Population Trends and Late-Life Disability in Hispanics From the Midwest

2011 ◽  
Vol 23 (7) ◽  
pp. 1166-1188 ◽  
Author(s):  
Carlos F. Mendes de Leon ◽  
Karl Eschbach ◽  
Kyriakos S. Markides

Objectives: To describe the growth of the Hispanic population in the Midwest states of the United States, to present disability levels in older Mexican and non-Mexican-origin Midwest Hispanics by place of birth and poverty status, and compare disability levels among older Midwest Hispanics with those among Southwest Hispanics as well as non-Hispanics Whites and African Americans in each region. Method: Population data come from decennial U.S. Census Bureau surveys. Disability data for adults ≥ 50 years old come from the 2008 American Community Survey. Results: The Hispanic population in the Midwest has tripled since 1980 and now constitutes 6.6% of the entire Midwest population. Older Midwest Hispanics are somewhat younger, have a higher male–female ratio, and are more likely to be born outside the continental United States than Southwest Hispanics. In the Midwest, foreign-born Mexican American men report the lowest disability levels. Foreign-born Hispanic women of non-Mexican origin report the highest disability levels. Overall, older Hispanics have intermediate disability levels relative to non-Hispanic Whites and African Americans. Midwest Hispanics report less disability than Southwest Hispanics. Discussion: There is substantial heterogeneity in late-life disability among Midwest Hispanics, which may be related to place of birth and of origin. Future research is needed to examine age at immigration and health selection as potential reasons for low disability levels among foreign-born Mexican American men.

Author(s):  
Brian D. Behnken

African Americans and Latino/as have had a long history of social interactions that have been strongly affected by the broader sense of race in the United States. Race in the United States has typically been constructed as a binary of black and white. Latino/as do not fit neatly into this binary. Some Latino/as have argued for a white racial identity, which has at times frustrated their relationships with black people. For African Americans and Latino/as, segregation often presented barriers to good working relationships. The two groups were often segregated from each other, making them mutually invisible. This invisibility did not make for good relations. Latino/as and blacks found new avenues for improving their relationships during the civil rights era, from the 1940s to the 1970s. A number of civil rights protests generated coalitions that brought the two communities together in concerted campaigns. This was especially the case for militant groups such as the Black Panther Party, the Mexican American Brown Berets, and the Puerto Rican Young Lords, as well as in the Poor People’s Campaign. Interactions among African Americans and Mexican American, Puerto Rican, and Cuban/Cuban American illustrate the deep and often convoluted sense of race consciousness in American history, especially during the time of the civil rights movement.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S194-S194
Author(s):  
Shylah M Moore-Pardo ◽  
Anteneh Addisu ◽  
Tea Reljic ◽  
Sadaf Aslam ◽  
Beata Casanas

Abstract Background Although the rate of tuberculosis (TB) has significantly declined in the United States, elimination has plateaued. Florida is one of the states with the greatest number of cases. The majority of cases occur in foreign-born individuals. Human immunodeficiency virus (HIV) is also a major contributor. HIV-TB coinfection leads to reciprocal interactions with significant clinical impact. We aim to compare the risk factors, clinical findings, and outcomes among HIV-infected vs. HIV uninfected patients. Methods A retrospective cohort study of TB cases over a 5 year period (2012–2017) was conducted. All patients with HIV co-infection with age- and gender-matched HIV negative controls were included. The diagnosis of TB was made via clinical, microbiological, radiological, and/or PCR based methods. SPSS was used for statistical data analysis. Results A total of 411 TB cases were identified and 66 patients (33 HIV-infected plus 33 HIV un-infected) were eligible for inclusion. The median age was 49 years (range 22–70). The male to female ratio was 21:12 and 50% of patients had TB symptoms; the rest had abnormal imaging or lab finding. Cases were confirmed via positive sputum smear, culture, or PCR (Figures 1–3). Only 11 patients were lost to follow-up, thus 83.3% completed therapy. A total of 5 persons died (Table 1). Conclusion The rate of HIV-TB coinfection in the United States was 5.3% in 2018; higher among injection drugs users, homeless persons, inmates, and alcoholics. In our study, the rate of HIV-TB coinfection was slightly higher (8%). The difference was not statistically significant in regards to foreign born, homelessness, and incarceration. Only 3 patients admitted to injection drug use and 9 used alcohol (all HIV negative). Traditionally, HIV-TB coinfected patients have extra-pulmonary TB with higher rates of negative sputum and are at increased risk of death. In our cohort, the difference was statistically significant (P = 0.009) only for cavitary TB (predominated in HIV un-infected) but no difference in outcomes was observed between the two groups. These findings suggest changing trends in HIV-TB coinfection which may be partly related to our setting and demographics but may be attributed to better access to care and antiretroviral therapy at large. Disclosures All authors: No reported disclosures.


