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Neighborhood context and mortality among older Mexican Americans: Is there a barrio advantage?

Author

Listed:
  • Eschbach, K.
  • Ostir, G.V.
  • Patel, K.V.
  • Markides, K.S.
  • Goodwin, J.S.

Abstract

Objectives. We examined whether Mexican Americans living in high-density Mexican American neighborhoods experience increased morbidity and mortality compared with the rates observed among Mexican Americans living in low-density areas. Methods. We conducted a prospective analysis of a cohort of 3050 Mexican Americans aged 65 years or older. We examined prevalence of 6 medical conditions and survival over 7 years of follow-up in relation to percentage of Mexican Americans in the census tract. Results. With adjustment for covariates, odds for disease prevalence among older Mexican Americans as a function of percentage of Mexican Americans in the census tract were 0.33 (95% confidence interval [CI] = 0.16, 0.71) for stroke, 0.28 (95% CI = 0.11, 0.70) for cancer, and 0.31 (95% CI = 0.10, 0.98) for hip fracture. The hazard ratio for all-cause mortality over 7 years' follow-up was 0.64 (95% CI = 0.42, 0.96). Conclusions. Sociocultural advantages conferred on Mexican Americans by living in high-density Mexican American neighborhoods outweigh the disadvantages conferred by the high poverty of those neighborhoods.

Suggested Citation

  • 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, American Public Health Association, vol. 94(10), pages 1807-1812.
    • Handle: RePEc:aph:ajpbhl:2004:94:10:1807-1812_6
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