Critical analyses of Latina mortality: disentangling the heterogeneity of ethnic origin, place, nativity, race, and socioeconomic status

被引:4
作者
Errisuriz, Vanessa L. [1 ]
Zambrana, Ruth Enid [2 ]
Parra-Medina, Deborah [3 ]
机构
[1] St Clara Univ, 500 Camino Real, Santa Clara, CA 95053 USA
[2] Univ Maryland, Harriet Tubman Dept Women Gender & Sexual Studies, Susquehanna Hall 4200 Lehigh Rd,Room 4117, College Pk, MD 20742 USA
[3] Univ Texas Austin, Latino Res Inst, 210 W 24th St,GWB 1-102, Austin, TX 78712 USA
关键词
Latina health; Mortality; Leading causes of death; Chronic disease; SELF-REPORTED HYPERTENSION; HEALTH-CARE DISPARITIES; BREAST-CANCER MORTALITY; CERVICAL-CANCER; RISK-FACTORS; CARDIOVASCULAR-DISEASE; INTERVIEW SURVEY; ADULT MORTALITY; UNITED-STATES; US ADULTS;
D O I
10.1186/s12889-024-17721-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Despite the significant body of research on social determinants of health (SDH) and mortality, limited knowledge is available on the epidemiology of aggregated Latino health overall, and by women and subgroups. In population health studies, U.S. Latinos often are considered a monolithic population and presented as an aggregate, obscuring the diversity and variations within and across Latino subgroups, contributing to missed opportunities to identify SDH of health outcomes, and limiting the understanding of health differences. Given diverse environmental, racial, class, and geographic factors, a specific focus on women facilitates a more in-depth view of health disparities. This paper provides a scoping review of current gaps in research that assesses the relationships between SDH and mortality rates for the five leading causes of chronic-disease related deaths among Latinas by ethnic origin, place, race, and SES. We analyzed 2020 national mortality statistics from the CDC WONDER Online database jointly with reviews of empirical articles on Latina health, employing the EBSCOhost MEDLINE databases. These findings challenge the phenomenon of the Hispanic paradox that identified Latinos as a relatively healthy population compared to non-Hispanic White populations despite their lower economic status. The findings confirm that prior research on Latino women had methodological limitations due to the exclusion of SDH and an overemphasis on culturalist perspectives, while overlooking the critical role of socioeconomic impacts on health. Findings indicate major knowledge gaps in Latina mortality by SDH and subgroups that may undermine surveillance efforts and treatment efficacy. We offer forward-looking recommendations to assure the inclusion of key SDH associated with Latina mortality by subgroup as essential to inform future studies, intervention programs, and health policy.
引用
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页数:13
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