Wu Yanyan, Braun Kathryn, Onaka Alvin T, Horiuchi Brian Y, Tottori Caryn J, Wilkens Lynne
University of Hawai'i, Department of Public Health Sciences, Honolulu, HI (YW, KB).
Hawaii J Med Public Health. 2017 Jan;76(1):9-14.
The objective of this study is to examine longevity disparities in Hawai'i by race/ethnicity and gender based on age-specific death rates in 2010. Abridged life tables for Chinese, Japanese, Filipino, Hawaiians, and Caucasians in Hawai'i are presented for the age groups: <1, 1-4, every 5-year interval from 5-84, and 85+ years for the year of 2010. Death data were provided by the Hawai'i Department of Health Office of Health Status Monitoring, and population data were based on 2010 Census modified based on ethnicity estimates from the Hawai'i Health Survey. Life expectancy at birth in Hawai'i has increased consistently from 69.5 years in 1950 to 82.4 years in 2010. Longevity disparities seen in past decades continue to persist between the longest-living groups, Japanese and Chinese, and the shortest-living group, Native Hawaiians, with a gap of approximately 10 years. In addition, females lived 6 years longer than males on average. Racial/ethnic disparities in longevity can be partially explained by differences in socioeconomic status, health behaviors, health care access, and racism. Native Hawaiians continue to have the shortest life expectancy of the ethnic groups examined, requiring expanded efforts to address Native Hawaiian health across the life course. Our findings also support more ethnic-specific research to understand the health care needs and utilization patterns of each group.
本研究的目的是根据2010年特定年龄死亡率,按种族/族裔和性别审视夏威夷的长寿差异。文中呈现了2010年夏威夷华人、日本人、菲律宾人、夏威夷原住民和白种人的简略寿命表,涉及年龄组为:<1岁、1 - 4岁、5 - 84岁的每5年间隔年龄段以及85岁及以上年龄段。死亡数据由夏威夷卫生部健康状况监测办公室提供,人口数据基于2010年人口普查,并根据夏威夷健康调查的族裔估计进行了修正。夏威夷的出生时预期寿命已从1950年的69.5岁持续增至2010年的82.4岁。在过去几十年中观察到的长寿差异在最长寿群体(日本人和华人)与最短寿群体(夏威夷原住民)之间依然存在,差距约为10年。此外,女性平均比男性多活6年。长寿方面的种族/族裔差异可部分归因于社会经济地位、健康行为、医疗保健可及性和种族主义的差异。在所研究的族裔群体中,夏威夷原住民的预期寿命仍然最短,需要加大力度解决夏威夷原住民一生的健康问题。我们的研究结果还支持开展更多针对特定族裔的研究,以了解每个群体的医疗保健需求和利用模式。