Paradox lost: explaining the Hispanic adult mortality advantage.
We tested three competing hypotheses regarding the adult "Hispanic mortality paradox": data artifact, migration, and cultural or social buffering effects. On the basis of a series of parametric hazard models estimated on nine years of mortality follow-up data, our results suggest that the "Hispanic" mortality advantage is a feature found only among foreign-born Mexicans and foreign-born Hispanics other than Cubans or Puerto Ricans. Our analysis suggests that the foreign-born Mexican advantage can be attributed to return migration, or the "salmon-bias" effect. However, we were unable to account for the mortality advantage observed among other foreign-born Hispanics.
Center for Demography and Ecology, University of Wisconcin-Madison, USA.
Alberto
A
Palloni
Elizabeth
E
Arias
D000328:Adult; D000367:Age Factors; D004641:Emigration and Immigration / Q000706:statistics & numerical data / Q000639:trends; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000706:statistics & numerical data; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D016016:Proportional Hazards Models; D012923:Social Class; D016019:Survival Analysis; D014481:United States / Q000453:epidemiology