Asthma mortality in US Hispanics of Mexican, Puerto Rican, and Cuban Heritage, 1990-1995

被引:155
作者
Homa, DM
Mannino, DM
Lara, M
机构
[1] Ctr Dis Control & Prevent, Air Pollut & Resp Hlth Branch, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA
[2] Univ Calif Los Angeles, Dept Pediat & RAND Hlth, Div Gen Pediat, RAND Program Latino Children Asthma, Los Angeles, CA USA
关键词
D O I
10.1164/ajrccm.161.2.9906025
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We used national vital statistics data for 1990 through 1995 to examine both national and regional age-adjusted asthma mortality rates for U.S. Hispanics of Mexican, Cuban, and Puerto Rican heritage, as well as for non-Hispanic whites and non-Hispanic blacks. Nationally, Puerto Ricans had an age-adjusted annual asthma mortality rate of 40.9 per million, followed by Cuban-Americans (15.8 per million) and Mexican-Americans (9.2 per million). In comparison, non-Hispanic whites had an age-adjusted annual asthma mortality rate of 14.7 per million and non-Hispanic blacks had a rare of 38.1 per million. Age-adjusted asthma mortality for Puerto Ricans was highest in the Northeast (47.8 per million); this region accounted for 81% of all asthma deaths among Puerto Ricans in the United States, In the U.S., Puerto Ricans had the highest asthma mortality rates among Hispanics, followed by Cuban-Americans and Mexican-Americans. In addition, among Hispanic national groups, mortality rates were consistently higher in the Northeast than the Midwest, South, or West regions. These results further support that Hispanics do not represent a uniform discrete group in terms of health outcomes, and that further public health research and interventions should take Hispanic national origin into account.
引用
收藏
页码:504 / 509
页数:6
相关论文
共 34 条
[1]  
ANDERSON RN, 1997, MONTHLY VITAL STAT R, V45, P2
[2]   Asthma among Puerto Rican Hispanics - A multi-ethnic comparison study of risk factors [J].
Beckett, WS ;
Belanger, K ;
Gent, JF ;
Holford, TR ;
Leaderer, BP .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 154 (04) :894-899
[3]  
Campbell PR, 1996, PPL47 US BUR CENS PO
[4]   VARIATIONS IN ASTHMA HOSPITALIZATIONS AND DEATHS IN NEW-YORK-CITY [J].
CARR, W ;
ZEITEL, L ;
WEISS, K .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1992, 82 (01) :59-65
[5]   REPORTED ASTHMA AMONG PUERTO-RICAN, MEXICAN-AMERICAN, AND CUBAN CHILDREN, 1982 THROUGH 1984 [J].
CARTERPOKRAS, OD ;
GERGEN, PJ .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1993, 83 (04) :580-582
[6]   RESPIRATORY-DISEASES IN MINORITIES OF THE UNITED-STATES [J].
COULTAS, DB ;
GONG, H ;
GRAD, R ;
HANDLER, A ;
MCCURDY, SA ;
PLAYER, R ;
RHOADES, ER ;
SAMET, JM ;
THOMAS, A ;
WESTLEY, M .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (03) :S93-S131
[7]   Respiratory symptoms in urban Hispanic and non-Hispanic white women [J].
David, MMA ;
Hanrahan, JP ;
Carey, V ;
Speizer, FE ;
Tager, IB .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 153 (04) :1285-1291
[8]  
GIBSON KF, 1995, CHEST, V108, P1380
[9]   ACCESS TO HEALTH-CARE FOR HISPANICS [J].
GINZBERG, E .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 265 (02) :238-241
[10]   THE STATE OF FEDERAL HEALTH-STATISTICS ON RACIAL AND ETHNIC-GROUPS [J].
HAHN, RA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (02) :268-271