The Hispanic Mortality Advantage and Ethnic Misclassification on US Death Certificates
The Hispanic Mortality Advantage and Ethnic Misclassification on US Death Certificates
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DOI：
10.2105/ajph.2008.135863
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发表时间：
2010-01-01
影响因子：
12.7
通讯作者：
Sortie, Paul D.
中科院分区：
文献类型：
--
作者：
Arias, Elizabeth;Eschbach, Karl;Sortie, Paul D.
目标。我们通过调查美国死亡证明上的西班牙裔血统错误分类是否以及在多大程度上解释了这种优势，检验了关于西班牙裔死亡率优势的数据伪像假设。我们使用国家纵向死亡率研究，将当前人口调查记录与1979年至1998年的死亡证明联系起来，与调查分类相比，估计死亡证明上西班牙裔种族的敏感性、特异性和净确定度。使用国家生命统计死亡率数据，我们估计了西班牙裔特定年龄和年龄调整死亡率（未校正和校正死亡证明错误分类），并产生了西班牙裔与非西班牙裔白人人口的死亡率比。西班牙裔美国人在死亡证明上的报告相当不错。调查记录的西班牙裔血统的净确定率仅比死亡证明高5%。西班牙裔的校正年龄调整死亡率比非西班牙裔白人低近20%。西班牙裔死亡率悖论不能用生命登记和人口数据系统中种族分类的不一致来解释。[J] .公共卫生杂志，2010;100:S171-S177。doi: 10.2105 / AJPH.2008.135863)
Objectives. We tested the data artifact hypothesis regarding the Hispanic mortality advantage by investigating whether and to what degree this advantage is explained by Hispanic origin misclassification on US death certificates.Methods. We used the National Longitudinal Mortality Study, which links Current Population Survey records to death certificates for 1979 through 1998, to estimate the sensitivity, specificity, and net ascertainment of Hispanic ethnicity on death certificates compared with survey classifications. Using national vital statistics mortality data, we estimated Hispanic age-specific and age-adjusted death rates, which were uncorrected and corrected for death certificate misclassification, and produced death rate ratios comparing the Hispanic with the non-Hispanic White population.Results. Hispanic origin reporting on death certificates in the United States is reasonably good. The net ascertainment of Hispanic origin is just 5% higher on survey records than on death certificates. Corrected age-adjusted death rates for Hispanics are lower than those for the non-Hispanic White population by close to 20%.Conclusions. The Hispanic mortality paradox is not explained by an incongruence between ethnic classification in vital registration and population data systems. (Am J Public Health. 2010;100:S171-S177. doi:10.2105/AJPH.2008.135863)