Mortality Differences Between Elderly Mexican Americans and Non‐Hispanic Whites in San Antonio, Texas

Espino, David V.; Parra, Ernesto O.; Kriehbiel, Rod

doi:10.1111/j.1532-5415.1994.tb06857.x

Cited by 25 publications

(11 citation statements)

References 30 publications

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“…This paradox is controversial and alternate explanations have been proposed42. Despite this, important mortality differences and health advantages have been demonstrated among older MA41;43. There was no difference in mortality between the two samples included in our study.…”

Section: Discussionmentioning

confidence: 62%

Prevalence of Health Conditions and Predictors of Mortality in Oldest Old Mexican Americans and Non-Hispanic Whites

Samper‐Ternent¹,

Kuo²,

Ray³

et al. 2012

Journal of the American Medical Directors Association

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Background The oldest old represent a unique group of older adults. This group is rapidly growing worldwide and yet there are gaps in the knowledge related to their health condition. Ethnic differences in disease prevalence and mortality must be understood to better care for the oldest old. Objective To compare prevalence of common health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic Whites. Methods This study included 568 community dwelling Mexican Americans (MA) aged 85 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE) 2004-2005 and 933 non-Hispanic Whites (NHW) of the same age from the Health and Retirement Study (HRS) 2004. Measures included socio-demographic variables, self-reported medical conditions, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression analysis was used to examine two-year mortality in both populations. Results Heart attack was significantly more prevalent in oldest old NHW compared to MA, regardless of gender. Conversely, diabetes was significantly more prevalent among MA men and women compared to their NHW counterparts. Compared to NHW men MA men had significantly higher prevalence of cognitive impairment and hypertension. Additionally, prevalence of hip fracture was significantly higher for MA women compared to NHW women. Significant differences in ADL disability were observed only between both groups of women while significant differences in IADL disability were only observed between men. MA men and women had higher prevalence of obesity compared to NHW. Predictors of two-year mortality for both ethnic groups included older age, male gender, and ADL disability. Cognitive impairment was only a mortalitypredictor for NHW. Similarly, lung disease was only a predictor for MA. Conclusion Health related conditions that affect the oldest old vary by gender and ethnicity and entail careful evaluation and monitoring in the clinical setting. Better care requires inclusion of such differences as part of the comprehensive evaluation of oldest old adults.

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Section: Discussionmentioning

confidence: 62%

Prevalence of Health Conditions and Predictors of Mortality in Oldest Old Mexican Americans and Non-Hispanic Whites

Samper‐Ternent¹,

Kuo²,

Ray³

et al. 2012

Journal of the American Medical Directors Association

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“…In the population-based study by Mohan et al ,13 the second most common cause of death in patients with diabetes was renal disease, accounting for 23.5% of deaths, which is similar to figures reported in other studies. Also, the possibility of genetic susceptibility to kidney disease, as has been suggested in some races,19 cannot be excluded in our population.…”

Section: Discussionmentioning

confidence: 83%

Causes of mortality in diabetes mellitus: data from a tertiary teaching hospital in India

Zargar

Wani²,

Masoodi³

et al. 2009

Postgraduate Medical Journal

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Background: Mortality studies can show the relative contribution of diabetes to mortality in the total population, and they can provide important descriptions of the changes in causes and frequency of diabetes mortality over time. Objective: To find the mortality pattern in people with diabetes admitted to a tertiary care hospital in a developing country, using underlying/contributory causes of death. Methods: In this retrospective study, mortality trends among people with diabetes admitted to Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India were reviewed by screening the hospital records of all people with diabetes who died over the last 9 years, carrying forward earlier observations from the same centre. Results: Of 234 776 people admitted to the centre during the review period, 16 690 (7.11%) died; 741 (383 men) of these had diabetes mellitus mentioned on the death certificate. The mean (SD) age at death for people with diabetes was 60.07 (13.62) years in men and 57.36 (13.40) years in women. The leading contributory causes of death were infections (40.9%), chronic renal failure (33.6%), coronary artery disease (16.9%), cerebrovascular disease (13.2%), chronic obstructive pulmonary disease (6.9%), acute renal failure (6.2%), malignancy (4.2%), hypoglycaemia (3.5%) and diabetic ketoacidosis (3.4%). The cause of death could not be ascertained in 2.8% of cases; in 52.9%, 36.3% and 8.0% cases one, two and three or more causes, respectively, were recorded as the cause of death. Conclusions: The aetiological spectrum of mortality in people with diabetes at this Indian centre continues to be dominated by infections and renal failure, which is different from that in the developed world, where coronary artery disease and cerebrovascular disease are the principal causes of death in people with diabetes.

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“…The prevalence of diabetes is nearly three times greater among Latinos than non-Latinos (2) and is also metabolically more severe (3)(4)(5). The high rate of morbidity is likely to continue (6).…”

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confidence: 99%

Spanish Diabetes Self-Management With and Without Automated Telephone Reinforcement

et al. 2008

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OBJECTIVE -To determine 1) whether participants in the Spanish Diabetes SelfManagement Program (SDSMP), when compared at 6 months to randomized control subjects, would demonstrate improvements in health status, health behaviors, and self-efficacy; and 2) whether SDSMP participants receiving monthly automated telephone reinforcement would maintain improvements at 18 months better than those not receiving reinforcement. RESEARCH DESIGN AND METHODS-A total of 567 Spanish-speaking adults with type 2 diabetes were randomized to a usual-care control group or 6-week community-based, peer-led SDSMP. SDSMP participants were re-randomized to receive 15 months of automated telephone messages or no reinforcement. A1C was measured at baseline and 6 and 18 months. All other data were collected by self-administered questionnaires.RESULTS -At 6 months SDSMP participants compared with control subjects demonstrated improvements in A1C (Ϫ0.4%), health distress, symptoms of hypo-and hyperglycemia, and self-efficacy (P Ͻ 0.05). At 18 months all improvements persisted (P Ͻ 0.05). SDSMP participants also demonstrated improvements in self-rated health and communication with physicians, had fewer emergency room visits (Ϫ0.18 visits in 6 months, P Ͻ 0.05), and trended toward fewer visits to physicians. At 18 months the only difference between reinforced and nonreinforced participants was increased glucose monitoring for the reinforcement group.CONCLUSIONS -The SDSMP demonstrated effectiveness in lowering A1C and improving health status. Reinforcement did not add to its effectiveness. Given the high needs of the Spanishspeaking population, the SDSMP deserves consideration for implementation. Diabetes Care 31:408-414, 2008

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Mortality Differences Between Elderly Mexican Americans and Non‐Hispanic Whites in San Antonio, Texas

Cited by 25 publications

References 30 publications

Prevalence of Health Conditions and Predictors of Mortality in Oldest Old Mexican Americans and Non-Hispanic Whites

Prevalence of Health Conditions and Predictors of Mortality in Oldest Old Mexican Americans and Non-Hispanic Whites

Causes of mortality in diabetes mellitus: data from a tertiary teaching hospital in India

Spanish Diabetes Self-Management With and Without Automated Telephone Reinforcement

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