biostudies-literatureSuchy-Dicey ANIA NIH HHSNHLBI NIH HHS398-406https://www.ebi.ac.uk/biostudies/studies/S-EPMC8448943biostudies-literatureUnknown55(5)<h4>Background</h4>Epidemiologic studies often use self-report as proxy for clinical history. However, whether self-report correctly identifies prevalence in minority populations with health disparities and poor health-care access is unknown. Furthermore, overlap of clinical vascular events with covert vascular brain injury (VBI), detected by imaging, is largely unexamined.<h4>Methods</h4>The Strong Heart Study recruited American Indians from 3 regions, with surveillance and adjudication of stroke events from 1989 to 2013. In 2010-2013, all 817 survivors, aged 65-95 years, underwent brain imaging, neurological history interview, and cognitive testing. VBI was defined as imaged infarct or hemorrhage.<h4>Results</h4>Adjudicated stroke was prevalent in 4% of participants and separately collecNeuroepidemiologyComparing Vascular Brain Injury and Stroke by Cranial Magnetic Resonance Imaging, Physician-Adjudication, and Self-Report: Data from the Strong Heart Study.PMC844894375N92019D00027R01 HL109315K01 AG057821R01 HL109301P50 AG005136R01 HL109284R01 HL109282P30 AG066509U01 HL041652U01 HL065520U01 HL065521U01 HL041642U01 HL041654R01 HL109319Howard BVCole SABuchwald DShibata DMuller CDevereux RBSuchy-Dicey ALongstreth WTfalseComparing Vascular Brain Injury and Stroke by Cranial Magnetic Resonance Imaging, Physician-Adjudication, and Self-Report: Data from the Strong Heart Study.<h4>Background</h4>Epidemiologic studies often use self-report as proxy for clinical history. However, whether self-report correctly identifies prevalence in minority populations with health disparities and poor health-care access is unknown. Furthermore, overlap of clinical vascular events with covert vascular brain injury (VBI), detected by imaging, is largely unexamined.<h4>Methods</h4>The Strong Heart Study recruited American Indians from 3 regions, with surveillance and adjudication of stroke events from 1989 to 2013. In 2010-2013, all 817 survivors, aged 65-95 years, underwent brain imaging, neurological history interview, and cognitive testing. VBI was defined as imaged infarct or hemorrhage.<h4>Results</h4>Adjudicated stroke was prevalent in 4% of participants and separately collec2021-01-01T00:00:00Z20212025-04-05T14:05:19.534Z2025-04-05T14:05:19.534ZS-EPMC84489433442876310.1159/000517804