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2 versus 8.1 per 1000 person-years, respectively; P=0.89). Among participants with fair or poor self-rated health, having high versus low fragmentation was associated with a trend toward a higher adjusted rate of incident strokes (14.8 versus 10.4 per 1000 person-years, respectively; P=0.067). Among Black participants with fair or poor self-rated health, having high versus low fragmentation was associated with a higher adjusted rate of strokes (19.3 versus 10.3 per 1000 person-years, respectively; P=0.02). Conclusions Highly fragmented
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