Homa D M, Mannino D M, Lara M
Air Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
Am J Respir Crit Care Med. 2000 Feb;161(2 Pt 1):504-9. doi: 10.1164/ajrccm.161.2.9906025.
We used national vital statistics data for 1990 through 1995 to examine both national and regional age-adjusted asthma mortality rates for U.S. Hispanics of Mexican, Cuban, and Puerto Rican heritage, as well as for non-Hispanic whites and non-Hispanic blacks. Nationally, Puerto Ricans had an age-adjusted annual asthma mortality rate of 40.9 per million, followed by Cuban-Americans (15. 8 per million) and Mexican-Americans (9.2 per million). In comparison, non-Hispanic whites had an age-adjusted annual asthma mortality rate of 14.7 per million and non-Hispanic blacks had a rate of 38.1 per million. Age-adjusted asthma mortality for Puerto Ricans was highest in the Northeast (47.8 per million); this region accounted for 81% of all asthma deaths among Puerto Ricans in the United States. In the U.S., Puerto Ricans had the highest asthma mortality rates among Hispanics, followed by Cuban-Americans and Mexican-Americans. In addition, among Hispanic national groups, mortality rates were consistently higher in the Northeast than the Midwest, South, or West regions. These results further support that Hispanics do not represent a uniform, discrete group in terms of health outcomes, and that further public health research and interventions should take Hispanic national origin into account.
我们使用了1990年至1995年的国家生命统计数据，来研究具有墨西哥、古巴和波多黎各血统的美国西班牙裔以及非西班牙裔白人、非西班牙裔黑人的全国和地区年龄调整哮喘死亡率。在全国范围内，波多黎各人的年龄调整后哮喘年死亡率为每百万40.9人，其次是古巴裔美国人（每百万15.8人）和墨西哥裔美国人（每百万9.2人）。相比之下，非西班牙裔白人的年龄调整后哮喘年死亡率为每百万14.7人，非西班牙裔黑人的死亡率为每百万38.1人。波多黎各人的年龄调整哮喘死亡率在东北部最高（每百万47.8人）；该地区占美国波多黎各哮喘死亡总数的81%。在美国，波多黎各人在西班牙裔中哮喘死亡率最高，其次是古巴裔美国人和墨西哥裔美国人。此外，在西班牙裔国籍群体中，东北部的死亡率始终高于中西部、南部或西部地区。这些结果进一步支持，就健康结果而言，西班牙裔并非一个统一、离散的群体，进一步的公共卫生研究和干预措施应考虑西班牙裔的国籍。
