Acculturation, Gender, and Active Life Expectancy in the Mexican-Origin Population

García, Marc A.; Angel, Jacqueline L.; Angel, Ronald J.; Chiu, Chi Tsun; Melvin, Jennifer E.

doi:10.1177/0898264315577880

Cited by 23 publications

(39 citation statements)

References 36 publications

(45 reference statements)

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“…Following this interpretation, positive health selection may contribute in part to a health advantage for U.S. Mexican migrants. This phenomenon has been observed in a host of studies …”

supporting

confidence: 56%

Age of Migration Life Expectancy with Functional Limitations and Morbidity in Mexican Americans

García

Valderrama‐Hinds

Chiu

et al. 2017

J American Geriatrics Society

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The U.S. Mexican American population enjoys longer life expectancies relative to other racial/ethnic groups but is disproportionately affected by chronic conditions and functional limitations. Studying the impact of heterogeneity in age, time and other characteristics of migration among older Mexican Americans can inform our understanding of health disparities and health care needs in later-life. This research employed 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to assess the proportion of life spent with functional limitations and one or more morbidity (by age of migration and gender) in the United States Mexican American population. Our results indicate early-life and late-life migrant women spend a larger number of years with performance-oriented mobility assessment (POMA) limitations than U.S.-born women. Conversely, mid-life migrant women were not statistically different from U.S.-born women in years spent disabled. Among men, mid-life migrants had longer life expectancies and spent more years disability-free than U.S.-born men. For morbidity, late-life migrant women spent a significantly smaller proportion of their elderly years with morbidity than U.S.-born women. However, late-life migrant men spent more years with morbidity than U.S.-born men. These findings illustrate that older Mexican Americans in the United States are heterogeneous in nativity and health outcomes. More years spent disabled/unhealthy may result in greater burden on family members and higher dependency on public resources. These findings have implications for the development of social and health policies to appropriately target the medical conditions and disabilities of older Mexican Americans entering late-life.

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“…Following this interpretation, positive health selection may contribute in part to a health advantage for U.S. Mexican migrants. This phenomenon has been observed in a host of studies …”

supporting

confidence: 56%

Age of Migration Life Expectancy with Functional Limitations and Morbidity in Mexican Americans

García

Valderrama‐Hinds

Chiu

et al. 2017

J American Geriatrics Society

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“…Furthermore, change in the frequency of PA domain could not be calculated due to the low median score. Lastly, participants in this sample who were born outside of the US have been shown to live longer than expected 41 ; therefore, the results may not be generalizable to all Mexican-Americans.…”

Section: Discussionmentioning

confidence: 81%

The Impact of 10-Year Physical Activity Changes on 7-Year Mortality in Older Mexican Americans

Lewis

Markides

Ottenbacher³

et al. 2018

Journal of Physical Activity and Health

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Background We investigated the association between 10-years of change in physical activity levels and 7-year all-cause mortality. Methods Mexican-American adults aged 67 and older (N=803) participating in the Hispanic Established Population for the Epidemiologic Study of the Elderly (1995/1996 to 2012/2013) were included. All-cause mortality was our outcome. Participants were divided into four groups based on their difference in overall physical activity between 1995/1996 and 2005/2006 measured by the Physical Activity Scale for the Elderly. Participants were classified as having unchanged low physical activity (n=339), decreased activity (n=233), unchanged high activity (n=166), and increased activity (n=65). Change in the frequency of physical activity domains were also investigated. Physical-activity domains included leisure, household, sedentary, and walking activities. Results After controlling for all covariates, results from the Cox proportional hazards regression found a 43% lower mortality risk in the increased physical activity group [Hazards Ratio (HR) =0.57, 95% Confidence Interval (CI) = 0.34–0.97)] compared to the unchanged low physical activity group. In the entire sample, a significantly lower mortality risk was also present among walking (HR=0.88) and household (HR=0.88) activities. Conclusion Our results suggest that, independent of other factors, increasing physical activity is most protective of mortality among older Mexican-Americans.

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“…The models were fit to males and females separately to account for well-known gender differences in the age patterns of disability. Prior research has found a complex interplay between gender and nativity among the U.S. Mexican-origin population (Angel et al, 2001, 2014; Garcia et al, 2015; Nam, Al Shih, & Markides, 2015). Mexican-origin women live longer than men and have a greater opportunity to experience health problems (Angel et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Longer disabled life expectancies may be a result of longer life expectancy, higher prevalence of disability, or a combination of both. Research shows that foreign-born Hispanics have longer life expectancies than their U.S.-born counterparts (Cantu, Hayward, Hummer, & Chiu, 2013; Garcia et al, 2015; Hayward et al, 2014; Lariscy, Hummer, & Hayward, 2015); however, more research on differences in the prevalence of disability by nativity for Hispanics is needed.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Selective migration, the disproportionate migration by individuals in good health compared with those in poor health, is generally thought to account for this phenomenon. A number of studies have documented health advantages for U.S. immigrants that are attributed in part to the effects of positive selection (Akresh & Frank, 2008; Antecol & Bedard, 2006; Bostean, 2013; Garcia, Angel, Angel, Chiu, & Melvin, 2015; Riosmena, Wong, & Palloni, 2013). …”

mentioning

confidence: 99%

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Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013

García

Reyes

2017

Res Aging

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This study examines the prevalence of morbidity and disability among older Mexican Americans using 5-year age groups. Twenty-year panel data from the Hispanic Established Populations for the Epidemiological Study of the Elderly are used to make detailed comparisons by nativity and gender. Results show that prevalence rates for most chronic conditions for both males and females do not vary by nativity. For disabilities, nativity is a significant predictor of increased instrumental activity of daily living disability for foreign-born females and reduced activity of daily living disability for U.S.-born males. Additionally, results show significant interactions between nativity and age cohorts, with the gap increasing with age for males and decreasing with age for females. These results have important implications for health services and health policy. Given the rapid aging of the Mexican American population, the prevention and treatment of medical conditions, particularly among the foreign-born, should be a major public health priority to reduce dependence from disabilities.

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Acculturation, Gender, and Active Life Expectancy in the Mexican-Origin Population

Cited by 23 publications

References 36 publications

Age of Migration Life Expectancy with Functional Limitations and Morbidity in Mexican Americans

Age of Migration Life Expectancy with Functional Limitations and Morbidity in Mexican Americans

The Impact of 10-Year Physical Activity Changes on 7-Year Mortality in Older Mexican Americans

Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013

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