Parsing the Paradox: Hispanic Mortality in the US by Detailed Cause of Death
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Abstract
US Hispanics are a disadvantaged population that paradoxically has lower mortality rates than non-Hispanic whites. We conducted a descriptive analysis of age-adjusted mortality rates for 113 causes of death for US Hispanics (USH) and US non-Hispanic whites (USNHW) during 1999–2015. All-cause, age-adjusted mortality rates per 100,000 were: 581.1 USH and 788.8 USNHW. Lower Hispanic mortality from cancer, heart disease, and respiratory disease accounted for almost all the all-cause mortality gap. USH rates were higher than USNHW rates for cancers of the stomach, liver, and cervix; diabetes mellitus; liver disease; and homicide. Behavioural factors such as less smoking among USH probably drive their lower rates for the major chronic diseases. Social disadvantages contribute to elevated risk for certain cancers, diabetes, and homicide. Efforts to improve Hispanic well-being in the US should remedy the social disadvantages while preserving the health advantages the population enjoys.
Keywords
Mortality Hispanic Disparity Ethnicity NeoplasmReferences
- 1.DeNavas-Walt C, Proctor BD. Income and poverty in the United States: 2014. Washington, DC: U.S. Census Bureau; 2015.Google Scholar
- 2.Sorlie PD, Backlung E, Keller JB. U.S. mortality by economic, demographic, and social characteristics: the National Longitudinal Mortality Study. Am J Pub Health. 1995;85:949–56.CrossRefGoogle Scholar
- 3.Stirbu I, Kunst AE, Bopp M, Leinsalu M, Regidor E, Esnaola S, et al. Educational inequalities in avoidable mortality in Europe. J Epidemiol Commun Health. 2010;64(10):913–20.CrossRefGoogle Scholar
- 4.Schroder SL, Richeter M, Schroder J, Frantz S, Fink A. Socioeconomic inequalities in access to treatment for coronary heart disease: a systematic review. Int J Cardiol. 2016;219:70–8.CrossRefPubMedGoogle Scholar
- 5.Karb RA, Subramanian SV, Fleegler EW. County poverty concentration and disparities in unintentional injury deaths: a fourteen-year analysis of 1.6 million U.S. fatalities. PLoS ONE. 2016;11(5):1–12.CrossRefGoogle Scholar
- 6.Jones L, Bates G, McCoy E, Bellis MA. Relationship between alcohol-attributable disease and socioeconomic status, and the role of alcohol consumption in this relationship: a systematic review and analysis. BMC Public Health. 2015;15:400.CrossRefPubMedPubMedCentralGoogle Scholar
- 7.Centers for Disease Control and Prevention National Center for Health Statistics. Multiple cause of death 1999–2015 [online]. Atlanta: National Center for Health. https://wonder.cdc.gov/mcd.html. Accessed 17 Jan 2017.
