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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abraído-Lanza, A. F., Echeverría, S. E., & Flórez, K. R. (2016). Latino immigrants, acculturation, and health: Promising new directions in research. Annual Review of Public Health., 37(1), 219–236. https://doi.org/10.1146/annurev-publhealth-032315-021545
Alegria, M., Canino, G., Shrout, P. E., Woo, M., Duan, N., Vila, D., & Meng, X. L. (2008). Prevalence of mental Illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry., 165(3), 359–369.
Alimujiang, A., Wiensch, A., Boss, J., Fleischer, N. L., Mondul, A. M., McLean, K., Mukherjee, B., & Pearce, C. L. (2019). Association between life purpose and mortality among US adults older than 50 years. JAMA Network Open, 2(5), e194270. https://doi.org/10.1001/jamanetworkopen.2019.4270
Atiemo, K., Mazumder, N. R., Caicedo, J. C., Ganger, D., Gordon, E., Montag, S., Maddur, H., VanWagner, L. B., Goel, S., Kho, A., Abecassis, M., Zhao, L., & Ladner, D. (2019 Dec). The Hispanic paradox in patients with liver cirrhosis: Current evidence from a large regional retrospective cohort study. Transplantation, 103(12), 2531–2538.
Austin, G., & Johnson, D. (2012, August 17). Hispanic or Latino: Which is correct? Diversity Journal.
Batis, C., Hernandez-Barrera, L., Barquera, S., Rivera, J. A., & Popkin, B. M. (2011). Food acculturation drives dietary differences among Mexicans, Mexican Americans, and Non-Hispanic Whites. The Journal of Nutrition, 141(10), 1898–1906. https://doi.org/10.3945/jn.111.141473
Bendixen & Amandi International. (2021). The use of ‘LatinX among Hispanic Voters’. Available at: https://www.politico.com/f/?id=0000017d-81be-dee4-a5ff-efbe74ec0000, Accessed 19 Nov 2022.
Bernstein, David. (2021, December 7). What do Americans of Latin American origin prefer to be called? Not LatinX. The Volokh Conspiracy.
Blakemore, Erin. (2022, February 10). Hispanic? Latino? Here’s where the terms come from. National Geographic.
Bridges, A. J., Andrews, A. R., 3rd, & Deen, T. L. (2012). Mental health needs and service utilization by Hispanic immigrants residing in mid-southern United States. Journal of Transcultural Nursing, 23(4), 359–368. https://doi.org/10.1177/1043659612451259
Brown, S. C., Mason, C. A., Lombard, J. L., Martinez, F., Plater-Zyberk, E., Spokane, A. R., Newman, F. L., Pantin, H., & Szapocznik, J. (2009). The relationship of built environment to perceived social support and psychological distress in hispanic elders: The role of “eyes on the street”. The Journals of Gerontology: Series B, 64B(2), 234–246.
Buchholz, K. (2021, February 5). Where 100 is the New 80. Available at: https://www.statista.com/chart/14931/where-100-is-the-new-80/. Accessed 19 Nov 2022.
Buettner, D., & Skemp, S. (2016). Blue zones: Lessons from the world’s longest lived. American Journal of Lifestyle Medicine, 10(5), 318–321. https://doi.org/10.1177/1559827616637066
Campesino, M., & Schwartz, G. E. (2006). Spirituality among Latinas/os: Implications of culture in conceptualization and measurement. Advances in Nursing Science., 29, 69–81.
Casanova, M., & Aguila, E. (2020). Gender differences in cognitive function among older Mexican immigrants. The Journal of the Economics of Ageing, 16, 100226.
CDC. (2015, May). Vital signs: Hispanic health. Available at: https://www.cdc.gov/vitalsigns/hispanic-health/index.html. Accessed 15 Nov 2022.
CDC. (2022, October 19). Saving llives, protecting people: Health of hispanic or latino population. Available at: https://www.cdc.gov/nchs/fastats/hispanic-health.htm. Accessed 15 Nov 2022.
Centers for Disease Control and Prevention. (2021, September 30). Social determinants of health. Centers for Disease Control and Prevention. Available at: https://www.cdc.gov/socialdeterminants/index.htm. Accessed 27 October 2022.
