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. 1986 May-Jun;101(3):253–265.

The health of Hispanics in the southwestern United States: an epidemiologic paradox.

K S Markides, J Coreil
PMCID: PMC1477704  PMID: 3086917

Abstract

Recent reports in the literature on the health status of southwestern Hispanics, most of whom are Mexican Americans, are reviewed critically. The review is organized into the following sections: infant mortality, mortality at other ages, cardiovascular diseases, cancer, diabetes, other diseases, interview data on physical health, and mental health. Despite methodological limitations of much of the research, it can be concluded with some certainty that the health status of Hispanics in the Southwest is much more similar to the health status of other whites than that of blacks although socioeconomically, the status of Hispanics is closer to that of blacks. This observation is supported by evidence on such key health indicators as infant mortality, life-expectancy, mortality from cardiovascular diseases, mortality from major types of cancer, and measures of functional health. On other health indicators, such as diabetes and infectious and parasitic diseases, Hispanics appear to be clearly disadvantaged relative to other whites. Factors explaining the relative advantages or disadvantages of Hispanics include cultural practices, family supports, selective migration, diet, and genetic heritage. The recently completed Hispanic Health and Nutrition Examination Survey will go a long way to provide answers to many questions regarding the health of Hispanics in the Southwest or elsewhere.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adamchak D. J. Emerging trends in the relationship between infant mortality and socioeconomic status. Soc Biol. 1979 Spring;26(1):16–29. doi: 10.1080/19485565.1979.9988358. [DOI] [PubMed] [Google Scholar]
  2. Aday L. A., Chiu G. Y., Andersen R. Methodological issues in health care surveys of the Spanish heritage population. Am J Public Health. 1980 Apr;70(4):367–374. doi: 10.2105/ajph.70.4.367. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Antonovsky A., Bernstein J. Social class and infant mortality. Soc Sci Med. 1977 May;11(8-9):453–470. doi: 10.1016/0037-7856(77)90022-1. [DOI] [PubMed] [Google Scholar]
  4. Barrera M., Jr Mexican-American mental health service utilization: a critical examination of some proposed variables. Community Ment Health J. 1978 Spring;14(1):35–45. doi: 10.1007/BF00781309. [DOI] [PubMed] [Google Scholar]
  5. Black W. C., Key C. R. Epidemiologic pathology of cancer in New Mexico's tri-ethnic population. Pathol Annu. 1980;15(Pt 2):181–194. [PubMed] [Google Scholar]
  6. Brooks C. H. Path analysis of socioeconomic correlates of county infant mortality rates. Int J Health Serv. 1975;5(3):499–514. doi: 10.2190/Y012-2T2B-813E-AEV4. [DOI] [PubMed] [Google Scholar]
  7. Brosseau J. D., Eelkema R. C., Crawford A. C., Abe T. A. Diabetes among the three affiliated tribes: correlation with degree of Indian inheritance. Am J Public Health. 1979 Dec;69(12):1277–1278. doi: 10.2105/ajph.69.12.1277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Buechley R. W., Key C. R., Morris D. L., Morton W. E., Morgan M. V. Altitude and ischemic heart disease in tricultural New Mexico: an example of confounding. Am J Epidemiol. 1979 Jun;109(6):663–666. doi: 10.1093/oxfordjournals.aje.a112729. [DOI] [PubMed] [Google Scholar]
  9. Christensen B. L., Stallones R. A., Insull W., Jr, Gotto A. M., Taunton D. Cardiovascular risk factors in a tri-ethnic population: Houston, Texas 1972-1975. J Chronic Dis. 1981;34(4):105–118. doi: 10.1016/0021-9681(81)90020-5. [DOI] [PubMed] [Google Scholar]
  10. ELLIS J. M. Spanish surname mortality differences in San Antonio. Texas. J Health Hum Behav. 1962;3:125–127. [PubMed] [Google Scholar]
  11. Fabrega H., Jr, Swartz J. D., Wallace C. A. Ethnic differences in psychopathology-II. Specific differences with emphasis on a Mexican American group. J Psychiatr Res. 1968 Dec;6(3):221–235. doi: 10.1016/0022-3956(68)90053-8. [DOI] [PubMed] [Google Scholar]
  12. Frerichs R. R., Aneshensel C. S., Clark V. A. Prevalence of depression in Los Angeles County. Am J Epidemiol. 1981 Jun;113(6):691–699. doi: 10.1093/oxfordjournals.aje.a113149. [DOI] [PubMed] [Google Scholar]
  13. Frerichs R. R., Chapman J. M., Maes E. F. Mortality due to all causes and to cardiovascular diseases among seven race-ethnic populations in Los Angeles County, 1980. Int J Epidemiol. 1984 Sep;13(3):291–298. doi: 10.1093/ije/13.3.291. [DOI] [PubMed] [Google Scholar]
  14. Friis R., Nanjundappa G., Prendergast T. J., Jr, Welsh M. Coronary heart disease mortality and risk among Hispanics and non-Hispanics in Orange County, California. Public Health Rep. 1981 Sep-Oct;96(5):418–422. [PMC free article] [PubMed] [Google Scholar]
  15. Gardner L. I., Jr, Stern M. P., Haffner S. M., Gaskill S. P., Hazuda H. P., Relethford J. H., Eifler C. W. Prevalence of diabetes in Mexican Americans. Relationship to percent of gene pool derived from native American sources. Diabetes. 1984 Jan;33(1):86–92. doi: 10.2337/diab.33.1.86. [DOI] [PubMed] [Google Scholar]
  16. Gaskill S. P., Allen C. R., Garza V., Gonzales J. L., Waldrop R. H. Cardiovascular risk factors in Mexican Americans in Laredo, Texas. I. Prevalence of overweight and diabetes and distributions of serum lipids. Am J Epidemiol. 1981 May;113(5):546–555. doi: 10.1093/oxfordjournals.aje.a113131. [DOI] [PubMed] [Google Scholar]
  17. Gee S. C., Lee E. S., Forthofer R. N. Ethnic differentials in neonatal and postneonatal mortality: a birth cohort analysis by a binary variable multiple regression method. Soc Biol. 1976 Winter;23(4):317–325. doi: 10.1080/19485565.1976.9988246. [DOI] [PubMed] [Google Scholar]
  18. Hanis C. L., Ferrell R. E., Barton S. A., Aguilar L., Garza-Ibarra A., Tulloch B. R., Garcia C. A., Schull W. J. Diabetes among Mexican Americans in Starr County, Texas. Am J Epidemiol. 1983 Nov;118(5):659–672. doi: 10.1093/oxfordjournals.aje.a113677. [DOI] [PubMed] [Google Scholar]
  19. Hayes-Bautista D. E. Identifying "hispanic" populations: the influence of research methodology upon public policy. Am J Public Health. 1980 Apr;70(4):353–356. doi: 10.2105/ajph.70.4.353. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Hedderson J., Daudistel H. C. Infant mortality of the Spanish surname population. Soc Sci J. 1982;19(4):67–78. [PubMed] [Google Scholar]
  21. Karno M., Edgerton R. B. Perception of mental illness in a Mexican-American community. Arch Gen Psychiatry. 1969 Feb;20(2):233–238. doi: 10.1001/archpsyc.1969.01740140105013. [DOI] [PubMed] [Google Scholar]
  22. Kautz J. A., Bradshaw B. S., Fonner E., Jr Trends in cardiovascular mortality in Spanish-surnamed, other white, and black persons in Texas, 1970--1975. Circulation. 1981 Oct;64(4):730–735. doi: 10.1161/01.cir.64.4.730. [DOI] [PubMed] [Google Scholar]
  23. Keefe S. E., Casas J. M. Mexican Americans and mental health: a selected review and recommendations for mental health service delivery. Am J Community Psychol. 1980 Jun;8(3):303–326. doi: 10.1007/BF00894344. [DOI] [PubMed] [Google Scholar]
  24. MacMahon B., Cole P., Lin T. M., Lowe C. R., Mirra A. P., Ravnihar B., Salber E. J., Valaoras V. G., Yuasa S. Age at first birth and breast cancer risk. Bull World Health Organ. 1970;43(2):209–221. [PMC free article] [PubMed] [Google Scholar]
  25. Marcus A. C., Crane L. A. Smoking behavior among US Latinos: an emerging challenge for public health. Am J Public Health. 1985 Feb;75(2):169–172. doi: 10.2105/ajph.75.2.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Markides K. S., Hazuda H. P. Ethnicity and infant mortality in Texas counties. Soc Biol. 1980 Winter;27(4):261–271. doi: 10.1080/19485565.1980.9988429. [DOI] [PubMed] [Google Scholar]
  27. Markides K. S., McFarland C. A note on recent trends in the infant mortality-socioeconomic status relationship. Soc Forces. 1982 Sep;61(1):268–276. doi: 10.1093/sf/61.1.268. [DOI] [PubMed] [Google Scholar]
  28. Menck H. R., Henderson B. E., Pike M. C., Mack T., Martin S. P., SooHoo J. Cancer incidence in the Mexican-American. J Natl Cancer Inst. 1975 Sep;55(3):531–536. doi: 10.1093/jnci/55.3.531. [DOI] [PubMed] [Google Scholar]
  29. Morris D. L., Buechley R. W., Key C. R., Morgan M. V. Gallbladder disease and gallbladder cancer among American Indians in tricultural New Mexico. Cancer. 1978 Nov;42(5):2472–2477. doi: 10.1002/1097-0142(197811)42:5<2472::aid-cncr2820420550>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
  30. Philippus M. J. Successful and unsuccessful approaches to mental health services for an urban Hispano American population. Am J Public Health. 1971 Apr;61(4):820–830. doi: 10.2105/ajph.61.4.820. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Powell-Griner E., Streck D. A closer examination of neonatal mortality rates among the Texas Spanish surname population. Am J Public Health. 1982 Sep;72(9):993–999. doi: 10.2105/ajph.72.9.993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Relethford J. H., Stern M. P., Gaskill S. P., Hazuda H. P. Social class, admixture, and skin color variation in Mexican-Americans and Anglo-Americans living in San Antonio, Texas. Am J Phys Anthropol. 1983 May;61(1):97–102. doi: 10.1002/ajpa.1330610110. [DOI] [PubMed] [Google Scholar]
