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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.

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Authors and Affiliations

  1. Department of Public Health Sciences, College of Health and Social Services, New Mexico State University, PO Box 30001, Las Cruces, NM, 88003-8001, USA

    Jill Anne McDonald

  2. Independent Consultant, Las Cruces, NM, 88011, USA

    Leonard Joseph Paulozzi

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  1. Jill Anne McDonald
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Correspondence to Jill Anne McDonald.

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McDonald, J.A., Paulozzi, L.J. Parsing the Paradox: Hispanic Mortality in the US by Detailed Cause of Death. J Immigrant Minority Health 21, 237–245 (2019). https://doi.org/10.1007/s10903-018-0737-2

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  • DOI: https://doi.org/10.1007/s10903-018-0737-2

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