Centers for Disease Control and Prevention, National Center for Health Statistics. (2021). 1999–2020 Wide Ranging Online Data for Epidemiological Research (WONDER), Multiple Cause of Death files [Data file]. Retrieved from http://wonder.cdc.gov/ucd-icd10.html
Chen, Y., Freedman, N. D., Rodriquez, E. J., Shiels, M. S., Napoles, A. M., Withrow, D. R., Spillane, S., Sigel, B., Perez-Stable, E. J., & Berrington de González, A. (2020). Trends in premature deaths among adults in the United States and Latin America. JAMA Network Open, 3(2). https://doi.org/10.1001/jamanetworkopen.2019.21085
Chung, C., & Myers, S. (1999). Do the poor pay more for food? an analysis of grocery store availability and food price disparities. Journal of Consumer Affairs, 33(2), 276–296. https://doi.org/10.1111/j.1745-6606.1999.tb00071.x
Clarin. (2020). La avanzada centenaria: hay mas de 15 mil mayores de cien anos en el pais y podrian ser el triple en 2040. Available at: https://www.clarin.com/sociedad/avanzada-centenaria-15-mil-mayores-cien-anos-pais-podrian-triple-2040_0_NPhPb8Ac.html. Accessed 19 Nov 2022.
Cohn, D’Vera. (2010, March 3). Census history: Counting hispanics. Pew Research Center.
Consoli, M. L. M., Lopez, S. A., Gonzales, N., Cabrera, A. P., Llamas, J., & Ortega, S. (2011). Resilience and thriving in the Latino/a population: Intersections and discrepancies. Interamerican Journal of Psychology, 45(3), 351–362.
Cook, B., Alegria, M., Lin, J. Y., & Guo, J. (2009). Pathways and correlates connecting Latinos’ mental health with exposure to the United States. American Journal of Public Health., 99(12), 2247–2254.
Cordova, J. (2021). Los Desiertos Americanos: Food deserts and their impact upon Hispanic American health. Public Health Review, 4(1), 1–4.
Cortes-Bergoderi, M., Goel, K., Murad, M. H., & Alli, T. (2013). Cardiovascular mortality in Hispanics compared to non-Hispanic whites. European Journal of Internal Medicine, 24(8), 791–799.
Department of Health & Human Services. (2022). Healthy People 2030. Available at: https://health.gov/healthypeople/priority-areas/social-determinants-health. Accessed 19 Nov 2022.
Department of Health & Human Services, Office of Minority Health. (2021, May). https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=69. Accessed 15 Nov 2022.
Diaz, C. J., & Niño, M. (2019 Sep). Familism and the Hispanic health advantage: The role of immigrant status. Journal of Health and Social Behavior, 60(3), 274–290.
Dominguez, K., Penman-Aguilar, A., Chang, M. H., Moonesinghe, R., Castellanos, T., Rodriguez-Lainz, A., Schieber, R., & Centers for Disease Control and Prevention (CDC). (2015). 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. Morbidity and Mortality Weekly Report, 64(17), 469–478.
Eamranond, P. P., Legedza, A. T., Diez-Roux, A. V., Kandula, N. R., Palmas, W., Siscovick, D. S., & Mukamal, K. J. (2009). Association between language and risk factor levels among Hispanic adults with hypertension, hypercholesterolemia, or diabetes. American Heart Journal, 157, 53–59.
Ellis, J. M. (1962). Spanish surname mortality differences in San Antonio, Texas. Journal of Health and Human Behavior., 3(2), 125–127.
Eschbach, K., Ostir, G. V., Patel, K. V., Markides, K. S., & Goodwin, J. S. (2004). Neighborhood context and mortality among older Mexican Americans: Is there a barrio advantage? American Journal of Public Health, 94(10), 1807–1812. https://doi.org/10.2105/ajph.94.10.1807
Estrada, J. (2015). LULAC and American GI Forum: History and Geography 1929–1988. University of Washington.
Feldman, J. M., & Bassett, M. T. (2021). Variation in COVID-19 mortality in the US by race and ethnicity and educational attainment. JAMA Network Open, 4(11), e2135967. https://doi.org/10.1001/jamanetworkopen.2021.35967
Fennell, M. L., Feng, Z., Clark, M. A., & Mor, V. (2010). Elderly Hispanics more likely to reside in poor-quality nursing homes. Health Affairs, 29(1), 65–73. https://doi.org/10.1377/hlthaff.2009.0003
Funk, C., & Lopez, M. H. (2022, June). 2. Hispanic Americans’ experiences with health care. Pew Research Center Science & Society. Available at: https://www.pewresearch.org/science/2022/06/14/hispanic-americans-experiences-with-health-care. Accessed 27 Oct 2022.
