Koton S, et al. - In this study of the Atherosclerosis Risk in Communities cohort study (ARIC) data comprising 1,340 incident strokes occurring from 1987 to 2017, researchers assessed whether stroke incidence drops among older adults in the ARIC study continued following 2011. A total of 14,357 ARIC individuals with 326,654 person-years of follow-up were recruited. From 1987 to 2017, a total of 1,340 incident strokes happened among ARIC individuals, and among them, 1,028 happened in individuals 65 years and older. For individuals 65 years and older, crude incidence rates of stroke reduced progressively from 1987 to 2017. In individuals 65 years and older, incidence rates, adjusted for age, gender, race/center, and time-varying risk factors, reduced by 32% per 10 years. Findings were constant across decades, gender, and race. Thus, in adults 65 years and older, confirmed total stroke incidence rates reduced over the last 30 years in the ARIC cohort. Moreover, in men and women as well as in white and black people, the reduction in rates formerly reported for 1987 to 2011 extends for the following 6 years.