Use of death certificates to study ethnic-specific mortality
Use of death certificates to study ethnic-specific mortality
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DOI：
10.1177/003335490612100309
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发表时间：
2006-05-01
影响因子：
3.3
通讯作者：
Lisabeth, LD
中科院分区：
文献类型：
--
作者：
Caveney, AF;Smith, MA;Lisabeth, LD
目标。美国的西班牙裔人口超过4000万人，其中墨西哥裔美国人（MA）是最大的亚群。为了评估死亡证明和医疗记录作为流行病学研究中种族/民族数据来源的效用，我们比较了自我报告的种族/民族与死亡证明和医疗记录中记录的种族/民族，在一个有大量MA人口的双种族非移民美国社区。本研究利用了从科珀斯克里斯蒂脑攻击监测（BASIC）项目的1856名参与者中收集的数据。进行面对面访谈以确定自我报告的种族/民族。在接受采访的人中，有480人后来死亡。使用自我报告的种族/民族作为金标准，我们确定了死亡证明和医疗记录的一致性百分比、敏感性和特异性。在480名受试者中，259名自我报告为非西班牙裔白人（NHW）， 195名自我报告为MA， 26名自我报告为非西班牙裔黑人。中位年龄为78.5岁，女性占55.8%。自我报告的种族/族裔与死亡证明和医疗记录上记录的种族/族裔之间的一致性百分比分别为97.1%和96.3%。5%的ma在死亡证明上被错误归类为NHW， 3%的ma在医疗记录上被错误归类为NHW。结果表明，该社区死亡证明和医疗记录上记录的西班牙裔名称与自我报告基本一致。这项研究表明，非移民美国西班牙裔社区的生命统计数据可以自信地用于调查种族特定方面的疾病和死亡率。应在其他多种族社区进行类似的研究，以证实和推广这些结果。
Objectives. The Hispanic population in the United States represents more than 40 million individuals, with Mexican Americans (MA) as the largest subgroup. To assess the utility of death certificates and medical records as the source of race/ethnicity data for epidemiologic studies, we compared self-reported race/ ethnicity to race/ethnicity recorded on death certificates and medical records in a bi-ethnic, non-immigrant U.S. community with a significant MA population.Methods. This study utilized data collected from a subset of 1,856 participants of the Brain Attack Surveillance in Corpus Christi (BASIC) project. In-person interviews were conducted to determine self-reported race/ethnicity. Of those interviewed, 480 subsequently expired. Using self-reported race/ethnicity as the gold standard, we determined percent agreement, sensitivity, and specificity of the death certificate and medical record.Results. Of the 480 subjects, 259 self-reported their race/ethnicity as non-Hispanic white (NHW), 195 self-reported as MA, and 26 self-reported as non-Hispanic black. Median age was 78.5 years and 55.8% were female. Percent agreement between self-reported race/ethnicity and race/ethnicity recorded on the death certificate and medical record was 97.1% and 96.3% respectively. Five percent of MAs were misclassified as NHW on their death certificates and 3% on their medical records.Conclusions. Results indicated that Hispanic designation recorded on death certificates and medical records in this community was largely consistent with that of self-report. This study suggests that vital statistics data in non-immigrant U.S. Hispanic communities can be used with confidence to investigate ethnic-specific aspects of disease and mortality. Similar studies in other multi-racial communities should be conducted to confirm and generalize these results.