Gallegos, M. L., & Segrin, C. (2022 Aug). Family connections and the Latino health paradox: Exploring the mediating role of loneliness in the relationships between the Latina/o cultural value of familism and health. Health Communication, 37(9), 1204–1214.
Gamboa, Suzanne. (2021, December 9). Latino civil rights organization drops ‘Latinx’ from official communication. NBC News. Available at: https://www.nbcnews.com/news/latino/latino-civil-rights-organization-drops-latinx-official-communication-rcna8203. Accessed 13 Nov 2022.
Garcia, M. E., Bindman, A. B., & Coffman, J. (2019). Language-concordant primary care physicians for a diverse population: The view from California. Health Equity, 3(1), 343–349. https://doi.org/10.1089/heq.2019.0035
García, C., Garcia, M. A., Chiu, C. T., Rivera, F. I., & Raji, M. (2019). Life expectancies with depression by age of migration and gender among older Mexican Americans. The Gerontologist, 59(5), 877–885. https://doi.org/10.1093/geront/gny107
Gimeno-Miguel, A., Clerencia-Sierra, M., Ioakeim, I., Poblador-Plou, B., Aza-Pascual-Salcedo, M., González-Rubio, F., Rodríguez Herrero, R., & Prados-Torres, A. (2019). Health of Spanish centenarians: A cross-sectional study based on electronic health records. BMC Geriatrics, 19(1), 226. https://doi.org/10.1186/s12877-019-1235-7
Grant, B., Stinson, F., Hasin, D., Dawson, D., Chou, S., & Anderson, K. (2004). Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and Non-Hispanic Whites in the United States. Archives of General Psychiatry., 61, 1226–1233.
Green, R. R., Santoro, N., Allshouse, A. A., Neal-Perry, G., & Derby, C. (2017). Prevalence of complementary and alternative medicine and herbal remedy use in Hispanic and Non-Hispanic white women: Results from the study of women’s health across the nation. The Journal of Alternative and Complementary Medicine, 23(10), 805–811. https://doi.org/10.1089/acm.2017.0080
Harris, J. (1991). The Exponence of Gender in Spanish. Linguistic Inquiry, 22(1), 27–62.
Heer, M. M., & Winham, D. M. (2020). Bean preferences vary by acculturation level among latinas and by ethnicity with Non-Hispanic white women. International Journal of Environmental Research and Public Health, 17(6), 2100. https://doi.org/10.3390/ijerph17062100
Hernandez, C. M., Moreno, O., Garcia-Rodriguez, I., Fuentes, L., & Nelson, T. (2022). The Hispanic paradox: A moderated mediation analysis of health conditions, self-rated health, and mental health among Mexicans and Mexican Americans. Health Psychology and Behavioral Medicine, 10(1), 180–198. https://doi.org/10.1080/21642850.2022.2032714
Hummer, R. A., & Hayward, M. D. (2015). Hispanic older adult health & longevity in the United States: Current patterns & concerns for the future. Daedalus, 144(2), 20–30. https://doi.org/10.1162/DAED_a_00327
Iceland, J., & Scopilitti, M. (2008). Immigrant residential segregation in U.S. metropolitan areas, 1990–2000. Demography, 45, 79–94.
Instituto Nacional de Estadistica y Geografia (INEGI). (2020). Población total por entidad federativa y grupo quinquenal de edad según sexo, serie de años censales de 1990 a 2020. Available at: https://www.inegi.org.mx/app/tabulados/interactivos/?pxq=Poblacion_Poblacion_01_e60cd8cf-927f-4b94-823e-972457a12d4b. Accessed 19 Nov 2022.
Jacobs, J. M., Maaravi, Y., & Stessman, J. (2021). Optimism and longevity beyond age 85. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 76(10), 1806–1813.
Jimenez, D. E., Alegría, M., Chen, C.-N., Chan, D., & Laderman, M. (2010). Prevalence of psychiatric illnesses in older ethnic minority adults. Journal of the American Geriatrics Society, 58, 256–264. https://doi.org/10.1111/j.1532-5415.2009.02685.x
Kandula, N. R., Diez-Roux, A. V., Chan, C., et al. (2008). Association of acculturation levels and prevalence of diabetes in the multi-ethnic study of atherosclerosis (MESA). Diabetes Care, 31, 1621–1628.
