Eschbach Karl, Kuo Yong-Fang, Goodwin James S
Department of Internal Medicine, Division of Geriatrics, and the Sealy Center on Aging at the University of Texas Medical Branch, Galveston, Tex 77555-0460, USA.
Am J Public Health. 2006 Dec;96(12):2209-15. doi: 10.2105/AJPH.2005.080721. Epub 2006 Oct 31.
We determined the size and correlates of underascertainment of Hispanic ethnicity on California death certificates.
We used 1999 to 2000 vital registration data. We compared Hispanic ethnicity reported on the death certificate to Hispanic ethnicity derived from birthplace for the foreign-born and an algorithm that used first and last name and percentage of Hispanics in the county of residence for the US-born. We validated death certificate nativity by comparing data with that in linked Social Security Administration records.
Ethnicity and birthplace information was concordant for foreign-born Hispanics, who have mortality rates that are 25% to 30% lower than those of non-Hispanic Whites. Death certificates likely underascertain deaths of US-born Hispanics, particularly at older ages, for persons with more education, and in census tracts with lower percentages of Hispanics. Conservative correction for under-ascertainment eliminates the Hispanic mortality advantage for US-born men.
Hispanic ethnicity is accurately ascertained on the California death certificate for immigrants. Immigrant Hispanics have lower age-adjusted mortality rates than do non-Hispanic Whites. For US-born Hispanics, the mortality advantage compared with non-Hispanic Whites is smaller and may be explained by underreporting of Hispanic ethnicity on the death certificate.
我们确定了加利福尼亚州死亡证明上西班牙裔种族认定不足的规模及其相关因素。
我们使用了1999年至2000年的生命登记数据。我们将死亡证明上报告的西班牙裔种族与外国出生者出生地得出的西班牙裔种族以及一种算法进行了比较，该算法使用美国出生者的名字和姓氏以及居住县的西班牙裔百分比。我们通过将数据与关联的社会保障管理记录中的数据进行比较，验证了死亡证明上的出生地信息。
外国出生的西班牙裔的种族和出生地信息一致，他们的死亡率比非西班牙裔白人低25%至30%。死亡证明可能未充分认定美国出生的西班牙裔的死亡情况，尤其是在老年人群、受教育程度较高的人群以及西班牙裔比例较低的人口普查区。对认定不足进行保守校正消除了美国出生男性的西班牙裔死亡率优势。
加利福尼亚州死亡证明上对移民的西班牙裔种族认定准确。移民西班牙裔的年龄调整死亡率低于非西班牙裔白人。对于美国出生的西班牙裔，与非西班牙裔白人相比，其死亡率优势较小，这可能是由于死亡证明上西班牙裔种族报告不足所致。