2000 ◽  
Vol 16 (2) ◽  
pp. 367-391 ◽  
Author(s):  
Richard Griswold del Castillo

The so-called Zoot Suit riots in Los Angeles in June of 1943 made Latin Americans more aware of the negative racial attitudes within the United States toward Mexicans. Through the publicity surrounding the riots, they also first learned of the existence of a large ethnic group of Mexican origin. This knowledge, however, often came with an additional message that the Mexican American culture was not worthy of esteem by respectable people. / Los disturbios llamados "Zoot-Suit" que ocurrieron en Los Angeles en Junio 1943 hizo saber a los latino americanos que las actitudes de los norteamericanos hacia los mexicanos no eran muy positivas. A través de la publicidad durante los disturbios, aprendieron por la primera vez de la existencia de un gran grupo étnico de origen mexicano en los Estados Unidos. Desgraciadamente esta información vino con otro mensaje que la cultura de los mexicoamericanos no era digna de honor por la supuesta gente decente.


2019 ◽  
Vol 7 (3) ◽  
pp. 86-90
Author(s):  
Shervin Assari ◽  
Mohammed Saqib ◽  
Cheryl Wisseh ◽  
Mohsen Bazargan

Introduction: Socioeconomic status (SES) indicators are among the main social determinants of health and illness. Less, however, is known about the role of SES in the epidemiology of polypharmacy in immigrant Latino Americans living in the United States. This research studied the association between three SES indicators, education, income, and employment, and polypharmacy in older first generation Latino American immigrant adults. Methods: Data was obtained from the Sacramento Area Latino Study on Aging (SALSA, 1996-2008). A total of 632 older first generation Mexican-American immigrants to the U.S. entered this analysis. The independent variables were education, income, and employment. Polypharmacy was the outcome. Age, gender, physical health, smoking, and drinking were the covariates. Binary logistic regression was used to analyze the data. Results: Employment was associated with lower odds of polypharmacy. The association between education and polypharmacy was above and beyond demographic factors, physical health, health behaviors, and health insurance. Neither education nor income were associated with polypharmacy. Other determinants of polypharmacy were poor self-rated health (SRH) and a higher number of chronic medical conditions (CMCs). Conclusion: Employment appears to be the major SES determinant of polypharmacy in older foreign-born Mexican Americans. Unemployed older Mexican American immigrants with multiple chronic diseases and those who have poor SRH have the highest need for an evaluation of polypharmacy. Given the age group of this population, most of them have health insurance, which provides an opportunity for reducing their polypharmacy.


1992 ◽  
Vol 26 (4) ◽  
pp. 1342-1369 ◽  
Author(s):  
Alain Belanger ◽  
Andrei Rogers

This article examines the importance of place of birth on the internal migration and spatial redistribution patterns of the foreign-born population in the United States during the 1965–70 and the 1975–80 periods, relying principally on the Public Use Microdata Sample (PUMS) files for our input data. The diverse nationalities are aggregated into eight different regions of origin: Mexico, Puerto Rico, Rest of South and Central America, Europe, Asia, Africa and Oceania, Canada and the Rest of the World. First, the regional distribution of these eight groups at the 1970 and 1980 censuses are examined. Next, the spatial redistribution of the foreign-born population and its changes over time are studied. The age patterns of migration for the different foreign-born groups are analyzed, and the article concludes by examining decadal changes in redistributional tendencies using multiregional life table analyses.


2017 ◽  
Vol 58 (5) ◽  
pp. 894-903 ◽  
Author(s):  
Marc A Garcia ◽  
Joseph L Saenz ◽  
Brian Downer ◽  
Chi-Tsun Chiu ◽  
Sunshine Rote ◽  
...  

Abstract Background and Objectives To examine differences in life expectancy with cognitive impairment among older Mexican adults according to nativity (U.S.-born/foreign-born) and among immigrants, age of migration to the United States. Research Design and Methods This study employs 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to estimate the proportion of life spent cognitively healthy and cognitively impaired prior to death among older Mexican adults residing in the southwestern United States. We combine age-specific mortality rates with age-specific prevalence of cognitive impairment, defined as a Mini-Mental Status Exam score of less than 21 points to calculate Sullivan-based life table models with and without cognitive impairment in later life. Results Foreign-born Mexican immigrants have longer total life expectancy and comparable cognitive healthy life expectancy regardless of gender compared to U.S.-born Mexican-Americans. However, the foreign-born spend a greater number of years after age 65 with cognitive impairment relative to their U.S.-born counterparts. Furthermore, we document an advantage in life expectancy with cognitive impairment and proportion of years after age 65 cognitively healthy among mid-life immigrant men and women relative to early- and late-life migrants. Discussion and Implications The relationship between nativity, age of migration, and life expectancy with cognitive impairment means that the foreign-born are in more need of support and time-intensive care in late life. This issue merits special attention to develop appropriate and targeted screening efforts that reduce cognitive decline for diverse subgroups of older Mexican-origin adults as they age.


2017 ◽  
Vol 14 (1) ◽  
pp. 245-271 ◽  
Author(s):  
Angela Stuesse ◽  
Cheryl Staats ◽  
Andrew Grant-Thomas

AbstractThe foreign-born population in the United States has reached new heights, and experts predict that the country will be “majority minority” by 2042, possibly earlier. Despite its growing ethnic, racial, national, and other forms of diversity, the fundamental location of Blackness at the bottom of the pyramid of structural racism endures. In attempts to overcome the real and perceived tensions that characterize relationships between immigrants and African Americans, efforts to create space for interpersonal connection and shared structural analysis have proliferated in organizations across the country. Drawing from seventy-five interviews with individuals leading these initiatives and the review of over fifty different pedagogical resources they have developed and used, this article presents a classification and assessment of these programs. We consider these programs using an anti-racist, African Americanist framework reflected in Steinberg’s “standpoint of [the] black figure, crouched on the ground as others pluck fruit off the tree of opportunity” (2005, p. 43), and analyze their successes and shortcomings. Successes include the creation of spaces for interaction across difference and the building of a shared analysis. We find evidence of transformative effects at the intra- and interpersonal levels. The greatest limitations include immigrant-centricity in relationship-building efforts and a reluctance to engage immigrants in conversation about their relationships to Whiteness, Blackness, and racial hierarchies in the United States and in their countries of origin.


2005 ◽  
Vol 7 (4) ◽  
pp. 143-147 ◽  
Author(s):  
Victor M. Rivera ◽  
Samuel Landero

Multiple sclerosis (MS) prevalence has notably increased in Latin America. Although people of Mexican ancestry make up most of the Hispanic population in the United States, studies addressing MS in US- or foreign-born Latin Americans are scarce. Of the first 3000 consecutive individuals diagnosed with clinically definite MS at a specialized MS clinic in southeast Texas, 128 were identified as Mexican or Mexican American and are discussed in this article. The sample had a wide age distribution (6–71 years), with most patients diagnosed between the third and fifth decades. Of the patients studied, 68.2% had relapsing-remitting MS, 28.9% had secondary progressive MS, and 2.3% had primary progressive MS. The female-to-male ratio was 4.6:1.0; 60.9% of the patients were US born and 28.9% Mexican born. Sixteen patients commuted between countries. The study suggests that increasing frequency of MS among Hispanic people may augment the prevalence of MS in certain areas of the United States. Epidemiological observations, clinical characterizations, and possible genotypic therapeutic responses may derive from further studies.


2015 ◽  
Vol 39 (4) ◽  
pp. 521-550 ◽  
Author(s):  
Brian Gratton ◽  
Emily Klancher Merchant

Recent scholarship on Mexican Americans in the United States, relying largely on qualitative evidence, sees racism and exploitation as the major explanatory factors in their history. Using representative samples of persons of Mexican origin, we argue that immigration is fundamental to their historical experience. A small, beleaguered community in 1850, the Mexican-origin population grew during the late nineteenth century due to greater security under US jurisdiction. However, immigration between 1900 and 1930 created a Southwest broadly identified with persons of Mexican origin. Economic development in Mexico, restriction of European immigration to the United States, and extreme cross-border wage differentials prompted extensive emigration. Despite low human capital, circular migration, and discrimination, immigrant Mexicans earned substantially higher wages than workers in Mexico or native-born Hispanics in the United States. They followed typical immigrant paths toward urban areas with high wages. Prior to 1930, their marked tendency to repatriate was not “constructed” or compelled by the state or employers, but fit a conventional immigrant strategy. During the Depression, many persons of Mexican origin migrated to Mexico; some were deported or coerced, but others followed this well-established repatriation strategy. The remaining Mexican-origin population, increasingly native born, enjoyed extraordinary socioeconomic gains in the 1940s; upward mobility, their family forms, and rising political activity resembled those of previous immigrant-origin communities. In the same decade, however, the Bracero Program prompted mass illegal immigration and mass deportation, a pattern replicated throughout the late twentieth century. These conditions repeatedly replenished ethnicity and reignited nativism, presenting a challenge not faced by any other immigrant group in US history.


Author(s):  
Maria Vidal de Haymes

In 2004, an estimated 1,614,000 individuals of Cuban origin were residing in the United States, placing Cubans as the third largest Hispanic ethnic group in the United States, constituting ∼4% of the nation's Hispanic population. 84.1% of the Cuban-American population is concentrated in four states: Florida (67.1%), New Jersey (6.2%), California (5.8%), and New York (5.0%). Although Cuban immigration to the United States dates back to the mid-1800s, 68.5% of Cuban Americans are foreign-born and, as a group, represent a wide spectrum of social realities and political interests.


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