Erratum: A Comprehensive Analysis of Morbidity Life Expectancies Among Older Hispanic Subgroups in the United States: Variation by Nativity and Country of Origin.
Erratum: A Comprehensive Analysis of Morbidity Life Expectancies Among Older Hispanic Subgroups in the United States: Variation by Nativity and Country of Origin.
复制标题
勘误表：美国老年西班牙裔亚群发病预期寿命的综合分析：出生地和原籍国的差异。
DOI：
10.1093/geroni/igy019
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发表时间：
2018
影响因子：
7
通讯作者：
Markides,KyriakosS
中科院分区：
文献类型：
--
作者：
Garcia,MarcA;Garcia,Catherine;Chiu,Chi-Tsun;Raji,Mukaila;Markides,KyriakosS
背景和目的尽管在西班牙裔老年人亚组中有明显的死亡率优势，特别是在外国出生的人，但关于西班牙裔老年人发病率预期寿命的健康选择性的研究很少。西班牙裔亚群的社会文化特征差异可能影响发病率的种族/民族和出生差异。研究西班牙裔老年人亚群的异质性，可能会进一步理解为什么一些西班牙裔人在老年时能够保持良好的健康，而另一些人却处于健康劣势。因此，本分析的主要目的是检查美国老年人中种族/民族、出生和原籍国在发病率预期寿命方面的差异。研究设计和方法我们使用来自国家健康访谈调查（National Health Interview Survey）的个人层面数据（1999-2015），按性别估计美国出生的墨西哥人、外国出生的墨西哥人、美国出生的波多黎各人、岛上出生的波多黎各人、外国出生的古巴人以及中年（50岁）和老年（65岁）白人的预期寿命表。结果西班牙裔患者的发病率预期寿命存在差异。在女性中，美国出生的墨西哥人、外国出生的墨西哥人和岛上出生的波多黎各人晚年的发病率高于白人。对于男性来说，在美国出生的波多黎各人是唯一一个在患病年数上处于劣势的西班牙裔亚群。相反，无论性别如何，外国出生的古巴人在所有群体中表现出最健康的结果。讨论和意义降低晚年发病的风险必须通过对影响老年人健康的各种因素的全面了解来实现。研究应避免忽视西班牙裔亚群慢性疾病风险特征的重要差异的泛种族分组。认识到构成西班牙裔亚群体基础的各种社会文化和环境进程，对于制定和执行旨在改善少数民族和移民群体晚年发病率对健康的负面影响的社会和公共卫生政策非常重要。
Background and ObjectivesAlthough a clear advantage in mortality has been documented among older Hispanic subgroups, particularly the foreign-born, research examining health selectivity in morbidity life expectancies among older Hispanics are scarce. Differences in sociocultural characteristics among Hispanic subgroups may influence racial/ethnic and nativity disparities in morbidity. Research examining the heterogeneity among older Hispanic subgroups may further our understanding of why some Hispanics are able to preserve good health in old age, while others experience a health disadvantage. Thus, the primary goal of this analysis is to examine racial/ethnic, nativity, and country of origin differences in morbidity life expectancies among older adults in the United States.Research Design and MethodsWe used individual-level data (1999–2015) from the National Health Interview Survey to estimate Sullivan-based life tables of life expectancies with morbidity and without morbidity by gender for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and whites in mid-life (age 50), and late-life (age 65).ResultsHispanics are heterogeneous in morbidity life expectancies. Among females, U.S.-born Mexicans, foreign-born Mexicans, and island-born Puerto Ricans spent more late-life years with morbidity than whites. For men, U.S.-born Puerto Ricans were the only Hispanic subgroup disadvantaged in the number of years lived with morbidity. Conversely, foreign-born Cubans exhibited the healthiest outcomes of all groups, regardless of gender.Discussion and ImplicationsReducing the risk for late-life morbidity must be informed by a comprehensive understanding of a wide range of factors that shape health among older adults. Research should avoid pan-ethnic groupings that overlook important differences in chronic disease risk profiles among Hispanic subgroups. Recognizing the various sociocultural and environmental processes that underlie Hispanic subpopulations is important for development and implementation of social and public health policies aimed at ameliorating negative health outcomes of late-life morbidity among minority and immigrant groups.