TY - JOUR
T1 - Migration status, socioeconomic status, and mortality rates in Mexican Americans and non-Hispanic whites
T2 - The San Antonio heart study
AU - Wei, Ming
AU - Valdez, Rodolfo A.
AU - Mitchell, Braxton D.
AU - Haffner, Steven M.
AU - Stern, Michael P.
AU - Hazuda, Helen P.
N1 - Funding Information:
TIII~ study wah supporred hy grants from the National Heart, Lung, and Hl~~~d Inatltutc (RQlHL24799 and R37HL36820). Dr. Wei was supported 111 :/ trainme grant (HI.07446) from the National Institures of Health.
PY - 1996/7
Y1 - 1996/7
N2 - It has been claimed that Mexican Americans have a favorable mortality experience despite their low socioeconomic status (SES). The present study compared all-caused mortality of non-Hispanic whites with that of United States-born and foreign-born (i.e., born in Mexico) Mexican Americans. Subjects were 3735 residents of San Antonio, TX, who were followed-up for 7- 8 years. The sex-age adjusted death rates per 1000 person-years were higher for United States-born Mexican Americans (5.7) than for non-Hispanic whites (3.8) or for foreign-born Mexican Americans (3.6). Foreign-born Mexican Americans had the lowest socioeconomic status (SES), and non-Hispanic whites had the highest SES. After adjustments for SES, the morality ratio for United States-born Mexican Americans compared with foreign-born Mexican Americans was 1.9 (95% confidence interval, 1.0-3.5), while the ratio for United States-born Mexicans Americans compared with non-Hispanic whites was 1.0 (95% confidence interval, 0.7-1.6). Stratified analysis revealed that those in the lowest SES tertiles had threefold greater risk of death than those in the highest tertiles among both United States-born Mexican Americans and non- Hispanic whites (test for trend, P < 0.001). These data suggest that lower SES is strongly associated with increased morality. After adjustment for SES, mortality rates were similar for United States-born Mexican Americans and non-Hispanic whites. Foreign-born Mexican Americans had the lowest mortality rates of three groups.
AB - It has been claimed that Mexican Americans have a favorable mortality experience despite their low socioeconomic status (SES). The present study compared all-caused mortality of non-Hispanic whites with that of United States-born and foreign-born (i.e., born in Mexico) Mexican Americans. Subjects were 3735 residents of San Antonio, TX, who were followed-up for 7- 8 years. The sex-age adjusted death rates per 1000 person-years were higher for United States-born Mexican Americans (5.7) than for non-Hispanic whites (3.8) or for foreign-born Mexican Americans (3.6). Foreign-born Mexican Americans had the lowest socioeconomic status (SES), and non-Hispanic whites had the highest SES. After adjustments for SES, the morality ratio for United States-born Mexican Americans compared with foreign-born Mexican Americans was 1.9 (95% confidence interval, 1.0-3.5), while the ratio for United States-born Mexicans Americans compared with non-Hispanic whites was 1.0 (95% confidence interval, 0.7-1.6). Stratified analysis revealed that those in the lowest SES tertiles had threefold greater risk of death than those in the highest tertiles among both United States-born Mexican Americans and non- Hispanic whites (test for trend, P < 0.001). These data suggest that lower SES is strongly associated with increased morality. After adjustment for SES, mortality rates were similar for United States-born Mexican Americans and non-Hispanic whites. Foreign-born Mexican Americans had the lowest mortality rates of three groups.
KW - Mexican Americans
KW - Mortality
KW - migration
KW - non-Hispanic whites
KW - socioeconomic status
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U2 - 10.1016/S1047-2797(96)00026-9
DO - 10.1016/S1047-2797(96)00026-9
M3 - Article
C2 - 8876841
AN - SCOPUS:0030198394
SN - 1047-2797
VL - 6
SP - 307
EP - 313
JO - Annals of Epidemiology
JF - Annals of Epidemiology
IS - 4
ER -