Khan, S. U., Lone, A. N., Yedlapati, S. H., Dani, S. S., Khan, M. Z., Watson, K. E., et al. (2022). Cardiovascular disease mortality among Hispanic versus non-Hispanic white adults in the United States, 1999 to 2018. Journal of the American Heart Association, 11(7), 1–12.
Kim, K. (2019). County context and mental health service utilization by older Hispanics. The Gerontologist, 59(3), 456–464.
Llabre, M. M. (2021). Insight into the Hispanic paradox: The language hypothesis. Perspectives on Psychological Science, 16(6), 1324–1336. https://doi.org/10.1177/1745691620968765
Lopez Torregrosa, L. (2021, December 14). Many Latino/as say ‘Latinx’ offends or bothers them. Here’s why. NBC News.
López, L., Peralta, C. A., Lee, A., Zeki Al Hazzouri, A., & Haan, M. N. (2014). Impact of acculturation on cardiovascular risk factors among elderly Mexican Americans. Annals of Epidemiology, 24(10), 714–719. https://doi.org/10.1016/j.annepidem.2014.07.011
Lopez-Pentecost, M., Crane, T. E., Garcia, D. O., et al. (2022). Role of dietary patterns and acculturation in cancer risk and mortality among postmenopausal Hispanic women: Results from the Women’s Health Initiative (WHI). Journal of Public Health (Berlin), 30, 811–822. https://doi.org/10.1007/s10389-020-01342-8
Luna, E. (2003). Nurse-curanderas. Journal of Holistic Nursing, 21(4), 326–342. https://doi.org/10.1177/0898010103258574
Markides, K. S., & Eschback, K. (2005). Aging, migration and mortality: Current status of research on the hispanic paradox. The Journals of Gerontology: Series B, 60(2), S68–S75. https://doi.org/10.1093/gronb/60.Special_Issue_2.S68
Markides, K. S., & Rote, S. (2015). Immigrant health paradox. In Emerging trends in the social and behavioral sciences (pp. 1–15). Wiley.
McKinsey and Company. (2021, December 9). The economic state of Latinos in America: The American dream deferred. Available at: https://www.mckinsey.com/featured-insights/sustainable-inclusive-growth/the-economic-state-of-latinos-in-america-the-american-dream-deferred. Accessed 19 Nov 2022.
Merriam-Webster. (2022a). Hispanic. In Merriam-Webster.com dictionary. Retrieved October 15, 2022, from https://www.merriam-webster.com/dictionary/hispanic.
Merriam-Webster. (2022b). Latino. In Merriam-Webster.com dictionary. Retrieved October 15, 2022, from https://www.merriam-webster.com/dictionary/latino
Merriam-Webster. (2022c). Chicano. In Merriam-Webster.com dictionary. Retrieved October 15, 2022, from https://www.merriam-webster.com/dictionary/chicano.
Merriam-Webster. (2022d). Latinx. In Merriam-Webster.com dictionary. Retrieved October 15, 2022, from https://www.merriam-webster.com/dictionary/latinx.
Mikhail, N., Wali, S., & Ziment, I. (2014). Use of alternative medicine among Hispanics. The Journal of Alternative and Complementary Medicine, 10(5), 851–859. https://doi.org/10.1089/acm.2004.10.851
Miller, K. D., Ortiz, A. P., Pinheiro, P. S., Bandi, P., Minihan, A., Fuchs, H. E., Martinez Tyson, D., Tortolero-Luna, G., Fedewa, S. A., Jemal, A. M., & Siegel, R. L. (2021). Cancer statistics for the US Hispanic/Latino population, 2021. CA: A Cancer Journal for Clinicians, 71, 466–487. https://doi.org/10.3322/caac.21695
Montoro-Rodriguez, J., Pinazo-Hermandis, S., & Cordoba-Castillo, V.. (2018). Why centenarians are so optimistic about the future? Inn in aging. Available at: https://academic.oup.com/innovateage/article/2/suppl_1/49/5171199. Accessed 18 Nov 2022.
Murillo, M. G. (2017). The hispanic health paradox: Does the Barrio advantage exist outside of Urban Enclaves? Available at: https://scholar.colorado.edu/concern/undergraduate_honors_theses/44558d705. Accessed 18 Nov 2022.
Museo Virtual de Ecologia Humana. (2018, May). Centenarians in Cuba and the “Study of Cuban Centenarians”. Available at: https://museoecologiahumana.org/en/piezas/centenarians-in-cuba-and-the-study-of-cuban-centenarians/. Accessed 19 Nov 2022.
