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U.S. Department of Health and Human Services

Office of Minority Health

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Stroke and Native Hawaiians/Pacific Islanders

  • Native Hawaiians/Pacific Islanders were almost four times more likely than non-Hispanic white adults to have a stroke in 2014.
  • In general, Native Hawaiian/Pacific Islander adults have developed several of the high-risk factors which can lead to heart attacks and stroke, such as higher rates of obesity, hypertension and cigarette smoking.
  • Cerebrovascular disease can be more prevalent in some U.S. island territories. For example, the death rate from stroke is 20 percent higher in the Northern Marianas, as compared to the non-Hispanic white population nationally.

Diagnosed Cases of Stroke:

Age-adjusted percentages of stroke among persons 18 years of age and over, 2014
Native Hawaiian/Pacific Islander Non-Hispanic White Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
8.6* 2.2 3.9

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2014. Table A-1a.

Death Rate:

National data not available at this time.

United States Territories:

Age-Adjusted Stroke Death Rates per 100,000 (2018)
  Territory Non-Hispanic White (U.S. National) Territory / Non-Hispanic White Ratio
Guam 31.1 36.4 0.9
American Samoa -- 36.4 --
Northern Marianas 44.0 36.4 1.2

Source: CDC 2019. National Vital Statistics Report, Vol. 68, No. 9. Table 10 and I-16. [PDF | 1.76MB]

Risk Factors:

There are several risk factors related to stroke. Some of these risk factors are:

Obesity and Overweight – See Obesity and Native Hawaiians/Pacific Islanders

Hypertension – See Heart Disease and Native Hawaiians/Pacific Islanders

High Cholesterol – See Heart Disease and Native Hawaiians/Pacific Islanders

Cigarette Smoking – See Heart Disease and Native Hawaiians/Pacific Islanders

 *Estimates are considered unreliable. Data shown have a relative standard error of greater than 30%

Last Modified: 2/3/2020 4:18:00 PM