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Race/ethnicity and all-cause mortality in US adults: revisiting the Hispanic paradox

TitleRace/ethnicity and all-cause mortality in US adults: revisiting the Hispanic paradox
Publication TypeJournal Article
Year of Publication2012
AuthorsBorrell, LN, Lancet, EA
JournalAm J Public HealthAm J Public Health
Volume102
Pagination836-43
Date PublishedMay
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number22493998
KeywordsAdult, African Americans/statistics & numerical data, Age Distribution, Aged, European Continental Ancestry Group/statistics & numerical data, Female, Health Surveys, Hispanic Americans/ classification/ statistics & numerical data, Humans, Male, Middle Aged, Mortality/ ethnology, Proportional Hazards Models, Sex Distribution, Socioeconomic Factors, United States/epidemiology/ethnology
AbstractOBJECTIVES: 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.