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The Latino Health Paradox. New Brunswick, NJ July 19, 2006 William A. Vega Professor of Psychiatry Robert Wood Johnson Medical School . Percent Distribution of Hispanics by Type: 2002. Source: Current Population Survey, March 2002, PGP-5.
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The Latino Health Paradox New Brunswick, NJ July 19, 2006 William A. Vega Professor of Psychiatry Robert Wood Johnson Medical School
Percent Distribution of Hispanicsby Type: 2002 Source: Current Population Survey, March 2002, PGP-5
Age Distribution by Sex and Hispanic Origin: 2002 Non-Hispanic White Hispanic Male Female Male Female Note: Each bar represents the percent of the Hispanic (non-Hispanic White) population who were within the specified age group and of the specified sex. Source: Current Population Survey, March 2002, PGP-5
Latino paradox defined • Superior morbidity and mortality rates of Latinos are contrary to expectations of the health gradient effect of social status on health • What can be learned from these superior health outcomes of Latinos? Scribner 1996-AJPH • Why is there resistance to believing these data? Historical bias.
Where are the health advantages of Latinos? • All cause mortality lower rates for Latinos: 35% lower for heart disease*, 43% lower for cancers, 25% lower for stroke • Life expectancy at birth: Whites 77.3, Latinos 82.5, A.A. 71.1, Asians 83.7 • Most of the mortality advantage of Latinos is due to superior health of immigrants – selection effects?
Lifetime DSM-IV Rates (%) of Substance Disorders in Mexican Women and Mexican-origin Women in U.S. 1 NESARC. 2 from M. Medina-Mora et al., in press.
Lifetime DSM-IV Rates (%) of Substance Disorders in Mexican Men and Mexican-origin Men in U.S. 1 NESARC. 2 from M. Medina-Mora et al., in press.
NLAAS dual diagnoses rates for U.S. national sample of Latinos • Any alcohol abuse/dependence with or without drug dependence, and a co-occurring non-addictive DSM-IV disorder • Total for immigrant women 0.68%,men 5.25% • Total for U.S. born women 7.33%, men 16.22%