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Show Cerebrovascular Disease (ICD-9 Codes: 430-438) (1994 Total Deaths in Utah = 743) The mortality rates for cerebrovascular disease, or stroke, have declined steadily for Utah and the U.S. However, recent rates in Utah are approaching the national rates. Table 38. Cerebrovascular Mortality* UtahrU.S. Year Utah U.S. (Ratio) 1980 34.5 40.8 0.85:1 1981 32.1 38.1 0.84:1 1982 31.7 35.8 0.89:1 1983 29.2 34.4 0.85:1 1984 29.6 33.4 0.89:1 1985 27.7 32.3 0.86:1 1986 27.5 31.0 0.89:1 1987 27.2 30.3 0.90:1 1988 26.7 29.7 0.90:1 1989 25.1 28.0 0.90:1 1990 25.3 27.7 0.91:1 1991 24.8 26.8 0.93:1 1992 23.6 26.2 0.90:1 1993 24.3 26.5 0.92:1 1994 24.1 26.5 0.91:1 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. Table 39. Cerebrovascular Disease Mortality by Sex in Utah* Years Total Male Female 1979-81 33.8 35.3 32.4 1982-84 30.2 31.5 28.7 1985-87 27.5 26.7 28.0 1988-90 25.7 26.5 25.0 1991-93 24.2 24.3 23.7 1994 24.1 24.8 23.1 * Age-adjusted rates per 100,000 population. Rates are age-adjusted to the 1940 standard population. * Age-adjusted rates per 100,000 population. Rates are age-adjusted to the 1940 standard population. Figure 24 Cerebrovascular Disease Mortality Utah ........U.S. 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 Table 40. Hypertension Awareness* Year 1991 1992 1993 Utah 20 19 18 Median State 21 21 22 Range of States 15-30 15-28 17-30 Table 41. Hypertension Screening* Year 1991 1992 1993 Utah 92 94 91 Median State 94 95 94 Range of States 92-97 90-97 90-97 *Percentage of persons who report having been told their blood pressure was high. 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. *Percentage of persons who reported having their blood pressure checked within the last 2 years. 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 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. Utah's Health: An Annual Review 1996 59 |