  33. Roberts R. E., Askew C., Jr A consideration of mortality in three subcultures. Health Serv Rep. 1972 Mar;87(3):262–270. [PMC free article] [PubMed] [Google Scholar]
  34. Roberts R. E., Lee E. S. The health of Mexican Americans: evidence from the human population laboratory studies. Am J Public Health. 1980 Apr;70(4):375–384. doi: 10.2105/ajph.70.4.375. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Roberts R. E. Prevalence of depressive symptoms among Mexican Americans. J Nerv Ment Dis. 1981 Apr;169(4):213–219. doi: 10.1097/00005053-198104000-00002. [DOI] [PubMed] [Google Scholar]
  36. Roberts R. E. Prevalence of psychological distress among Mexican Americans. J Health Soc Behav. 1980 Jun;21(2):134–145. [PubMed] [Google Scholar]
  37. Rotkin I. D. A comparison review of key epidemiological studies in cervical cancer related to current searches for transmissible agents. Cancer Res. 1973 Jun;33(6):1353–1367. [PubMed] [Google Scholar]
  38. STOCKWELL E. G. Infant mortality and socio-economic status: a changing relationship. Milbank Mem Fund Q. 1962 Jan;40:101–111. [PubMed] [Google Scholar]
  39. Schoen R., Nelson V. E. Mortality by cause among Spanish surnamed Californians, 1969-71. Soc Sci Q. 1981;62(2):259–274. [PubMed] [Google Scholar]
  40. Scott J., Gaitz C. M. Ethnic and age differences in mental health measurements. Dis Nerv Syst. 1975 Jul;36(7):389–393. [PubMed] [Google Scholar]
  41. Selby M. L., Lee E. S., Tuttle D. M., Loe H. D., Jr Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population. Am J Public Health. 1984 Sep;74(9):998–1002. doi: 10.2105/ajph.74.9.998. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Sievers M. L., Fisher J. R. Cancer in North American Indians: environment versus heredity. Am J Public Health. 1983 May;73(5):485–487. doi: 10.2105/ajph.73.5.485. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Stern M. P., Gaskill S. P., Hazuda H. P., Gardner L. I., Haffner S. M. Does obesity explain excess prevalence of diabetes among Mexican Americans? Results of the San Antonio Heart Study. Diabetologia. 1983 Apr;24(4):272–277. doi: 10.1007/BF00282712. [DOI] [PubMed] [Google Scholar]
  44. Stern M. P., Gaskill S. P. Secular trends in ischemic heart disease and stroke mortality from 1970 to 1976 in Spanish-surnamed and other white individuals in Bexar County, Texas. Circulation. 1978 Sep;58(3 Pt 1):537–543. doi: 10.1161/01.cir.58.3.537. [DOI] [PubMed] [Google Scholar]
  45. Stern M. P., Haskell W. L., Wood P. D., Osann K. E., King A. B., Farquhar J. W. Affluence and cardiovascular risk factors in Mexican-Americans and other whites in three northern California communities. J Chronic Dis. 1975 Dec;28(11-12):623–636. doi: 10.1016/0021-9681(75)90075-2. [DOI] [PubMed] [Google Scholar]
  46. Terris M., Wilson F., Smith H., Nelson J. H., Jr Epidemiology of cancer of the cervix. V. The relationship of coitus to carcinoma of the cervix. Am J Public Health Nations Health. 1967 May;57(5):840–847. doi: 10.2105/ajph.57.5.840. [DOI] [PMC free article] [PubMed] [Google Scholar]
  47. Thomas D. B. Epidemiologic studies of cancer in minority groups in the western United States. Natl Cancer Inst Monogr. 1979 Nov;(53):103–113. [PubMed] [Google Scholar]
  48. Trevino F. M. Vital and heath statistics for the US hispanic population. Am J Public Health. 1982 Sep;72(9):979–982. doi: 10.2105/ajph.72.9.979. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Vega W., Warheit G., Buhl-Auth J., Meinhardt K. The prevalence of depressive symptoms among Mexican Americans and Anglos. Am J Epidemiol. 1984 Oct;120(4):592–607. doi: 10.1093/oxfordjournals.aje.a113921. [DOI] [PubMed] [Google Scholar]
  50. Vernon S. W., Tilley B. C., Neale A. V., Steinfeldt L. Ethnicity, survival, and delay in seeking treatment for symptoms of breast cancer. Cancer. 1985 Apr 1;55(7):1563–1571. doi: 10.1002/1097-0142(19850401)55:7<1563::aid-cncr2820550726>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  51. West K. M. Diabetes in American Indians and other native populations of the New World. Diabetes. 1974 Oct;23(10):841–855. doi: 10.2337/diab.23.10.841. [DOI] [PubMed] [Google Scholar]

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