Noe-Bustamante et al. (2020, August 11). About One-in Four U.S. Hispanics have heard of Latinx, but Just 3% Use It. Pew Research Center.
Ortega-Velez, M., & Castañeda-Pacheco, P. (2017). Acculturation and dietary change in Mexican-American immigrant women. Open Journal of Social Sciences., 5, 211–243. https://doi.org/10.4236/jss.2017.57014
Ostir, G. V., Eschbach, K., Markides, K. S., & Goodwin, J. S. (2003). Neighbourhood composition and depressive symptoms among older Mexican Americans. Journal of Epidemiology and Community Health, 57(12), 987–992. https://doi.org/10.1136/jech.57.12.987
Palloni, A., & Arias, E. (2004). Paradox lost: Explaining the Hispanic adult mortality advantage. Demography, 41(3), 385–415.
Perreira, K. M., Gotman, N., Isasi, C. R., Arguelles, W., Castañeda, S. F., Daviglus, M. L., Giachello, A. L., Gonzalez, P., Penedo, F. J., Salgado, H., & Wassertheil-Smoller, S. (2015). Mental health and exposure to the United States: Key correlates from the hispanic community health study of Latinos. The Journal of Nervous and Mental Disease, 203(9), 670–678. https://doi.org/10.1097/NMD.0000000000000350
Pew Research Center. (2014). The shifting religious identity of latinos in the United States. Available at: https://www.pewresearch.org/religion/2014/05/07/chapter-1-religious-affiliation-of-hispanics/.
Pew Research Center. (2022, January 20). Latinos see US as better than place of family’s ancestry for opportunity, raising kids, health care access. Available at: https://www.pewresearch.org/race-ethnicity/2022/01/20/latinos-see-u-s-as-better-than-place-of-familys-ancestry-for-opportunity-raising-kids-health-care-access/. Accessed 19 Nov 2022.
Piedra, L. M., Ridings, J., Howe, M. J. K., Smith, J. L., O’Brien, C., Howard, A., & Conrad, K. J. (2021). Stakeholders’ ideas about positive aging for latinos: A conceptual map. Journal of Applied Gerontology, 40(10), 1342–1355.
Powell, L. M., Slater, S., Mirtcheva, D., Bao, Y., & Chaloupka, F. J. (2007). Food store availability and neighborhood characteristics in the United States. Preventive Medicine, 44(3), 189–195. https://doi.org/10.1016/j.ypmed.2006.08.008
Pro, G., Brown, C., Rojo, M., Patel, J., Flax, C., & Haynes, T. (2022). Downward national trends in mental health treatment offered in spanish: State differences by proportion of hispanic residents. Psychiatric Services, 73(11), 1232–1238.
Rose Community Foundation. (2020, April). Transportation challenges for Latino older adults. Available at: https://rcfdenver.org/blog/transportation-challenges-latino-older-adults/. Accessed 27 Oct 2022.
Rosero-Bixby, L., Dow, W. H., & Rehkopf, D. H. (2013). The Nicoya region of Costa Rica: a high longevity Island for elderly males. Vienna Yearbook of Population Research, 11, 109–136. https://doi.org/10.1553/populationyearbook2013s109
Ruiz, J. M., Steffen, P., & Smith, T. B. (2013). Hispanic mortality paradox: A systematic review and meta-analysis of the longitudinal literature. American Journal of Public Health, 103(3), e52–e60.
Sanchez-Soto, G., Bautista-Leon, A., & Singelmann, J. (2018). The return-on-education gap between Hispanics and non-hispanic whites. Papeles de Poblacion, 24(98), 245–268.
Schwartz Seth, J., Unger Jennifer, B., Zamboanga Byron, L., & José, S. (2010). Rethinking the concept of acculturation: Implications for theory and research. American Psychologist., 65(4), 237–251.
Shor, E., Roelfs, D., & Vang, Z. M. (2017). The “Hispanic mortality paradox” revisited: Meta-analysis and meta-regression of life-course differentials in Latin American and Caribbean immigrants’ mortality. Social Science & Medicine, 186, 20–33.
Smith, D. P., & Bradshaw, B. S. (2006). Rethinking the Hispanic paradox: Death rates and life expectancy for US non-Hispanic White and Hispanic populations. American Journal of Public Health, 96(9), 1686–1692.