- 8.Sorlie PD, Backlund E, Johnson NJ, Rogot E. Mortality by Hispanic status in the United States. JAMA. 1993;270(20):2464–8.CrossRefPubMedGoogle Scholar
- 9.Palloni A, Arias E. Paradox lost: explaining the Hispanic adult mortality advantage. Demography. 2004;41:385–415.CrossRefPubMedGoogle Scholar
- 10.Smith DP, Bradshaw BS. Rethinking the Hispanic paradox: death rates and life expectancy for US non-Hispanic white and Hispanic populations. Am J Public Health. 2006;96(9):1686–92.CrossRefPubMedPubMedCentralGoogle Scholar
- 11.Blue L, Fenelon A. Explaining low mortality among US immigrants relative to native-born Americans: the role of smoking. Int J Epidemiol. 2011;40:786–93.CrossRefPubMedPubMedCentralGoogle Scholar
- 12.de la Rosa IA. Perinatal outcomes among Mexican Americans: a review of an epidemiological paradox. Ethn Dis. 2002;12:480–7.PubMedGoogle Scholar
- 13.Xu J, Murphy SL, Kochanek KD, Bastian BA. Deaths: final data for 2013. Hyattsville: National Center for Health Statistics; 2016.Google Scholar
- 14.Adhikari B, Kahende J, Malarcher A, Pechacek T, Tong V. Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR. 2008;57(45):1126–228.Google Scholar
- 15.Zhong G, Wang Y, Zhang Y, Guo JJ, Zhao Y. Smoking is associated with an increased risk of dementia: a meta-analysis of prospective cohort studies with investigation of potential effect modifiers. PLoS ONE. 2015;10(3):1–23.Google Scholar
- 16.National Center for Health Statistics, Summary health statistics for the U.S. adults: National Health Interview Survey. Hyattsville: National Center for Health Statistics; 2010.Google Scholar
- 17.National Center for Health Statistics, Smoking and other tobacco use: United States, 1987. Hyattsville: National Center for Health Statistics; 1989.Google Scholar
- 18.Singh SD, Henley SJ, Ryerson AB. Surveillance for cancer incidence and mortality—United States, 2012. MMWR. 2016;63(55):17–58.PubMedGoogle Scholar
- 19.Blackwell DL, Lucas JW, Clarke TC. Summary health statistics for the U.S. adults; National Health Interview Survey, 2012. Hyattsville: National Center for Health Statistics; 2014.Google Scholar
- 20.Eberhardt MS, Ingram DD, Makuc DM, Pamuk ER, Freid VM, Harper SB, Schoenborn CA, Xia H. Urban and rural health chartbook. Hyattsville: National Center for Health Statistics; 2001.Google Scholar
- 21.Redelmeier DA, Katz D, Lu H, Saposnik G. Roadway crash risks in recent immigrants. Accid Anal Prev. 2011;43(6):2128–33.CrossRefPubMedGoogle Scholar
- 22.Gu Q, Dillon C, Burt V. Prescription drug use continues to increase: U.S. prescription drug data for 2007–2008. Hyattsville: National Center for Health Statistics; 2010.Google Scholar
- 23.Substance Abuse and Mental Health Services Administration. Results from the 2010 National Survey on drug use and health. Rockville: Substance Abuse and Mental Health Services; 2011.Google Scholar
- 24.Sullivan KJ, Husak LE, Altebarmakian M, Brox WT. Demographic factors in hip fracture incidence and mortality rates in California, 2000–2011. J Orthop Surg 2016;11(4). https://doi.org/10.1186/s13018-015-0332-3.
- 25.Adams PF, Kirzinger WK, Martinez ME. Summary health statistics for the U.S. population: National Health Interview Survey, 2012. Hyattsville: National Center for Health Statistics; 2013.Google Scholar
- 26.Siegel RL, Fedewa SA, Miller KD, Goding-Sauer A, Pinheiro PS, Martinez-Tyson D, Jemal A. Cancer statistics for Hispanics/Latinos, 2015. CA Cancer J Clin. 2015;65:457–80.Google Scholar
- 27.Hamed MA, Ali SA. Non-viral factors contributing to hepatocellular carcinoma. World J Hepatol. 2013;5(6):311–22.CrossRefPubMedPubMedCentralGoogle Scholar
