Social and Behavioral Sciences Commons^™

The Disproportionate Impact Of Covid-19 On Older Latino Mortality: The Rapidly Diminishing Latino Paradox, Rogelio Sáenz, Marc A. Garcia

Department of Sociology: Faculty Publications

Objectives: This brief report aims to highlight stark mortality disparities among older Latinos that result from the novel coronavirus disease (COVID-19) pandemic.

Methods: We use recent data from the Centers for Disease Control and Prevention to compute age-specific death rates (ASDRs) for three causes of death: deaths from COVID-19, residual deaths, and total deaths for four age-groups (55-64, 65-74, 75-84, and 85 and older) to assess the impact of COVID-19 on older Latino mortality relative to non-Latino Whites and non-Latino Blacks and also in comparison to residual deaths. Additionally, we obtain ASDRs for all causes of deaths from 1999 to …

The Color Of Covid-19: Structural Racism And The Pandemic’S Disproportionate Impact On Older Racial And Ethnic Minorities, Marc A. Garcia, Patricia A. Homan, Catherine Garcia, Tyson H. Brown

Department of Sociology: Faculty Publications

Objectives: The aim of this evidence-based theoretically informed essay is to provide an overview of how and why the COVID-19 outbreak is particularly detrimental for the health of older Black and Latinx adults.

Methods: We draw upon current events, academic literature, and numerous data sources to illustrate how biopsychosocial factors place older adults at higher risk for COVID-19 relative to younger adults, and how structural racism magnifies these risks for older Black and Latinx adults.

Results: We identify three proximate mechanisms through which structural racism operates as a fundamental cause of racial/ethnic inequalities in COVID-19 burden among older adults: (1) …

Physical Performance Trajectories And Mortality Among Older Mexican Americans, Miriam Mutambudzi, Nai-Wei Chen, Bret Howrey, Marc A. Garcia, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background: We sought to identify distinct trajectory classes of physical performance in Mexican Americans aged 75 years and older and to examine whether these trajectories predict mortality.

Methods: We used four waves of Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) data for adults 75 years and older from 2004–2005 to 2013. Latent growth curve analysis was used to identify distinct trajectory classes. Multinomial logistic regression analysis was used to examine the association between baseline characteristics and the newly constructed trajectories. Cox proportional hazards regression models examined the hazard of mortality as a function of Short Physical Performance …

Gender And Age Of Migration Differences In Mortality Among Older Mexican Americans, Adriana M. Reyes, Marc A. Garcia

Department of Sociology: Faculty Publications

Objectives: Using a gendered life course perspective, we examine whether the relationship between age of migration and mortality is moderated by gender among a cohort of older Mexican-Americans.

Methods: Data from the Hispanic Established Populations for the Epidemiological Study of the Elderly and recently matched mortality data are used to estimate Cox proportional hazard models.

Results: Our findings indicate the relationship between age of migration and mortality is moderated by gender suggesting a more nuanced perspective of the immigrant mortality paradox. Among men, midlife migrants exhibit an 18 percent lower risk of mortality compared to their U.S.-born …

The Influence Of Multimorbidity On Leading Causes Of Death In Older Adults With Cognitive Impairment, Nicholas K. Schiltz, David F. Warner, Jiayang Sun, Kathleen A. Smyth, Stefan Gravenstein, Kurt C. Stange, Siran M. Koroukian

Department of Sociology: Faculty Publications

Objective: The aim of this study is to evaluate the relationship of leading causes of death with gradients of cognitive impairment and multimorbidity. Method: This is a population-based study using data from the linked 1992- 2010 Health and Retirement Study and National Death Index (n = 9,691). Multimorbidity is defined as a combination of chronic conditions, functional limitations, and geriatric syndromes. Regression trees and Random Forest identified which combinations of multimorbidity associated with causes of death. Results: Multimorbidity is common in the study population. Heart disease is the leading cause in all groups, but with a larger percentage of deaths …

Complex Multimorbidity And Health Outcomes In Older Adult Cancer Survivors, David F. Warner, Nicholas K. Schiltz, Kurt C. Stange, Charles W. Given, Cynthia Owusu, Nathan A. Berger, Siran M. Koroukian

Department of Sociology: Faculty Publications

Objective: To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship, time since cancer diagnosis, and self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. Methods: We used the 2010–2012 Health and Retirement Study. Cancer survivors were individuals who reported a (nonskin) cancer diagnosis 2 years or more before the interview. We defined complex multimorbidity as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. In addition to descriptive analyses, we used logistic regression to evaluate the independent association between cancer survivor status and health outcomes. We also examined whether cancer survivorship …