Stimpson, J. P., Langellier, B. A., & Wilson, F. A. (2020). Time spent eating, by immigrant status, race/ethnicity, and length of residence in the United States. Preventing Chronic Disease, 17. https://doi.org/10.5888/pcd17.200122
Tafur, M. M., Crowe, T. K., & Torres, E. (2009). A review of curanderismo and healing practices among Mexicans and Mexican Americans. Occupational Therapy International., 16(1), 82–88. https://doi.org/10.1002/oti.265
Texas State Historical Association. (2022). Curanderismo. Available at: https://www.tshaonline.org/handbook/entries/curanderismo. Accessed 27 Oct 2022.
Torres, L. (2018, September 24). Latinx? Latino Studies, 16, 283–285.
Turra, C. M., & Elo, I. T. (2008). The impact of salmon bias on the Hispanic mortality advantage: New evidence from social security data. Population Research and Policy Review, 27(5), 515–530.
U.S. Department of Commerce. (2022, April). About the hispanic population and its origin. U.S. Census. Available at: https://www.census.gov/topics/population/hispanic-origin/about.html. Accessed 15 Oct 2022.
U.S. National Library of Medicine. (n.d.). Healthy food trends – Beans and legumes: Medlineplus medical encyclopedia. MedlinePlus. Retrieved October 27, 2022, from https://medlineplus.gov/ency/patientinstructions/000726.htm.
US Department of Health & Human Services (2020). The profile of older Americans. Available at: https://acl.gov/sites/default/files/Profile%20of%20OA/HispanicProfileReport2021.pdf. Accessed 19 Nov 2022.
US Department of Health & Human Services Office of Minority Health. (2021, August 11). Chronic liver disease and hispanic Americans. Available at: https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=62. Accessed 15 Nov 2022.
Valdivieso-Mora, E., Casie, P. L., Garnier-Villareal, M., et al. (2016). A systematic review of the relationship between familism and mental health outcomes in Latino population. Frontiers in Psychology, 7, 1632.
Velasco-Mondragon, E., Jimenez, A., Palladino-Davis, A. G., Davis, D., & Escamilla-Cejudo, J. A. (2016). Hispanic health in the USA: A scoping review of the literature. Public Health Reviews, 37(1). https://doi.org/10.1186/s40985-016-0043-2
Wang, F., Shu, X., Pal, T., Berlin, J., Nguyen, S. M., Zheng, W., Bailey, C. E., & Shu, X. O. (2022). Racial/ethnic disparities in mortality related to access to care for major cancers in the United States. Cancers (Basel)., 14(14), 3390.
Woolf, S. H., Masters, R. K., & Aron, L. Y. (2022). Changes in life expectancy between 2019 and 2020 in the US and 21 peer countries. JAMA Network Open, 5(4), e227067. https://doi.org/10.1001/jamanetworkopen.2022.7067
Xu, J. (2016, January). Mortality among centenarians in the US, 200–2014. Available at: https://www.cdc.gov/nchs/products/databriefs/db233.htm. Accessed 15 Nov 2022.
Yue, Z., Liang, H., Qin, X., Ge, Y., Xiang, N., & Liu, E. (2022). Optimism and survival: Health behaviors as a mediator-a ten-year follow-up study of Chinese elderly people. BMC Public Health, 22(1), 670.
Zaragoza, Cosme. (2017). Aztlán: “Essays on the Chicano Homeland. Revised and Expanded Edition.” University of New Mexico Press, p. 137.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
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.
Which of the following descriptions of the Salmon Bias Hypothesis to explain the Hispanic Paradox is accurate?
-
A.
Latinos eat more salmon than other groups.
-
B.
Latinos spend more time than other groups fishing
-
C.
As Latinos age and became ill, they are more likely to return to their country of origin
-
D.
Latinos are more likely than other groups to supplement their diets with fish oil
-
Correct Response: C
-
-
A.
-
2.
Among Hispanic subgroups, which of the following regions has the largest number of centenarians per 100,000 population?
-
A.
San Juan, Puerto Rico
-
B.
Madrid, Spain
-
C.
Havana, Cuba
-
D.
Nicoya, Costa Rica
-
Correct Response: D
-
-
A.
-
3.
All of the following are proposed contributors to greater longevity among Hispanics, except:
-
A.
Acculturation
-
B.
Barrio advantage
-
C.
Familismo
-
D.
Optimism
-
Correct Response: A
-
-
A.
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-031-30915-1_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-30914-4
Online ISBN: 978-3-031-30915-1
eBook Packages: Social SciencesSocial Sciences (R0)