Shorter Stay, Longer Life: Age at Migration and Mortality Among the Older Mexican-Origin Population

被引:54
作者
Angel, Ronald J. [1 ]
Angel, Jacqueline L. [1 ]
Venegas, Carlos Diaz [1 ]
Bonazzo, Claude [1 ]
机构
[1] Univ Texas Austin, LBJ Sch Publ Affairs, Austin, TX 78713 USA
关键词
migration; Mexico; living arrangements; HISPANIC PARADOX; UNITED-STATES; EPIDEMIOLOGIC PARADOX; ALLOSTATIC LOAD; ADULT MORTALITY; HEALTH; US; ACCULTURATION; AMERICANS; NATIVITY;
D O I
10.1177/0898264310376540
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
100201 [内科学]; 100218 [急诊医学];
摘要
Objectives: In this article, we investigate the association between age at migration and mortality during a 13-year period in a sample of Mexican American immigrants 65 and older at baseline. Method: We employ the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-PESE) to control for mortality-related health and social factors. Results: Our analyses show that the immigrant generation does not represent a homogeneous mortality risk category. Individuals who migrated to the United States in mature adulthood have a considerably lower risk of death than individuals who migrated in childhood or midlife. Chronic conditions or functional capacity do not account for these differences. Conclusion: Our findings suggest that standard risk pools may differ significantly on the basis of genetic and unmeasured life-course factors. A better understanding of the late-life immigrant mortality advantage has important implications for more effective and targeted social and medical interventions.
引用
收藏
页码:914 / 931
页数:18
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