Black Americans are at a higher risk of having a stroke compared to other racial and ethnic groups. This increased risk is due to a combination of factors, including both modifiable and non-modifiable risk factors. Non-modifiable risk factors include age, sex, race/ethnicity, and family history of stroke. Modifiable risk factors include poor diet, physical inactivity, being overweight, diabetes, hypertension, smoking, and high cholesterol. Black Americans tend to have a higher prevalence of these modifiable risk factors. Over half of Black adults have high blood pressure, and they are more likely to have diabetes and high levels of LDL cholesterol. To prevent strokes, it is important to focus on managing these modifiable risk factors. This can be done through medications for blood pressure, smoking cessation programs, and proper management of diabetes. Adopting a healthy diet, such as the Mediterranean diet, and regular physical activity are also crucial. Social determinants of health, such as socioeconomic status, education level, and access to healthcare, also play a significant role in stroke risk and outcomes. Addressing these social determinants is essential for reducing the disparities in stroke risk and outcomes among Black Americans. Additionally, recognizing the signs and symptoms of a stroke, such as facial droop, numbness, and weakness on one side of the body, and seeking immediate medical attention can improve outcomes. Advocacy for timely and appropriate treatment in healthcare settings is also important to ensure better stroke care for Black Americans.