Mortality of foreign-born and US-born Hispanic adults at younger ages: A reexamination of recent patterns
Mortality of foreign-born and US-born Hispanic adults at younger ages: A reexamination of recent patterns
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DOI：
10.2105/ajph.2006.094193
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发表时间：
2007-07-01
影响因子：
12.7
通讯作者：
Goodwin, James S.
中科院分区：
文献类型：
--
作者：
Eschbach, Karl;Stimpson, Jim P.;Goodwin, James S.
目标.我们试图确定移民和美国出生的西班牙裔年轻人的死亡率是否高于或低于非西班牙裔白人。我们还试图确定哪些死亡原因导致了组间死亡率的差异。我们使用了德克萨斯州和加州1999年至2001年的人口动态登记数据，这些数据与2000名人口普查员有关。我们计算了特定原因的间接标准化率和比率，并确定了超额/赤字计算，比较了美国和外国出生的西班牙裔男性和女性与非西班牙裔白色男性和女性的死亡率。西班牙裔移民男性（标准化死亡率[SMR]=0.79）和女性（SMR=0.59）的死亡率显著低于非西班牙裔白色男性和女性。在得克萨斯州和加州，除了杀人之外，大多数社会、行为和慢性疾病都是造成这一模式的重要因素。在美国出生的西班牙裔美国人的死亡率与非西班牙裔白人相似或超过非西班牙裔白人（男性SMR = 1.17，女性SMR = 0.91）。德克萨斯州和加州的年轻西班牙裔移民的死亡率低于非西班牙裔白人。然而，在美国出生的西班牙裔美国人中没有观察到这种模式。
Objectives. We sought to determine whether mortality rates among immigrant and US-born Hispanic young adults were higher or lower compared with non-Hispanic Whites. We also sought to identify which causes of death accounted for the differences in mortality rates between groups.Measures. We used Texas and California vital registration data from 1999 to 2001 linked to 2000 census denominators. We calculated cause-specific, indirectly standardized rates and ratios and determined excess/deficit calculations comparing mortality rates among US- and foreign-born Hispanic men and women with rates among non-Hispanic White men and women.Results. Mortality rates were substantially lower among Hispanic immigrant men (standardized mortality ratio [SMR]=0.79) and women (SMR=0.59) than among non-Hispanic White men and women. Most social and behavioral and chronic disease causes in Texas and California other than homicide were noteworthy contributors to this pattern. Mortality rates among US-born Hispanics were similar to or exceeded those among non-Hispanic Whites (male SMR = 1.17, female SMR = 0.91).Conclusions. Mortality rates among younger Hispanic immigrants in Texas and California were lower than rates among non-Hispanic Whites. This pattern was not observed among US-born Hispanics, however.