Espino D V, Parra E O, Kriehbiel R
Department of Family Practice, University of Texas Health Science Center at San Antonio.
J Am Geriatr Soc. 1994 Jun;42(6):604-8. doi: 10.1111/j.1532-5415.1994.tb06857.x.
To identify differences in causes of death between elderly Mexican Americans (MA) and non-Hispanic whites (NHW).
Retrospective death certificate review.
Elderly Mexican Americans and non-Hispanic Whites age 65 and over who died in Bexar County, Texas during 1989.
Data obtained from chart review included age, sex, race/ethnicity, and cause of death. Age-adjusted and cause-specific mortality rates, odds ratios (OR), and 95% confidence intervals (CI) were calculated.
Mexican Americans were at greater risk of dying in nine of the thirty causes of death examined. The mortality rates of MA subjects were higher than those of NHW from death caused by diabetes (OR = 3.19, CI = 2.27-4.49), renal failure (OR = 2.06, CI = 1.44-2.94), congestive heart failure (OR = 1.50, CI = 1.44-2.94), and multiple systemic diseases (OR = 2.59, CI = 1.89-3.57). Among the male subjects, MA had a greater risk than NHW of dying from myocardial infarction (OR = 1.83, CI = 1.15-2.90), coronary disease (OR = 1.37, CI = 1.07-1.75) and septicemia/pyuria (OR = 2.12, CI = 1.09-4.10). Among female subjects, MA had a greater likelihood of dying from cirrhosis (OR = 3.03, CI = 1.00-9.29). For only one of the causes of death was the risk lower among MA than NHW: MA female subjects had a lesser chance of dying from the chronic obstructive pulmonary disease (COPD) than NHW females (OR = 0.36, CI = 0.18-0.72).
Mexican American elders have a greater risk of dying from non-insulin dependent diabetes mellitus and renal failure than their NHW counterparts. Elderly MA men have a greater risk of dying from cardiovascular disease than their NHW counterparts. Mexican American women may have a greater risk of dying from cirrhosis, but a lower risk of dying from complications of COPD. Finally, death from ill defined causes, such as multiple systemic diseases, may be a major under-acknowledged cause of death among older MA.
确定墨西哥裔美国老年人（MA）和非西班牙裔白人（NHW）之间的死因差异。
回顾性死亡证明审查。
1989年在得克萨斯州贝克斯县死亡的65岁及以上的墨西哥裔美国老年人和非西班牙裔白人。
通过病历审查获得的数据包括年龄、性别、种族/族裔和死因。计算年龄调整死亡率和特定病因死亡率、比值比（OR）以及95%置信区间（CI）。
在所检查的30种死因中，墨西哥裔美国人在9种死因上的死亡风险更高。墨西哥裔美国研究对象因糖尿病（OR = 3.19，CI = 2.27 - 4.49）、肾衰竭（OR = 2.06，CI = 1.44 - 2.94）、充血性心力衰竭（OR = 1.50，CI = 1.44 - 2.94）和多种系统性疾病（OR = 2.59，CI = 1.89 - 3.57）导致的死亡率高于非西班牙裔白人。在男性研究对象中，墨西哥裔美国人死于心肌梗死（OR = 1.83，CI = 1.15 - 2.90）、冠心病（OR = 1.37，CI = 1.07 - 1.75）和败血症/脓尿症（OR = 2.12，CI = 1.09 - 4.10）的风险高于非西班牙裔白人。在女性研究对象中，墨西哥裔美国人死于肝硬化的可能性更大（OR = 3.03，CI = 1.00 - 9.29）。仅有一种死因墨西哥裔美国人的风险低于非西班牙裔白人：墨西哥裔美国女性死于慢性阻塞性肺疾病（COPD）的几率低于非西班牙裔白人女性（OR = 0.36，CI = 0.18 - 0.72）。
墨西哥裔美国老年人死于非胰岛素依赖型糖尿病和肾衰竭的风险高于非西班牙裔白人同龄人。墨西哥裔美国老年男性死于心血管疾病的风险高于非西班牙裔白人同龄人。墨西哥裔美国女性死于肝硬化的风险可能更高，但死于COPD并发症的风险较低。最后，死因不明的死亡，如多种系统性疾病，可能是老年墨西哥裔美国人中一个未得到充分认识的主要死因。
