OCR Text |
Show Cerebrovascular Disease (ICD-9 Codes: 430-438) (1997 Total Deaths in Utah = 873) The mortality rates for cerebrovascular disease, or stroke, have declined steadily for Utah and the U.S. The drop in U.S. rates exceeds that of Utah and gradually the rate for Utah and the U.S. have begun to converge. Primary medical care and public health programs can play an important role in reducing morbidity and mortality due to cerebrovascular disease. Routine blood pressure screening programs help identify persons at risk. If such programs are followed by appropriate medical care and lifestyle changes, hypertension may be controlled more successfully. Overall, males have a higher cerebrovascular disease death rate then females. The total death rates for both males and females have declined significantly over the last decade. For the past three years Utah ranks below the national median for the percentage of people who reported ever having been told their blood pressure was high. This could be due to lower prevalence of hypertension or to a lower rate of detection of hypertension. The percentage of people who reported having had their blood pressure checked within the last two years declined slightly in 1993. Although not the lowest state, Utah, in some years, ranks near the bottom and the Utah percentage is well below the national median. Improvement in hypertension screening and awareness may have an impact on cerebrovascular disease morbidity and mortality. Table 37. Hypertension Awareness** Year 1992 1993 1995 1997 Utah 19 18 19.13 22.5 Median State 21 22 22 23 Range of States 15-28 17-30 19-30 16-34 **Percentage of persons who report having been told their blood pressure was high. Source: Utah Department of Health, Bureau of Health Promotion/Risk Reduction, Behavioral Risk Factor Surveillance System. Cerebrovascular mortality from 1980 to 1997 followed quadratic models, suggesting eventual increase following years of decline. Over these years, the ratio between Utah and U.S. cerebrovascular mortality increased linearly (p<0.0001, slope=0.0052, r2 0.7679). Table 38. Cerebrovascular Mortality Rates* Utah:U.S. Year Utah U.S. (Ratio) 1980 34.5 40.7 0.85:1 1981 32.1 38.3 0.84:1 1982 31.8 35.9 0.89:1 1983 29.2 34.7 0.85:1 1984 29.7 33.5 0.89:1 1985 27.7 32.5 0.86:1 1986 27.5 31.0 0.89:1 1987 27.2 30.5 0.90:1 1988 26.7 30.0 0.90:1 1989 25.1 28.1 0.90:1 1990 25.3 27.7 0.91:1 1991 24.8 26.8 0.93:1 1992 23.7 26.2 0.90:1 1993 24.5 26.6 0.92:1 1994 24.3 26.5 0.92:1 1995 24.2 26.6 0.91:1 1996 24.7 26.5 0.93.1 1997 25.3 ~ ~ Table 38. Source: Utah: Utah Department of Health, Utah Birth and Death Certificate Internet-Query System Registration [On-line]. Available: Http://www.health.state.ut.us US: Centers for Disease Control and Prevention, CDC Wonder [On-line]. Available: Http://www.cdc.gov Table 39. Cerebrovascular Disease Mortality by Sex in Utah* Years Male Female 1982-84 31.5 28.8 1985-87 26.8 27.1 1988-90 26.6 25.0 1991-93 24.4 23.7 1994 24.9 23.3 1995 24.3 23.9 1996 27.9 22.1 1997 25.6 24.7 *Age-adjusted rates per 100,000 population. Rates are age-adjusted to the 1940 standard population. Table 39. Source: Utah: Utah Department of Health, Utah Birth and Death Certificate Internet-Query System Registration [On-line]. Available: Http://www. health .state, ut. us Table 40. Hypertension Screening*** Year 1991 1992 1993 1995 1997 Utah 92 94 91 92 92 Median State 94 95 94 93 94 Range of States 92-97 90-97 90-97 90-96 91-97 ***Percentage of persons who reported having their blood pressure checked within the last 2 years. Table 40 Sources: 1991-1993 Utah Department of Health, Behavioral Risk Factor Surveillance System. Unpublished report. 78 |