National Health and Nutrition Examination Survey. Likewise, the patients
were nearly 40 times more likely to have hypertension and 11 times more likely to
have diabetes. Efforts to prevent ischemic stroke and limit its impact in the Mexican
Hispanic population should focus on controlling hypertension and diabetes.
Key Words
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Article info
Publication history
Published online: February 19, 2014
Accepted:
December 15,
2013
Received in revised form:
December 13,
2013
Received:
November 10,
2013
Footnotes
This study was partially funded by Coldwell foundation (J.Z.). J.Z. was also supported by the National Institute of Neurological Disorders and Stroke of the National Institutes of Health.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.12.017
Copyright
© 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.
