|
 |
|
|||||||
|
|||||||||
© 2004 American Public Health Association
RESEARCH AND PRACTICE |
Karl Eschbach, Glenn V. Ostir, and James S. Goodwin are with the Department of Internal Medicine, Division of Geriatrics, University of Texas Medical Branch, Galveston. Kushang V. Patel and Kyriakos S. Markides are with the Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston.
Correspondence: Requests for reprints should be sent to Karl Eschbach, University of Texas Medical Branch, Department of Internal Medicine—Geriatrics, 301 University Blvd, Galveston, TX 77555-0460 (e-mail: kaeschba{at}utmb.edu).
Objectives. We examined whether Mexican Americans living in high-density Mexican American neighborhoods experience increased morbidity and mortality compared with the rates observed among Mexican Americans living in low-density areas.
Methods. We conducted a prospective analysis of a cohort of 3050 Mexican Americans aged 65 years or older. We examined prevalence of 6 medical conditions and survival over 7 years of follow-up in relation to percentage of Mexican Americans in the census tract.
Results. With adjustment for covariates, odds for disease prevalence among older Mexican Americans as a function of percentage of Mexican Americans in the census tract were 0.33 (95% confidence interval [CI]=0.16, 0.71) for stroke, 0.28 (95% CI= 0.11, 0.70) for cancer, and 0.31 (95% CI=0.10, 0.98) for hip fracture. The hazard ratio for all-cause mortality over 7 years’ follow-up was 0.64 (95% CI=0.42, 0.96).
Conclusions. Sociocultural advantages conferred on Mexican Americans by living in high-density Mexican American neighborhoods outweigh the disadvantages conferred by the high poverty of those neighborhoods.
This article has been cited by other articles:
|
|
 |
|
  R. G. Wight, J. R. Cummings, A. S. Karlamangla, and C. S. Aneshensel Urban Neighborhood Context and Mortality in Late Life J Aging Health, March 1, 2010; 22(2): 197 - 218. [Abstract] [PDF]
|
|
|
|
 |
|
 A. M El-Sayed and S. Galea Community context, acculturation and low-birth-weight risk among Arab Americans: evidence from the Arab-American birth-outcomes study J Epidemiol Community Health, February 1, 2010; 64(2): 155 - 160. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Walton Residential Segregation and Birth Weight among Racial and Ethnic Minorities in the United States Journal of Health and Social Behavior, December 1, 2009; 50(4): 427 - 442. [Abstract] [PDF]
|
|
|
|
 |
|
 W. A. Vega, M. A. Rodriguez, and E. Gruskin Health Disparities in the Latino Population Epidemiol. Rev., November 1, 2009; 31(1): 99 - 112. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Stafford, L. Becares, and J. Nazroo Objective and Perceived Ethnic Density and Health: Findings From a United Kingdom General Population Survey Am. J. Epidemiol., August 15, 2009; 170(4): 484 - 493. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Sheffield and M. K. Peek Neighborhood Context and Cognitive Decline in Older Mexican Americans: Results From the Hispanic Established Populations for Epidemiologic Studies of the Elderly Am. J. Epidemiol., May 1, 2009; 169(9): 1092 - 1101. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Espinosa de los Monteros, L. C. Gallo, J. P. Elder, and G. A. Talavera Individual and Area-Based Indicators of Acculturation and the Metabolic Syndrome Among Low-Income Mexican American Women Living in a Border Region Am J Public Health, November 1, 2008; 98(11): 1979 - 1986. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Li Yao and S. A. Robert The Contributions of Race, Individual Socioeconomic Status, and Neighborhood Socioeconomic Context on the Self-Rated Health Trajectories and Mortality of Older Adults Research on Aging, March 1, 2008; 30(2): 251 - 273. [Abstract] [PDF]
|
|
|
|
|
|
S. Moody-Ayers, K. Lindquist, S. Sen, and K. E. Covinsky Childhood Social and Economic Well-Being and Health in Older Age Am. J. Epidemiol., November 1, 2007; 166(9): 1059 - 1067. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Frank, M. Cerda, and M. Rendon Barrios and Burbs: Residential Context and Health-Risk Behaviors among Angeleno Adolescents Journal of Health and Social Behavior, September 1, 2007; 48(3): 283 - 300. [Abstract] [PDF]
|
|
|
|
|
|
M.-A. Lee and K. F. Ferraro Neighborhood Residential Segregation and Physical Health among Hispanic Americans: Good, Bad, or Benign? Journal of Health and Social Behavior, June 1, 2007; 48(2): 131 - 148. [Abstract] [PDF]
|
|
|
|
 |
|
 B. Campos, C. D. Schetter, J. A. Walsh, and M. Schenker Sharpening the Focus on Acculturative Change: ARSMA-II, Stress, Pregnancy Anxiety, and Infant Birthweight in Recently Immigrated Latinas Hispanic Journal of Behavioral Sciences, May 1, 2007; 29(2): 209 - 224. [Abstract] [PDF]
|
|
|
|
|
|
K. A. Cagney, C. R. Browning, and D. M. Wallace The Latino Paradox in Neighborhood Context: The Case of Asthma and Other Respiratory Conditions Am J Public Health, May 1, 2007; 97(5): 919 - 925. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Angel and R. J. Angel Minority Group Status and Healthful Aging: Social Structure Still Matters Am J Public Health, July 1, 2006; 96(7): 1152 - 1159. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. S. Markides and K. Eschbach Aging, Migration, and Mortality: Current Status of Research on the Hispanic Paradox J Gerontol B Psychol Sci Soc Sci, October 1, 2005; 60(Special_Issue_2): S68 - S75. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |