Neighborhood context and mortality among older Mexican Americans

Is there a barrio advantage?

Karl Eschbach, Glenn V. Ostir, Kushang V. Patel, Kyriakos Markides, James Goodwin

Research output: Contribution to journalArticle

243 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1807-1812
Number of pages6
JournalAmerican Journal of Public Health
Volume94
Issue number10
StatePublished - Oct 2004

Fingerprint

Mortality
Confidence Intervals
Censuses
Hip Fractures
Poverty
Cohort Studies
Stroke
Morbidity
Neoplasms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Neighborhood context and mortality among older Mexican Americans : Is there a barrio advantage? / Eschbach, Karl; Ostir, Glenn V.; Patel, Kushang V.; Markides, Kyriakos; Goodwin, James.

In: American Journal of Public Health, Vol. 94, No. 10, 10.2004, p. 1807-1812.

Research output: Contribution to journalArticle

@article{09dae88b0f264f899de7d31677e433e0,
title = "Neighborhood context and mortality among older Mexican Americans: Is there a barrio advantage?",
abstract = "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.",
author = "Karl Eschbach and Ostir, {Glenn V.} and Patel, {Kushang V.} and Kyriakos Markides and James Goodwin",
year = "2004",
month = "10",
language = "English (US)",
volume = "94",
pages = "1807--1812",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "10",

}

TY - JOUR

T1 - Neighborhood context and mortality among older Mexican Americans

T2 - Is there a barrio advantage?

AU - Eschbach, Karl

AU - Ostir, Glenn V.

AU - Patel, Kushang V.

AU - Markides, Kyriakos

AU - Goodwin, James

PY - 2004/10

Y1 - 2004/10

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=4944256084&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4944256084&partnerID=8YFLogxK

M3 - Article

VL - 94

SP - 1807

EP - 1812

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 10

ER -