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Quality of Race and Hispanic Origin Reporting on the US Death Certificate. Elizabeth Arias, Ph.D. Mortality Statistics Branch Division of Vital Statistics National Center for Health Statistics. Highlights. Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate
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Quality of Race and Hispanic Origin Reporting on the US Death Certificate Elizabeth Arias, Ph.D. Mortality Statistics Branch Division of Vital Statistics National Center for Health Statistics
Highlights • Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate • The National Longitudinal Mortality Study • Self Reported Race/Ethnicity vs. Proxy Reported Race/Ethnicity • Future Applications • Adjusted Death Rates • Adjusted Life Expectancy Estimates
Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate • The National Longitudinal Mortality Study • Current Population Surveys (CPS) & 1980 Census Data linked, using the NDI, to NCHS Mortality Data • 25 Annual March CPS (1973, 1978-1998) and 1980 US Census sub-sample (~2.4 million persons) • CPS: National Sample of Households (60,000-80,000), Non-Institutionalized Population, 96% Response Rate • Deaths Occurring between 1979-1998 (~253,000) • Provides Ability to Compare Race and Hispanic Origin Reported by an Individual While Alive to What Was Reported on their Death Certificate upon Death.
Evaluation Technique • Ratios of Race and Hispanic Origin self report to Race and Hispanic Origin proxy report • Ratios are constructed by dividing the number of CPS reported race/Hispanic origin categories (self-identified) by the number of Death Certificate race/Hispanic origin categories (proxy identified) • Example: Among all deceased individuals their self reported race and Hispanic Origin compared to what was reported on their death certificate upon death: • White Ratio = CPS White / DC White • Black Ratio = CPS Black / DC Black • AIAN Ratio = CPS AIAN / DC AIAN • API Ratio = CPS API / DC API
Study Sample Characteristics • NLMS March CPS files 1979-1998 linked to Mortality Data 1979-1998 • Total Sample Size 180,958 • Sample Sizes by Major Race Categories: • White 160,117 • Black 17,296 • AIAN 1,347 • API 1,900
Study Sample Characteristics, Continued • Sample Sizes by Hispanic Origin • Mexican 3,387 • Puerto Rican 520 • Cuban 581 • Central/South American 237 • Other Hispanic 1,209
Factors Affecting Race and Hispanic Origin Reporting on the US Death Certificate • Sex • Age • Nativity (US Born, Foreign Born) • Rural/Urban Status • Region of Residence
Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Hispanics
Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Mexicans
Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Puerto Ricans
Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Cubans
Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Central/South Americans
Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Other Hispanics
Future Applications • Unadjusted and Adjusted Death Rates for Major Race Groups • White 836.5 836.5 • Black 1,101.2 1,123.2 • AIAN 686.7 968.3 • API 492.1 561.0
Future Applications • Unadjusted and Adjusted Death Rates for Hispanic Origin Groups • Total Hispanic 658.7 816.8 • Mexican 645.9 859.1 • Puerto Rican 821.1 1,141.3 • Cuban 590.9 715.0
Future Applications • Unadjusted and Adjusted Life Expectancy at Birth, 2002 • AIAN Population • 78.2 (unadjusted) • 73.7 (adjusted)