 |
|
An Anomaly Within the Latino Epidemiological Paradox
The Latino Adolescent Male Mortality Peak
David E. Hayes-Bautista, PhD;
Paul Hsu, BS;
Maria Hayes-Bautista, RN, MPH;
Delmy Iñiguez, MS;
Cynthia L. Chamberlin, MA, CPhil;
Christian Rico, MD;
Rosa Solorio, MD
Arch Pediatr Adolesc Med. 2002;156:480-484.
Objective To describe the anomaly of the Latino adolescent male mortality peak
in relation to the overall Latino epidemiological paradox and in relation
to the need for new conceptual models describing the health of a culturally
diverse population.
Design Population-based study using California's 1989 to 1997 summary death
files for death-related information and the State of California Department
of Finance population estimates for population denominators for corresponding
years.
Participants California's general population for 1989 to 1997, including California's
15- to 19-year-old and 20- to 24-year-old populations. In 1997, those 2 age
groups numbered 4.3 million.
Main Outcome Measures Mortality rates for Latinos and African Americans compared with non-Hispanic
whites expressed as relative risk (RR).
Results Overall, the Latino RR of mortality follows the Latino epidemiological
paradox in that it is lower (RR, <1.00) than that of non-Hispanic whites
for most age groups and both sexes. The anomaly within this paradox is seen
in Latino males aged 15 to 19 years (RR, 1.77; 95% confidence interval, 1.55-2.02)
and 20 to 24 years (RR, 1.79; 95% confidence interval, 1.58-2.02).
Conclusions This period of elevated mortality risk is labeled the Latino adolescent
male mortality peak, and it is an anomaly within the overall Latino epidemiological
paradox.
From the Center for the Study of Latino Health and Culture, Division
of General Internal Medicine and Health Services Research, Departments of
Medicine (Dr Hayes-Bautista, Messrs Hsu and Iñiguez, and Mss Hayes-Bautista
and Chamberlin), and Family Medicine (Dr Solorio), UCLA School of Medicine
(Dr Rico), University of California, Los Angeles.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Racial/Ethnic Disparities and Culturally Competent Health Care Among Youth and Young Men
Vo and Park
American Journal of Men's Health 2008;2:192-205.
ABSTRACT
Health Risks of Latino Children
Rodriguez et al.
JAMA 2002;288:1981-1983.
FULL TEXT
|
