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LETTER |
David P. Smith is retired from the University of Texas School of Public Health, Houston. Benjamin S. Bradshaw is with the University of Texas School of Public Health, San Antonio.
Correspondence: Requests for reprints should be sent to David P. Smith, 321 Mesa Verde Ct, Chico, CA 95973 (e-mail: smithjonian@sbcglobal.net).
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Between 1980 and 1990, the Hispanic population aged 65 years and older in Texas increased by 75% with the change from surname classification to origin classification. With the same change in classification, deaths in the Hispanic population aged 65 years and older increased 43%. In that decade, the "Hispanic paradox" was born.
Using US national data in the only way we are aware it could be used, we found a similar discrepancy between populations and deaths in both 1990 and 2000 from origin classifications in the census and death certificates. The discrepancy persisted when California was excluded from the analysis
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