, Volume 52, Issue 1, pp 1–14 | Cite as

Hispanic Older Adult Mortality in the United States: New Estimates and an Assessment of Factors Shaping the Hispanic Paradox

  • Joseph T. LariscyEmail author
  • Robert A. Hummer
  • Mark D. Hayward


Hispanics make up a rapidly growing proportion of the U.S. older adult population, so a firm grasp of their mortality patterns is paramount for identifying racial/ethnic differences in life chances in the population as a whole. Documentation of Hispanic mortality is also essential for assessing whether the Hispanic paradox—the similarity in death rates between Hispanics and non-Hispanic whites despite Hispanics’ socioeconomic disadvantage—characterizes all adult Hispanics or just some age, gender, nativity, or national-origin subgroups. We estimate age-/sex- and cause-specific mortality rate ratios and life expectancy for foreign-born and U.S.-born Hispanics, foreign-born and U.S.-born Mexican Americans, non-Hispanic blacks, and non-Hispanic whites ages 65 and older using the 1989–2006 National Health Interview Survey Linked Mortality Files. Results affirm that Hispanic mortality estimates are favorable relative to those of blacks and whites, but particularly so for foreign-born Hispanics and smoking-related causes. However, if not for Hispanics’ socioeconomic disadvantage, their mortality levels would be even more favorable.


Adult mortality Race/ethnicity Hispanic paradox Socioeconomic status Smoking 



Funding for this research was provided by the MacArthur Foundation Research Network on an Aging Society (John W. Rowe, Columbia University (Chair)), and by infrastructural research support (5 R24 HD042849) and training support (5 T32 HD007081) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and training support (5 T32 AG000139) from the National Institute on Aging. We also thank the National Center for Health Statistics and the Minnesota Population Center at the University of Minnesota for making the data available for this article.

