Department of Epidemiology and Population Health, Albert Einstein College of Medicine/Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
J Immigr Minor Health. 2011 Jun;13(3):546-54. doi: 10.1007/s10903-010-9345-5.
New York City census data for 1990 and 2000 for all-cause and disease-specific mortality adjusted by age were examined by race/ethnicity. Primary cause of death was coded as HIV/AIDS, cardiovascular disease, coronary heart disease, acute myocardial infarction, stroke, diabetes, or cancer. For White, Black, Hispanic and Asian groups, relative mortality ratios (RMR) were derived for 2000 relative to 1990. Ratios of RMR's for minority groups were derived relative to Whites. From 1990 to 2000, HIV, cancer, CVD, CHD, AMI, and stroke-related mortality decreased. Decreases in HIV-related mortality were notably less for minority males. Diabetes mortality rates rose dramatically, with Hispanic and Asian males having notably greater increases than White males. Increases in mortality among Asians exceeded those of other groups, and appear to correspond with increased immigration/acculturation. Mortality shifts among different diseases and racial groups should alert public health officials to consider immigration patterns in designing, implementing, and evaluating interventions to prevent disease-related mortality, with a goal to eliminate disparities.
对 1990 年和 2000 年纽约市全因和特定疾病死亡率的人口普查数据进行了按种族/族裔调整的分析。主要死因编码为 HIV/AIDS、心血管疾病、冠心病、急性心肌梗死、中风、糖尿病或癌症。对于白种人、黑种人、西班牙裔和亚洲人，得出了 2000 年相对于 1990 年的相对死亡率（RMR）。少数群体的 RMR 比值是相对于白人得出的。从 1990 年到 2000 年，HIV、癌症、CVD、CHD、AMI 和中风相关的死亡率下降。少数族裔男性的 HIV 相关死亡率下降幅度明显较小。糖尿病死亡率急剧上升，西班牙裔和亚裔男性的增长率明显高于白人男性。亚洲人的死亡率增长超过了其他群体，这似乎与移民/同化的增加相对应。不同疾病和种族群体之间的死亡率变化应提醒公共卫生官员，在设计、实施和评估预防与疾病相关的死亡率的干预措施时，要考虑移民模式，目标是消除差异。
