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The Hispanic Paradox: Is There a Hispanic Mortality Advantage?

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Current Perspectives on Centenarians

Part of the book series: International Perspectives on Aging ((Int. Perspect. Aging,volume 36))

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Abstract

While older US Hispanics have more comorbid conditions and experience fewer societal advantages than non-Hispanic whites (NHW), they consistently exhibit longer life expectancies. This has been termed the “Hispanic Paradox” and has been an area of research interest. Even with post COVID pandemic declines in American life expectancy that significantly impacted Hispanics, they continue to have a 1.2-year longevity advantage over NHW. Explanations for this observation include immigrants to the US start out healthier, protective social behaviors are more prominent among Hispanics, such as strong community and family support and multigenerational households offer additional support. Lifestyles seen among Hispanics may contribute added benefits and include plant-based diets and low rates of tobacco and alcohol use disorders. Many of these advantages seem to disappear with acculturation and adaptation to American life.

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Correspondence to Maria D. Llorente .

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Appendices

Additional Resources

Population Reference Bureau. https://www.prb.org/

Kaiser Permanente. A Provider’s Handbook on Culturally Competent Care. 2018. Available at: http://residency-ncal.kaiserpermanente.org/wp-content/uploads/2018/12/Latino-Handbook.pdf. Accessed November 19, 2022.

Blue Zones: Live Better Longer. https://www.bluezones.com/

What’s the Secret to Latino Longevity? https://nutritionfacts.org/2019/06/11/whats-the-secret-to-latino-longevity/

Llorente MD. Culture, Heritage and Diversity in Older Adult Mental Health Care. APPI Press. Washington DC. https://doi.org/10.1176/appi.books.9781615372119

Multiple Choice Questions

  1. 1.

    Which of the following descriptions of the Salmon Bias Hypothesis to explain the Hispanic Paradox is accurate?

    1. A.

      Latinos eat more salmon than other groups.

    2. B.

      Latinos spend more time than other groups fishing

    3. C.

      As Latinos age and became ill, they are more likely to return to their country of origin

    4. D.

      Latinos are more likely than other groups to supplement their diets with fish oil

      • Correct Response: C

  2. 2.

    Among Hispanic subgroups, which of the following regions has the largest number of centenarians per 100,000 population?

    1. A.

      San Juan, Puerto Rico

    2. B.

      Madrid, Spain

    3. C.

      Havana, Cuba

    4. D.

      Nicoya, Costa Rica

      • Correct Response: D

  3. 3.

    All of the following are proposed contributors to greater longevity among Hispanics, except:

    1. A.

      Acculturation

    2. B.

      Barrio advantage

    3. C.

      Familismo

    4. D.

      Optimism

      • Correct Response: A

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Anouti, D.P., Beard, A.Z., Buenaver, M., Llorente, M.D. (2023). The Hispanic Paradox: Is There a Hispanic Mortality Advantage?. In: Kheirbek, R.E., Llorente, M.D. (eds) Current Perspectives on Centenarians. International Perspectives on Aging, vol 36. Springer, Cham. https://doi.org/10.1007/978-3-031-30915-1_9

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  • DOI: https://doi.org/10.1007/978-3-031-30915-1_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-30914-4

  • Online ISBN: 978-3-031-30915-1

  • eBook Packages: Social SciencesSocial Sciences (R0)

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