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  1. Abraído-Lanza, A. F., Dohrenwend, B. P., Ng-Mak, D. S., & Turner, J. B. (1999). The Latino mortality paradox: A test of the “salmon bias” and healthy migrant hypotheses. American Journal of Public Health, 89, 1543–1548.CrossRefGoogle Scholar
  2. Akresh, I. R., & Frank, R. (2008). Health selection among new immigrants. American Journal of Public Health, 98, 2058–2064.CrossRefGoogle Scholar
  3. Antecol, H., & Bedard, K. (2006). Unhealthy assimilation: Why do immigrants converge to American health status levels? Demography, 43, 337–360.CrossRefGoogle Scholar
  4. Arias, E. (2010). United States life tables by Hispanic origin (Vital and Health Statistics, 2(152)). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  5. Blue, L., & Fenelon, A. (2011). Explaining low mortality among U.S. immigrants relative to native-born Americans: The role of smoking. International Journal of Epidemiology, 40, 786–793.CrossRefGoogle Scholar
  6. Borrell, L. N., & Crawford, N. D. (2009). All-cause mortality among Hispanics in the United States: Exploring heterogeneity by nativity status, country of origin, and race in the National Health Interview Survey Linked Mortality Files. Annals of Epidemiology, 19, 336–343.CrossRefGoogle Scholar
  7. Cai, L., Hayward, M. D., Saito, Y., Lubitz, J., Hagedorn, A., & Crimmins, E. (2010). Estimation of multistate life table functions and their variability from complex survey data using the SPACE program. Demographic Research, 22(article 6), 129–158. doi: 10.4054/DemRes.2010.22.6 CrossRefGoogle Scholar
  8. Crimmins, E. M., Soldo, B. J., Kim, J. K., & Alley, D. W. (2005). Using anthropometric indicators for Mexicans in the United States and Mexico to understand the selection of migrants and the “Hispanic paradox.” Social Biology, 52, 164–177.Google Scholar
  9. Doll, R., Peto, R., Boreham, J., & Sutherland, I. (2004). Mortality in relation to smoking: 50 years’ observations on male British doctors. British Medical Journal, 328, 1519–1533.CrossRefGoogle Scholar
  10. Elo, I. T., Turra, C. M., Kestenbaum, B., & Ferguson, B. R. (2004). Mortality among elderly Hispanics in the United States: Past evidence and new results. Demography, 41, 109–128.CrossRefGoogle Scholar
  11. Fenelon, A. (2013). Revisiting the Hispanic mortality advantage in the United States: The role of smoking. Social Science & Medicine, 82, 1–9.CrossRefGoogle Scholar
  12. Gorman, B. K., Lariscy, J. T., & Kaushik, C. (2014). Gender, acculturation, and smoking behavior among U.S. Asian and Latino immigrants. Social Science & Medicine, 106, 110–118.CrossRefGoogle Scholar
  13. Hummer, R. A., Powers, D. A., Pullum, S. G., Gossman, G. L., & Frisbie, W. P. (2007). Paradox found (again): Infant mortality among the Mexican-origin population in the United States. Demography, 44, 441–457.CrossRefGoogle Scholar
  14. Hummer, R. A., Rogers, R. G., Amir, S. H., Forbes, D., & Frisbie, W. P. (2000). Adult mortality differentials among Hispanic subgroups and non-Hispanic whites. Social Science Quarterly, 81, 459–476.Google Scholar
  15. Hummer, R. A., Rogers, R. G., Nam, C. B., & Ellison, C. G. (1999a). Religious involvement and U.S. adult mortality. Demography, 36, 273–285.CrossRefGoogle Scholar
  16. Hummer, R. A., Rogers, R. G., Nam, C. B., & LeClere, F. B. (1999b). Race/ethnicity, nativity, and U.S. adult mortality. Social Science Quarterly, 80, 136–153.Google Scholar
  17. Lariscy, J. T. (2011). Differential record linkage by Hispanic ethnicity and age in linked mortality studies: Implications for the epidemiologic paradox. Journal of Aging and Health, 23, 1263–1284.CrossRefGoogle Scholar
  18. Liao, Y., Cooper, R., Cao, G., Durazo-Arvizu, R., Kaufman, J., Luke, A., & McGee, D. (1998). Mortality patterns among adult Hispanics: Findings from the NHIS, 1986–1990. American Journal of Public Health, 88, 227–232.CrossRefGoogle Scholar
  19. Markides, K. S., & Coreil, J. (1986). The health of Hispanics in the Southwestern United States: An epidemiologic paradox. Public Health Reports, 101, 253–265.Google Scholar
  20. Markides, K. S., & Eschbach, K. (2005). Aging, migration, and mortality: Current status of research on the Hispanic paradox. Journals of Gerontology: Social Sciences, 60B(Special Issue II), 68–75.CrossRefGoogle Scholar
  21. Markides, K. S., & Eschbach, K. (2011). Hispanic paradox in adult mortality in the United States. In R. G. Rogers & E. Crimmins (Eds.), International handbook of adult mortality (pp. 227–240). Dordrecht, The Netherlands: Springer Publishers.CrossRefGoogle Scholar
  22. National Center for Health Statistics. (2009). The National Health Interview Survey (1986–2004) Linked Mortality Files, mortality follow-up through 2006: Matching methodology. Hyattsville, MD: National Center for Health Statistics. Retrieved from
  23. Palloni, A., & Arias, E. (2004). Paradox lost: Explaining the Hispanic adult mortality advantage. Demography, 41, 385–415.CrossRefGoogle Scholar
  24. Preston, S., & Wang, H. (2006). Sex mortality differences in the United States: The role of cohort smoking patterns. Demography, 43, 631–646.CrossRefGoogle Scholar
  25. Research Triangle Institute (RTI). (2008). SUDAAN language manual, release 10.0. Research Triangle Park, NC: RTI.Google Scholar
  26. Riosmena, F., Wong, R., & Palloni, A. (2013). Migration selection, protection, and acculturation in health: A binational perspective on older adults. Demography, 50, 1039–1064.CrossRefGoogle Scholar
  27. Rogers, R. G., Hummer, R. A., & Nam, C. B. (2000). Living and dying in the USA: Behavioral, health, and social differentials in adult mortality. San Diego, CA: Academic Press.Google Scholar
  28. Rosenberg, H. M., Mauer, J. D., Sorlie, P. D., Johnson, N. J., MacDorman, M. F., Hoyert, D. L., & Scott, C. (1999). Quality of death rates by race and Hispanic origin: A summary of current research, 1999 (Vital and Health Statistics 2(128)). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  29. Singh, G. K., & Siahpush, M. (2001). All-cause and cause-specific mortality of immigrants and native born in the United States. American Journal of Public Health, 91, 392–399.CrossRefGoogle Scholar
  30. Singh, G. K., & Siahpush, M. (2002). Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: An analysis of two national data bases. Human Biology, 74, 83–109.CrossRefGoogle Scholar
  31. Sorlie, P. D., Backlund, E., Johnson, N. J., & Rogot, E. (1993). Mortality by Hispanic status in the United States. Journal of the American Medical Association, 270, 2464–2468.CrossRefGoogle Scholar
  32. 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, 515–530.CrossRefGoogle Scholar
  33. Turra, C. M., & Goldman, N. (2007). Socioeconomic differences in mortality among U.S. adults: Insights into the Hispanic paradox. Journals of Gerontology: Social Sciences, 62B, S184–S192.CrossRefGoogle Scholar

Copyright information

© Population Association of America 2014

Authors and Affiliations

  • Joseph T. Lariscy
    • 1
    Email author
  • Robert A. Hummer
    • 2
  • Mark D. Hayward
    • 2
  1. 1.Population Research Institute and Department of SociologyDuke UniversityDurhamUSA
  2. 2.Population Research Center and Department of SociologyUniversity of Texas at AustinAustinUSA

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