Asthma mortality in US Hispanics of Mexican, Puerto Rican, and Cuban Heritage, 1990-1995
Asthma mortality in US Hispanics of Mexican, Puerto Rican, and Cuban Heritage, 1990-1995
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DOI：
10.1164/ajrccm.161.2.9906025
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发表时间：
2000-02-01
影响因子：
24.7
通讯作者：
Lara, M
中科院分区：
文献类型：
--
作者：
Homa, DM;Mannino, DM;Lara, M
我们使用了1990年至1995年的国家生命统计数据，检查了墨西哥、古巴和波多黎各血统的美国拉美裔以及非西班牙裔白人和非西班牙裔黑人的全国和地区年龄调整哮喘死亡率。在全国范围内，波多黎各人经年龄调整后的年哮喘死亡率为40.9‰，其次是古巴裔美国人(15.8‰)和墨西哥裔美国人(9.2‰)。相比之下，非西班牙裔白人经年龄调整后的年哮喘死亡率为每百万人中14.7人，非西班牙裔黑人罕见，为每百万人38.1人。波多黎各人的年龄调整哮喘死亡率在东北部最高(每百万人中有47.8人)；该地区占美国波多黎各人哮喘死亡人数的81%，在美国，波多黎各人的哮喘死亡率在西班牙裔中最高，其次是古巴裔美国人和墨西哥裔美国人。此外，在西班牙裔国家群体中，东北部的死亡率一直高于中西部、南部或西部地区。这些结果进一步支持，就健康结果而言，拉美裔并不代表一个统一的离散群体，进一步的公共卫生研究和干预应考虑到拉美裔的民族血统。
We used national vital statistics data for 1990 through 1995 to examine both national and regional age-adjusted asthma mortality rates for U.S. Hispanics of Mexican, Cuban, and Puerto Rican heritage, as well as for non-Hispanic whites and non-Hispanic blacks. Nationally, Puerto Ricans had an age-adjusted annual asthma mortality rate of 40.9 per million, followed by Cuban-Americans (15.8 per million) and Mexican-Americans (9.2 per million). In comparison, non-Hispanic whites had an age-adjusted annual asthma mortality rate of 14.7 per million and non-Hispanic blacks had a rare of 38.1 per million. Age-adjusted asthma mortality for Puerto Ricans was highest in the Northeast (47.8 per million); this region accounted for 81% of all asthma deaths among Puerto Ricans in the United States, In the U.S., Puerto Ricans had the highest asthma mortality rates among Hispanics, followed by Cuban-Americans and Mexican-Americans. In addition, among Hispanic national groups, mortality rates were consistently higher in the Northeast than the Midwest, South, or West regions. These results further support that Hispanics do not represent a uniform discrete group in terms of health outcomes, and that further public health research and interventions should take Hispanic national origin into account.