MORTALITY BY HISPANIC STATUS IN THE UNITED-STATES
MORTALITY BY HISPANIC STATUS IN THE UNITED-STATES
复制标题
DOI：
10.1001/jama.270.20.2464
复制
发表时间：
1993-11-24
影响因子：
120.7
通讯作者：
ROGOT, E
中科院分区：
文献类型：
--
作者：
SORLIE, PD;BACKLUND, E;ROGOT, E
目标。目的：比较西班牙裔和非西班牙裔人群的全因死亡率和特定原因死亡率，并估计家庭收入、出生地和居住地对这些死亡率的影响。-队列研究使用与国家死亡指数相匹配的国家调查数据，死亡率随访期为9年。-美国非收容人口。参与者。-约70万受访者（25岁或以上），包括4万西班牙裔，由美国人口普查局进行的全国调查（当前人口调查）。结果的措施。- 1979至1987年间死亡证明编码的所有死因和潜在死因。-调整年龄后，与非西班牙裔人相比，西班牙裔人的全因死亡率较低（标准化比率[SRR]，男性0.74，女性0.82），癌症死亡率较低（SRR，男性0.69，女性0.61），心血管疾病死亡率较低（SRR，男性0.65，女性0.80），糖尿病死亡率较高（SRR，男性1.86，女性2.38），杀人死亡率较高（SRR，男性3.60）。在对家庭年收入差异进行调整后，西班牙裔的相对死亡率甚至低于非西班牙裔。在一项大型国家队列研究中，这些数据描述了西班牙裔人的死亡率低于非西班牙裔人。在对家庭收入差异进行调整后，这种死亡率特别低。
Objective.-To compare all-cause and cause-specific mortality rates between Hispanic and non-Hispanic groups and estimate the effect of family income, place of birth, and place of residence on these rates.Design.-Cohort study using national survey data matched to the National Death Index, with a mortality follow-up period of 9 years.Setting.-The noninstitutionalized population of the United States.Participants.-Approximately 700 000 respondents (aged 25 years or older), including 40 000 Hispanics, to national surveys conducted by the US Bureau of the Census (Current Population Surveys).Outcome Measures.-All causes and underlying cause of death, coded from the death certificate, occurring between 1979 and 1987.Results.-Adjusting for age, Hispanics were shown to have lower mortality from all causes compared with non-Hispanics (standardized rate ratio [SRR], 0.74 for men, 0.82 for women), lower mortality from cancer (SRR, 0.69 for men, 0.61 for women), lower mortality from cardiovascular disease (SRR, 0.65 for men, 0.80 for women), higher mortality from diabetes (SRR, 1.86 for men, 2.38 for women), and higher mortality from homicide (SRR, 3.60 for men). After adjusting for differences in annual family income, the relative mortality ratios were even lower for Hispanics than non-Hispanics.Conclusions.-These data describe, in a large national cohort study, a lower mortality in Hispanics than in non-Hispanics. This mortality is particularly low after adjustment for differences in family income.