Department of Sociology and Institute for Ethnic Studies, University of Nebraska-Lincoln, NE, USA.
Department of Policy Analysis and Management, Cornell University, Ithaca, NY, USA.
Res Aging. 2020 Aug;42(7-8):199-207. doi: 10.1177/0164027520914512. Epub 2020 Apr 2.
This study examined racial/ethnic, nativity, and country of origin differences in life expectancy with and without functional limitations among older adults in the United States. We used data from the National Health Interview Survey (1999-2015) to estimate Sullivan-based life tables of life expectancies with functional limitations and without functional limitations by sex for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and U.S.-born Whites. We find that Latinos exhibit heterogeneous life expectancies with functional limitations. Among females, U.S.-born Mexicans, foreign-born Mexicans, and foreign-born Cubans spend significantly fewer years without functional limitations, whereas island-born Puerto Ricans spend more years with functional limitations. For men, U.S.-born Puerto Ricans were the only Latino subgroup disadvantaged in the number of years lived with functional limitations. Conversely, foreign-born Cubans spend significantly fewer years without functional limitations. To address disparities in functional limitations, we must consider variation in health among Latino subgroups.
本研究考察了美国老年人在有无功能限制的情况下,预期寿命的种族/民族、出生地点和原籍国差异。我们使用了来自国家健康访谈调查(1999-2015 年)的数据,根据性别,为美国出生的墨西哥人、外国出生的墨西哥人、美国出生的波多黎各人、波多黎各岛出生的波多黎各人、外国出生的古巴人和美国出生的白人,估计了具有功能限制和无功能限制的基于沙利文的预期寿命生命表。我们发现拉丁裔的有功能限制的预期寿命存在异质性。在女性中,美国出生的墨西哥人、外国出生的墨西哥人和外国出生的古巴人无功能限制的年限明显减少,而波多黎各岛出生的波多黎各人则有更多的年限有功能限制。对于男性,美国出生的波多黎各人是唯一在有功能限制的年限方面处于劣势的拉丁裔群体。相反,外国出生的古巴人无功能限制的年限明显减少。为了解决功能限制方面的差异,我们必须考虑拉丁裔群体之间的健康差异。