Hispanics in the United States, numbering 22.4 million at the
1990 census, are the nation's second largest and fastest growing
minority population. Although recent studies have increased our
knowledge of the demographic characteristics and culture of this
multiethnic population, until now there has been no comprehensive
discussion of the Hispanic mortality experience, a potential key to
assessing the relative health status of Spanish-origin subgroups in
American society. Addressing the pressing need for more accurate,
current, and comprehensive data for specific ethnic groups, this
volume presents coherent research on the mortality patterns of the
three largest Hispanic subgroups and, in the process, helps dispel
many anecdotal or romanticized notions about Hispanic health and
illness.
The experts represented in this book present mortality data in
five basic categories: mortality in the countries of origin;
comparative mortality among Spanish-origin groups in the United
States; specific causes of mortality among Spanish-origin
populations; analysis of mortality data based on surname
statistics; and an overview of mortality among migrants to this
country as compared to patterns of death in the countries of
origin. They suggest an Hispanic pattern of mortality,
characterized by relatively low rates for the three leading causes
of death and relatively high rates for selected causes, such as
cirrhosis of the liver and homicide. The contributors also examine
cultural and demographic intragroup differences. Their findings
indicate that lifestyle, environmental and social factors, and
genetic influences, must all be considered in accounting for
mortality differences between the Mexican-born, Puerto Rican-born,
Cuban-born, and non-Hispanics. Of the more than 80 tables in this
book, many are based on unpublished vital statistics tabulations
and are presented for the first time. The quantity and quality of
data, the range of comparisons and analyses, together with the
demographic overview, offer researchers an important resource for
further studies on the interrelationship of migration,
acculturation, minority status, and mortality. At the same time,
the findings indicate trends and patterns in mortality among
Hispanic subgroups in the United States that have important
implications for public health and policy planners.
General
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