MORTALITY DIFFERENCES BETWEEN ELDERLY MEXICAN-AMERICANS AND NON-HISPANIC WHITES IN SAN-ANTONIO, TEXAS
MORTALITY DIFFERENCES BETWEEN ELDERLY MEXICAN-AMERICANS AND NON-HISPANIC WHITES IN SAN-ANTONIO, TEXAS
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DOI：
10.1111/j.1532-5415.1994.tb06857.x
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发表时间：
1994-06-01
影响因子：
6.3
通讯作者：
KRIEHBIEL, R
中科院分区：
文献类型：
--
作者：
ESPINO, DV;PARRA, EO;KRIEHBIEL, R
目的：研究目的：探讨墨西哥裔美国人（MA）和非西班牙裔白人（NHW）老年人死亡原因的差异。设计：回顾性死亡证明审查。研究对象：1989年期间在德克萨斯州贝克萨尔县死亡的65岁及以上的墨西哥裔美国人和非西班牙裔白人。调整和原因特异性死亡率，比值比（OR），和95%的置信区间（CI）calculated.Results：墨西哥裔美国人死亡的30个死亡原因中的9个在更大的风险。MA组糖尿病死亡率高于NHW组（OR = 3.19，CI = 2.27-4.49），肾功能衰竭（OR = 2.06，CI = 1.44-2.94）、充血性心力衰竭（OR = 1.50，CI = 1.44-2.94）、多系统疾病（OR = 2.59，CI = 1.89-3.57）。在男性受试者中，MA比NHW有更高的死于心肌梗死（OR = 1.83，CI = 1.15-2.90）、冠心病（OR = 1.37，CI = 1.07-1.75）和败血症/脓尿（OR = 2.12，CI = 1.09-4.10）的风险。在女性受试者中，MA死于肝硬化的可能性更大（OR = 3.03，CI = 1.009.29）。结论：墨西哥裔美国老年人死于非胰岛素依赖型糖尿病和肾功能衰竭的危险性高于新生活方式的老年人，但死亡原因中只有一个是MA组低于新生活方式组：MA组女性死于慢性阻塞性肺疾病的危险性低于新生活方式组女性（OR = 0.36，CI = 0.180.72）。老年MA男性死于心血管疾病的风险高于NHW男性。墨西哥裔美国妇女死于肝硬化的风险可能更大，但死于COPD并发症的风险较低。最后，不明原因的死亡，如多种系统性疾病，可能是老年MA的主要死因。
Objective: To identify differences in causes of death between elderly Mexican Americans (MA) and non-Hispanic whites (NHW).Design: Retrospective death certificate review.Subjects: Elderly Mexican Americans and non-Hispanic Whites age 65 and over who died in Bexar County, Texas during 1989.Measures: Data obtained from chart review included age, sex, race/ethnicity, and cause of death. Age-adjusted and cause-specific mortality rates, odds ratios (OR), and 95% confidence intervals (CI) were calculated.Results: Mexican Americans were at greater risk of dying in nine of the thirty causes of death examined. The mortality rates of MA subjects were higher than those of NHW from death caused by diabetes (OR = 3.19, CI = 2.27-4.49), renal failure (OR = 2.06, CI = 1.44-2.94), congestive heart failure (OR = 1.50, CI = 1.44-2.94), and multiple systemic diseases (OR = 2.59, CI = 1.89-3.57). Among the male subjects, MA had a greater risk than NHW of dying from myocardial infarction (OR = 1.83, CI = 1.15-2.90), coronary disease (OR = 1.37, CI = 1.07-1.75) and septicemia/pyuria (OR = 2.12, CI = 1.09-4.10). Among female subjects, MA had a greater likelihood of dying from cirrhosis (OR = 3.03, CI = 1.009.29). For only one of the causes of death was the risk lower among MA than NHW: MA female subjects had a lesser chance of dying from the chronic obstructive pulmonary disease (COPD) than NHW females (OR = 0.36, CI = 0.180.72).Conclusion: Mexican American elders have a greater risk of dying from non-insulin dependent diabetes mellitus and renal failure than their NHW counterparts. Elderly MA men have a greater risk of dying from cardiovascular disease than their NHW counterparts. Mexican American women may have a greater risk of dying from cirrhosis, but a lower risk of dying from complications of COPD. Finally, death from ill defined causes, such as multiple systemic diseases, may be a major under-acknowledged cause of death among older MA.