Interventions Targeting Racial/Ethnic Disparities in Stroke Prevention and Treatment

Stroke. 2020 Nov;51(11):3425-3432. doi: 10.1161/STROKEAHA.120.030427. Epub 2020 Oct 26.


Systemic racism is a public health crisis. Systemic racism and racial/ethnic injustice produce racial/ethnic disparities in health care and health. Substantial racial/ethnic disparities in stroke care and health exist and result predominantly from unequal treatment. This special report aims to summarize selected interventions to reduce racial/ethnic disparities in stroke prevention and treatment. It reviews the social determinants of health and the determinants of racial/ethnic disparities in care. It provides a focused summary of selected interventions aimed at reducing stroke risk factors, increasing awareness of stroke symptoms, and improving access to care for stroke because these interventions hold the promise of reducing racial/ethnic disparities in stroke death rates. It also discusses knowledge gaps and future directions.

Keywords: blood pressure; cardiovascular disease; cause of death; racism; risk factors; stroke.

Publication types

  • Review

MeSH terms

  • Black or African American
  • Culturally Competent Care*
  • Diabetes Mellitus / therapy*
  • Diet Therapy
  • Exercise
  • Health Education / methods
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility
  • Health Status Disparities*
  • Healthcare Disparities*
  • Hispanic or Latino
  • Humans
  • Hypertension / prevention & control*
  • Hypertension / therapy
  • Indigenous Peoples
  • Prejudice
  • Primary Prevention
  • Quality of Health Care
  • Racism*
  • Risk Reduction Behavior
  • Secondary Prevention
  • Self-Management
  • Social Determinants of Health
  • Stroke / ethnology*
  • Stroke / prevention & control
  • Stroke / therapy
  • Time-to-Treatment
  • United States