We used vital records and census data and Medicare and NUMIDENT records to estimate age- and sex-specific death rates for elderly non-Hispanic whites and Hispanics, including five Hispanic subgroups: persons born in Cuba, Mexico, Puerto Rico, other foreign countries, and the United States. We found that corrections for data errors in vital and census records lead to substantial changes in death rates for Hispanics and that conventionally constructed Hispanic death rates are lower than rates based on Medicare-NUMIDENT records. Both sources revealed a Hispanic mortality advantage relative to non-Hispanic whites that holds for most Hispanic subgroups. We also present a new methodology for inferring Hispanic origin from a combination of surname, given name, and county of residence.
The mortality and size of the extreme aged population can be studied most accurately with Medicare enrollment data from the Social Security Administration's Master Beneficiary Record after certain types of questionable records are eliminated. With the improved data base we find that mortality rates at the very old ages are higher than published rates, we are more confident of the reality of the race crossover, and we can estimate the number of centenarians more accurately. Furthermore, a large matched-records study shows close agreement on age at death between the Master Beneficiary Record and the death certificate.
In recent decades, the geographic origins of America’s foreign-born population have become increasingly diverse. The sending countries of the U.S. foreign-born vary substantially in levels of health and economic development, and immigrants have arrived with distinct distributions of socioeconomic status, visa type, year of immigration, and age at immigration. We use high-quality linked Social Security and Medicare records to estimate life tables for the older U.S. population over the full range of birth regions. In 2000–2009, the foreign-born had a 2.4-year advantage in life expectancy at age 65 relative to the U.S.-born, with Asian-born subgroups displaying exceptionally high longevity. Foreign-born individuals who migrated more recently had lower mortality compared with those who migrated earlier. Nonetheless, we also find remarkable similarities in life expectancy among many foreign-born subgroups that were born in very different geographic and socioeconomic contexts (e.g., Central America, western/eastern Europe, and Africa).
We present sex- and age-specific death probabilities for the elderly of six Asian American subgroups--Chinese, Filipino, Indian, Japanese, Korean, and Vietnamese--based on data from social Security Administration files. We determined ethnicity by combining race, place of birth, surname, and given name. The data source and ethnic determination are the same for deaths and the population at risk, avoiding the problem of noncomparability present when data for the numerator come from vital records and data for the denominator come from census records. We found that death rates for elderly Asian Americans are lower than those for whites, and that socioeconomic differences between subgroups do not translate into like differences in mortality.
This note reports the reversal of the mortality-nativity relationship in the United States. In the first half of the twentieth century, mortality among foreign-born Americans was greater than among (white) native Americans. Data for 1980 show that now mortality among the foreign-born is markedly lower than among native Americans.
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