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NIH awards $40 million in grants to reduce stroke disparities in the US
Date:5/1/2013

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Kaiser Permanente Northern California and the University of California, San Francisco will identify African-American enrollees in the Kaiser system who have uncontrolled blood pressure. Those who choose to participate in a controlled trial will be randomly assigned to one of three treatment groups: an intensive monitoring and drug dosage adjustment program, a culturally tailored diet and exercise intervention, or usual care. "The goal is to decrease the disparity in hypertension control between blacks and whites by 4 percent over one year; currently there is a 5 percent disparity in control between these racial groups," said Stephen Sidney, M.D., M.P.H., director of research clinics at the Kaiser Permanente Northern California's Division of Research in Oakland. Kaiser researchers also plan to investigate the causes of stroke in children and young adults. While this rate is still relatively low, stroke rates among young blacks in Kaiser Permanente more than doubled between 2000 and 2008, according to Dr. Sidney. The researchers will conduct studies to identify underlying reasons for this trend.

The NYU Langone Medical Center and Columbia University Medical Center have teamed up to create the Center for Stroke Disparities Solutions, a consortium that includes the State University of New York Downstate Medical Center, the Visiting Nurse Service of New York, five hospital-based stroke centers, and a research network of primary care practices within New York City's Health and Hospital Corporation the largest municipal health care system in the United States. The first of the consortium's three projects in New York City will compare home blood pressure monitoring alone versus that intervention plus nurse case management by telephone, said Gbenga Ogedegbe, M.D., M.S., M.P.H., professor of population health and medicine at NYU Langone. The study will track reductions in blood pressure and prevention of recurrent stroke among 450 black and Hispanic stroke s
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Contact: Kathryn DeMott
nindspressteam@ninds.nih.gov
301-496-5751
NIH/National Institute of Neurological Disorders and Stroke
Source:Eurekalert

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