Document Detail

Rethinking the Hispanic paradox: death rates and life expectancy for US non-Hispanic White and Hispanic populations.
MedLine Citation:
PMID:  16380579     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We examined the "Hispanic paradox," whereby persons of Hispanic origin seemed to experience lower mortality than the non-Hispanic White population. This paradox coincided with a change from the classification of deaths and population by Spanish surname to the use of Hispanic-origin questions in the census and vital statistics.
METHODS: To estimate US Hispanic and non-Hispanic White mortality, we applied a familiar relation between death rates for population subgroups to Hispanic and non-Hispanic White population death rates. We calculated age-specific death rates for the Hispanic population and the non-Hispanic White population and computed life tables for each. Result. For Texas between 1980 (surname) and 1990 (origin), the change in Hispanic deaths in persons aged 65 years or older was only half as great as the change in population size, implying a relative omission of 15% to 20% of deaths. By a different approach, the life tables for the US Hispanic and non-Hispanic White populations pointed to a similar omission.
CONCLUSIONS: There is no "Hispanic paradox." The Hispanic paradox described in past research derives from inconsistencies in counts of Hispanic-origin deaths and populations.
David P Smith; Benjamin S Bradshaw
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Publication Detail:
Type:  Journal Article     Date:  2005-12-27
Journal Detail:
Title:  American journal of public health     Volume:  96     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-22     Completed Date:  2006-08-31     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1686-92     Citation Subset:  AIM; IM    
University of Texas School of Public Health, San Antonio, TX 78229, USA.
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MeSH Terms
Age Factors
European Continental Ancestry Group*
Hispanic Americans*
Infant, Newborn
Life Expectancy*
Mortality / trends*
Reproducibility of Results
Texas / epidemiology
Comment In:
Am J Public Health. 2007 Mar;97(3):392; author reply 392-3   [PMID:  17267705 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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