Race/Ethnicity and All-Cause Mortality in US Adults: Revisiting the Hispanic Paradox
Race/Ethnicity and All-Cause Mortality in US Adults: Revisiting the Hispanic Paradox
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DOI：
10.2105/ajph.2011.300345
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发表时间：
2012-05-01
影响因子：
12.7
通讯作者：
Lancet, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Borrell, Luisa N.;Lancet, Elizabeth A.
目标。我们研究了种族/民族与美国成年人全因死亡风险之间的关联，以及这种关联是否因出生状态而不同。我们使用COX比例风险回归来估计1997至2004年全国健康访谈调查受访者的全因死亡率，将西班牙裔亚群、非西班牙裔黑人和其他非西班牙裔白人成年人在控制按年龄和性别分层的选定特征前后的风险联系起来。我们观察到，在取决于出生状态的女性中，拉美裔美国人的死亡率高于非西班牙裔白人：25岁至44岁的美国出生的墨西哥裔美国人的死亡率低90%(95%可信区间=0.03，0.31)；年龄在45岁至之间的岛屿或外国出生的古巴人和其他拉美裔美国人死亡的可能性比非西班牙裔白人低两倍以上。65岁及以上在岛上或外国出生的波多黎各人和在美国出生的墨西哥裔美国妇女的死亡率至少比非拉美裔白人妇女低25%。结论：“拉美裔悖论”可能不是一个静态的过程，可能会随着人口的增长和随着时间的推移而变化。(我是J公共卫生。2012；102：836-843。DOI：10.2105/AJPH.2011.300345)
Objectives. We examined the association between race/ethnicity and all-cause mortality risk in US adults and whether this association differs by nativity status.Methods. We used Cox proportional hazards regression to estimate all-cause mortality rates in 1997 through 2004 National Health Interview Survey respondents, relating the risk for Hispanic subgroup, non-Hispanic Black, and other non-Hispanic to non-Hispanic White adults before and after controlling for selected characteristics stratified by age and gender.Results. We observed a Hispanic mortality advantage over non-Hispanic Whites among women that depended on nativity status: US-born Mexican Americans aged 25 to 44 years had a 90% (95% confidence interval [CI]=0.03, 0.31) lower death rate; island- or foreign-born Cubans and other Hispanics aged 45 to 64 years were more than two times less likely to die than were their non-Hispanic White counterparts. Island- or foreign-born Puerto Rican and US-born Mexican American women aged 65 years and older exhibited at least a 25% lower rate of dying than did their non-Hispanics White counterparts.Conclusions: The "Hispanic paradox" may not be a static process and may change with this population growth and its increasing diversity over time. (Am J Public Health. 2012;102:836-843. doi:10.2105/AJPH.2011.300345)