Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Quality of Race and Hispanic Origin Reporting on the US Death Certificate.

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Presentation transcript:

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Quality of Race and Hispanic Origin Reporting on the US Death Certificate Elizabeth Arias, Ph.D. Mortality Statistics Branch Division of Vital Statistics National Center for Health Statistics

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Highlights Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate The National Longitudinal Mortality Study Self Reported Race/Ethnicity vs. Proxy Reported Race/Ethnicity Future Applications Adjusted Death Rates Adjusted Life Expectancy Estimates

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate The National Longitudinal Mortality Study Current Population Surveys (CPS) & 1980 Census Data linked, using the NDI, to NCHS Mortality Data 25 Annual March CPS (1973, ) and 1980 US Census sub-sample (~2.4 million persons) CPS: National Sample of Households (60,000-80,000), Non-Institutionalized Population, 96% Response Rate Deaths Occurring between (~253,000) Provides Ability to Compare Race and Hispanic Origin Reported by an Individual While Alive to What Was Reported on their Death Certificate upon Death.

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Evaluation Technique Ratios of Race and Hispanic Origin self report to Race and Hispanic Origin proxy report Ratios are constructed by dividing the number of CPS reported race/Hispanic origin categories (self-identified) by the number of Death Certificate race/Hispanic origin categories (proxy identified) Example: Among all deceased individuals their self reported race and Hispanic Origin compared to what was reported on their death certificate upon death: White Ratio = CPS White / DC White Black Ratio = CPS Black / DC Black AIAN Ratio = CPS AIAN / DC AIAN API Ratio = CPS API / DC API

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Study Sample Characteristics NLMS March CPS files linked to Mortality Data Total Sample Size180,958 Sample Sizes by Major Race Categories: White160,117 Black 17,296 AIAN 1,347 API 1,900

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Study Sample Characteristics, Continued Sample Sizes by Hispanic Origin Mexican3,387 Puerto Rican 520 Cuban 581 Central/South American 237 Other Hispanic 1,209

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Factors Affecting Race and Hispanic Origin Reporting on the US Death Certificate Sex Age Nativity (US Born, Foreign Born) Rural/Urban Status Region of Residence

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios for Race Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios for Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Sex for Race Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Sex for Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Age for Race Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Age for Race/Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Age for Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Nativity for Race Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Nativity for Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Urban/Rural Residence for Race Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratio of Urban/Rural Status for Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Region for Race Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Region for Hispanic Origin Categories

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Hispanics

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Mexicans

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Puerto Ricans

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Cubans

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Central/South Americans

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Distribution of Hispanic Origin Designation on Death Certificate Among Self-Identified Other Hispanics

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Future Applications Unadjusted and Adjusted Death Rates for Major Race Groups White Black1,101.21,123.2 AIAN API

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Future Applications Unadjusted and Adjusted Death Rates for Hispanic Origin Groups Total Hispanic Mexican Puerto Rican821.11,141.3 Cuban

Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Future Applications Unadjusted and Adjusted Life Expectancy at Birth, 2002 AIAN Population 78.2 (unadjusted) 73.7 (adjusted)