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Race/ethnicity and all-cause mortality in US adults: Revisiting the Hispanic paradox

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  • Borrell, L.N.
  • Lancet, E.A.

Abstract

Objectives: We examined the association between race/ethnicity and all-cause mortality risk in US adults and whether this association differs by nativity status. Methods: We used Cox proportional hazards regression to estimate all-cause mortality rates in 1997 through 2004 National Health Interview Survey respondents, relating the risk for Hispanic subgroup, non-Hispanic Black, and other non-Hispanic to non-Hispanic White adults before and after controlling for selected characteristics stratified by age and gender. Results. We observed a Hispanic mortality advantage over non-Hispanic Whites among women that depended on nativity status: US-born Mexican Americans aged 25 to 44 years had a 90% (95% confidence interval [CI]=0.03, 0.31) lower death rate; island- or foreign-born Cubans and other Hispanics aged 45 to 64 years were more than two times less likely to die than were their non- Hispanic White counterparts. Island- or foreign-born Puerto Rican and US-born Mexican American women aged 65 years and older exhibited at least a 25% lower rate of dying than did their non-Hispanics White counterparts. Conclusions: The "Hispanic paradox" may not be a static process and may change with this population growth and its increasing diversity over time.

Suggested Citation

  • Borrell, L.N. & Lancet, E.A., 2012. "Race/ethnicity and all-cause mortality in US adults: Revisiting the Hispanic paradox," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 836-843.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300345_9
    DOI: 10.2105/AJPH.2011.300345
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    Cited by:

    1. Bruno Takahashi & Ran Duan & Anthony Van Witsen, 2018. "Hispanics’ Behavioral Intentions Toward Energy Conservation: The Role of Sociodemographic, Informational, and Attitudinal Variables," Social Science Quarterly, Southwestern Social Science Association, vol. 99(1), pages 341-361, March.
    2. Jeffrey T. Howard & P. Johnelle Sparks, 2016. "The Effects of Allostatic Load on Racial/Ethnic Mortality Differences in the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(4), pages 421-443, August.
    3. Rachel Margolis & Laura Wright, 2017. "Healthy Grandparenthood: How Long Is It, and How Has It Changed?," Demography, Springer;Population Association of America (PAA), vol. 54(6), pages 2073-2099, December.
    4. Benjamin Cornwell, 2015. "Social Disadvantage and Network Turnover," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(1), pages 132-142.

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