County‐Level Hispanic Ethnic Density and Cardiovascular Disease Mortality

Fátima Rodríguez · Jiaqi Hu · Kiarri N. Kershaw · Katherine G. Hastings · Lenny López · Mark R. Cullen +2 more

32 citations0/0 files storedJournal of the American Heart Association

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Health disparities and outcomes Cardiovascular Health and Risk Factors Healthcare Systems and Public Health

Abstract

Background Hispanics are the fastest growing ethnic group in the United States, and little is known about how Hispanic ethnic population density impacts cardiovascular disease ( CVD ) mortality. Methods and Results We examined county-level deaths for Hispanics and non-Hispanic whites from 2003 to 2012 using data from the National Center for Health Statistics' Multiple Cause of Death mortality files. Counties with more than 20 Hispanic deaths (n=715) were included in the analyses. CVD deaths were identified using International Classification of Diseases, Tenth Revision (ICD-10), I00 to I78, and population estimates were calculated using linear interpolation from 2000 and 2010 census data. Multivariate linear regression was used to examine the association of Hispanic ethnic density with Hispanic and non-Hispanic white age-adjusted CVD mortality rates. County-level age-adjusted CVD mortality rates were adjusted for county-level demographic, socioeconomic, and healthcare factors. There were a total of 4 769 040 deaths among Hispanics (n=382 416) and non-Hispanic whites (n=4 386 624). Overall, cardiovascular age-adjusted mortality rates were higher among non-Hispanic whites compared with Hispanics (244.8 versus 189.0 per 100 000). Hispanic density ranged from 1% to 96% in each county. Counties in the highest compared with lowest category of Hispanic density had 60% higher Hispanic mortality (215.3 versus 134.2 per 100 000 population). In linear regression models, after adjusting for county-level demographic, socioeconomic, and healthcare factors, increasing Hispanic ethnic density remained strongly associated with mortality for Hispanics but not for non-Hispanic whites. Conclusions CVD mortality is higher in counties with higher Hispanic ethnic density. County-level characteristics do not fully explain the higher CVD mortality among Hispanics in ethnically concentrated counties.

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References

2016The Association Between Income and Life Expectancy in the United States, 2001-2014 2001Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health 2001Racial residential segregation: A fundamental cause of racial disparities in health 1989Hypersegregation in U.S. Metropolitan Areas: Black and Hispanic Segregation Along Five Dimensions 2005Aging, Migration, and Mortality: Current Status of Research on the Hispanic Paradox 2013Hispanic Mortality Paradox: A Systematic Review and Meta-Analysis of the Longitudinal Literature 1993Mortality by Hispanic Status in the United States 2004Neighborhood Context and Mortality Among Older Mexican Americans: Is There a Barrio Advantage?

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