Larges racial/ethnic minority group in America
Prevalence of diabetes, hypertension, TB, STDs, alcoholism, cirrhosis
homicide and AIDS is high in comparison to non-whites.
More likely than non-Hispanics to be without regular source of health care
and to use hospital emergency rooms as their primary source of medical
They are overrepresented in jobs that don’t offer insurance
Hispanic Paradox: Despite their overall low SES and levels of health
insurance in the US, they have lower mortality rates than whites.
have lower mortality rates for heart disease, cancer, pulmonary diseases
and influenza than whites and blacks.
A high birth rate and large scale immigration from mostly young
adults may contribute to low mortality rates.
There has been a significant improvement for particular patterns of
disease in the last 40 yrs. with infant mortality falling from 82.1 per 1000
to 8.4 per 1000 for Alaskan Indians
Heart disease is the leading cause of of death,
Have high mortality rates for diabetes, 2
More American Indians die from accidents- many of which are related to
Twice as likely to die from suicide; among males
The healthiest racial group overall; also has the highest levels of income,
education and employment of any racial minority group
Mortality overall is 424.3 per 100,000
Heart disease he leading cause of death for Asians yet the mortality for
CHD is low compared to whites and other minorities.
Low infant mortality rate 4.5 per 1000
Why are the health statistics for white males similar to those for black females?
Discuss social class as a fundamental cause of morbidity/mortality.
Based on several studies of neighborhood disadvantage (see below) and persistent studies
associating socioeconomic status as a factor contributing to poor health, Link and Phalen were
able to conclude that SES is a fundamental cause of mortality because: