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Am J Public Health. 2004 Oct;94(10):1807-12.

Neighborhood context and mortality among older Mexican Americans: is there a barrio advantage?

Author information

1
University of Texas Medical Branch, Department of Internal Medicine-Geriatrics, 301 University Blvd, Galveston, TX 77555-0460, USA. kaeschba@utmb.edu

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.

PMID:
15451754
PMCID:
PMC1448538
DOI:
10.2105/ajph.94.10.1807
[Indexed for MEDLINE]
Free PMC Article

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