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AJPH First Look, published online ahead of print Jan 31, 2007
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AJPH.2006.105320v1
97/3/392    most recent
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March 2007, Vol 97, No. 3 | American Journal of Public Health 392
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.105320

LETTER

HISPANIC PARADOX

Alex Ho, MPH, Margaret Shih, MD, PhD and Paul Simon, MD, MPH

The authors are with the Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, Los Angeles, Calif.

Correspondence: Requests for reprints should be sent to Alex Ho, 313 N Figueroa Street, Suite 127, Los Angeles, CA 90275 (e-mail: aho@ladhs.org).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

Although Smith and Bradshaw’s effort to improve the way in which Hispanic mortality rates and life expectancies are estimated is commendable, their conclusion that "there is no Hispanic paradox"1(p1686) is not justified.

They attribute the observed paradox to error introduced through differential ascertainment of Hispanic ethnicity on death certificates compared with the census. This is a reasonable hypothesis given the documented underreporting of Hispanic ethnicity on death certificates.2 However, they fail to acknowledge 2 large nationally representative studies that used linked data files, in which the problem of incongruous classification of ethnic origin in numerator and denominator data was eliminated, . . . [Full Text]






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