- 28.Camargo MC, Yepez MC, Ceron C, Guerrero N, Bravo LE, Correa P, Fontham ET. Age of acquisition of Helicobacter pylori infection: comparison of two areas with contrasting risk of gastric cancer. Helicobacter. 2004;9(3):262–70.CrossRefPubMedGoogle Scholar
- 29.Trevelyan E, Gambino C, Gryn T, Larsen L, Acosta Y, Grieco E, Harris D, Walters N. Characteristics of the U.S. population by generational status: 2013. Washington, DC: U.S. Census Bureau; 2016.Google Scholar
- 30.American Cancer Society. Cancer facts and figures for Hispanics/Latinos, 2015–2017. Atlanta: American Cancer Society; 2015.Google Scholar
- 31.Qi L, Nassir R, Kosoy R, Garcia L, Curb J, Tinker L, Howard B, Robbins J. Relationship between diabetes risk and admixture in postmenopausal African-American and Hispanic-American women. Diabetologia. 2012;55(5):1329–37.CrossRefPubMedPubMedCentralGoogle Scholar
- 32.Pan L, Galuska DA, Hunter AS, Rutledge GE, Dietz WH. Differences in prevalence of obesity among black, white, and Hispanic adults—United States, 2006–2008. MMWR. 2009;58(27):740–4.Google Scholar
- 33.Hanis CL, Hewett-Emmett D, Bertin TK, Schull WJ. Origins of U.S. Hispanics. Implications for diabetes. Diabetes Care. 1991;14(7):618–27.CrossRefPubMedGoogle Scholar
- 34.Burrows NR, Valdez R, Geiss LS, Engelgau ME. Prevalence of diabetes among Hispanics—selected areas, 1998–2002. MMWR. 2004;53(40):941–4.Google Scholar
- 35.Hu S, Ma F, Collado-Mesa F, Kirsner RS. UV radiation, latitude, and melanoma in US Hispanics and Blacks. Arch Dermatol. 2004;140(7):819–24. https://doi.org/10.1001/archderm.140.7.819.CrossRefPubMedGoogle Scholar
- 36.Ahluwalia IB, Mack KA, Murphy W, Mokdad AH, Bales VS. State-specific prevalence of selected chronic disease-related characteristics—behavioral risk factor surveillance system, 2001. MMWR. 2003; 52(SS08):1–80.PubMedGoogle Scholar
- 37.Mejia de Grubb MC, Salemi JL, Gonzalez SJ, Zoorob RJ, Levine RS. Trends and correlates of disparities in alcohol-related mortality between Hispanics and non-Hispanic whites in the United States, 1999–2014. Alcoholism: Clin Exp Results. 2016;40(10):2169–79.CrossRefGoogle Scholar
- 38.Hoyert DL. Maternal mortality and related concepts. Hyattsville: National Center for Health Statistics; 2007.Google Scholar
- 39.Creanga AA, Berg CJ, Syverson C, Seed K, Bruce FC, Callaghan WM. Pregnancy-related mortality in the United States, 2006–2010. Obstet Gynecol. 2015;125(1):5–12.CrossRefPubMedGoogle Scholar
- 40.Jones-Webb R, Wall M. Neighborhood racial/ethnic concentration, social disadvantage, and homicide risk: an ecological analysis of 10 U.S. cities. J Urban Health. 2008;85(5):662–76.CrossRefPubMedPubMedCentralGoogle Scholar
- 41.Dominguez K, Penman-Aguilar A, Chang M, Moonesinghe R, Castellanos T, Rodriguez-Lainz A, Schieber R. Vital signs: leading causes of death, prevalence of diseases and risk factors, and use of health services among Hispanics in the United States—2009–2013. MMWR. 2015;64(17):469–78.PubMedPubMedCentralGoogle Scholar
- 42.Arias E, Heron M, Hakes JK. The validity of race and Hispanic-origin reporting on death certificates in the United States: an update. Vital Health Stat 2016; 2(172):1–18.Google Scholar
- 43.U.S.-Mexico Border Health Commission. Border lives: health status in the United States-Mexico border region, 2010. http://www.borderhealth.org/files/res_2213.pdf. Accessed 8 Jan 2017.
- 44.Hing E, Rui P, Palso K. National Ambulatory Medical Care Survey: 2013 [online]. Hyattsville: National Center for Health Statistics; 2017. https://www.cdc.gov/nchs/data/ahcd/namcs_summary/2013_namcs_web_tables.pdf. Accessed 6 Mar 2017.