Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes

被引:303
作者
Morales, LS [1 ]
Lara, M
Kington, RS
Valdez, RO
Escarce, JJ
机构
[1] Univ Calif Los Angeles, Los Angeles, CA 90024 USA
[2] RAND Hlth, Santa Monica, CA USA
[3] NIH, Bethesda, MD 20892 USA
[4] Med Coll Penn & Hahnemann Univ, Sch Publ Hlth, Philadelphia, PA 19129 USA
关键词
Hispanic Americans; Hispanic health paradox; socioeconomic status; health status; review;
D O I
10.1177/104920802237532
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Evidence suggests that social and. economic factors are important determinants of health. Yet, despite higher poverty rates, less education, and worse access to health care, health outcomes of many Hispanics living in the United States today are equal to, or better than, those of non-Hispanic whites. This paradox is described in the literature as the epidemiological paradox or Hispanic health paradox. In this paper, the authors selectively review data and research supporting the existence of the epidemiological paradox. They find substantial support for the existence of the epidemiological paradox, particularly among Mexican Americans. Census undercounts of Hispanics, misclassification of Hispanic deaths, and emigration of Hispanics do not fully account for the epidemiological paradox. Identifying protective factors underlying the epidemiological paradox, while improving access to care and the economic conditions among Hispanics, are important research and policy implications of this review.
引用
收藏
页码:477 / 503
页数:27
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