Skip Navigation



American Journal of Epidemiology Advance Access published online on August 2, 2005
American Journal of Epidemiology, doi:10.1093/aje/kwi220
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
162/6/569    most recent
kwi220v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Thomas, A. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thomas, A. J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

American Journal of Epidemiology Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health All rights reserved
Received January 26, 2005
Accepted April 20, 2005

Article

Latino Risk-adjusted Mortality in the Men Screened for the Multiple Risk Factor Intervention Trial

Avis J. Thomas 1*, Lynn E. Eberly 1, James D. Neaton 1, George Davey Smith 2, and for the Multiple Risk Factor Intervention Trial Research Group

1 Coordinating Centers for Biometric Research, Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN
2 Department of Social Medicine, University of Bristol, Bristol BS8 2PR, United Kingdom

* To whom correspondence should be addressed.
Avis J. Thomas, E-mail: avist{at}ccbr.umn.edu


  Abstract

Latinos are now the largest minority in the United States, but their distinctive health needs and mortality patterns remain poorly understood. Proportional hazards regressions were used to compare Latino versus White risk- and income-adjusted mortality over 25 years' follow-up from 5,846 Latino and 300,647 White men screened for the Multiple Risk Factor Intervention Trial. Men were aged 35-57 years and residing in 14 states when screened in 1973-1975. Data on coronary heart disease risk factors, self-reported race/ethnicity, and home addresses were obtained at baseline; income was estimated by linking addresses to census data. Mortality follow-up through 1999 was obtained using the National Death Index. The fully adjusted Latino/White hazard ratio for all-cause mortality was 0.82 (95% confidence interval (CI): 0.77, 0.87), based on 1,085 Latino and 73,807 White deaths; this pattern prevailed over time and across states (thus, likely across Latino subgroups). Hazard ratios were significantly greater than one for stroke (hazard ratio = 1.30, 95% CI: 1.01, 1.68), liver cancer (hazard ratio = 2.02, 95% CI: 1.21, 3.37), and infection (hazard ratio = 1.69, 95% CI: 1.24, 2.32). A substudy found only minor racial/ethnic differences in the quality of Social Security numbers, birth dates, soundex-adjusted names, and National Death Index searches. Results were not likely an artifact of return migration or incomplete mortality data.

Keywords: cardiovascular diseases; cerebrovascular accident; diabetes mellitus, type 2; emigration and immigration; ethnology; Hispanic Americans; liver neoplasms; social class.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am J EpidemiolHome page
A. J. Thomas, L. E. Eberly, G. Davey Smith, J. D. Neaton, and for the Multiple Risk Factor Intervention Trial (M
ZIP-Code-based versus Tract-based Income Measures as Long-Term Risk-adjusted Mortality Predictors
Am. J. Epidemiol., September 15, 2006; 164(6): 586 - 590.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.