Titre :
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Race/Ethnicity and All-Cause Mortality in US Adults : Revisiting the Hispanic Paradox. (2012)
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Auteurs :
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BORRELL (Luisa-N) : USA. Department of Health Sciences. Graduate Program in Public Health at Lehman College. City University of New York (Cuny). Bronx. NY. ;
LANCET (Elizabeth-A) : USA. Graduate Center. Cuny.
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 102, n° 5, 2012)
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Pagination :
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836-843
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Langues:
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Anglais
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Mots-clés :
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Race
;
Ethnie
;
Facteur
;
Epidémiologie
;
Mortalité
;
Adulte
;
Amérique
;
Homme
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS rR0xIEmA. Diffusion soumise à autorisation]. Objectives. We examined the association between race/ethnicity and all-cause mortality risk in US adults and whether this association differs by nativity status. Methods. We used Cox proportional hazards regression to estimate all-cause mortality rates in 1997 through 2004 National Health Interview Survey respondents, relating the risk for Hispanic subgroup, non-Hispanic Black, and other non-Hispanic to non-Hispanic White adults before and after controlling for selected characteristics stratified by age and gender. Results. We observed a Hispanic mortality advantage over non-Hispanic Whites among women that depended on nativity status : US-born Mexican Americans aged 25 to 44 years had a 90 % (95 % confidence interval [CI]=0.03,0.31) lower death rate ; island-or foreign-born Cubans and other Hispanics aged 45 to 64 years were more than two times less likely to die than were their non-Hispanic White counterparts. Island-or foreign-born Puerto Rican and US-born Mexican American women aged 65 years and older exhibited at least a 25 % lower rate of dying than did their non-Hispanics White counterparts. Conclusions : The "Hispanic paradox" may not be a static process and may change with this population growth and its increasing diversity over time. (.
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