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Survival differences among native-born and foreign-born older adults in the United States.

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Date
2012
Authors
Dupre, Matthew E
Gu, Danan
Vaupel, James W
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Abstract
BACKGROUND: Studies show that the U.S. foreign-born population has lower mortality than the native-born population before age 65. Until recently, the lack of data prohibited reliable comparisons of U.S. mortality by nativity at older ages. This study provides reliable estimates of U.S. foreign-born and native-born mortality at ages 65 and older at the end of the 20(th) century. Life expectancies of the U.S. foreign born are compared to other developed nations and the foreign-born contribution to total life expectancy (TLE) in the United States is assessed. METHODS: Newly available data from Medicare Part B records linked with Social Security Administration files are used to estimate period life tables for nearly all U.S. adults aged 65 and older in 1995. Age-specific survival differences and life expectancies are examined in 1995 by sex, race, and place of birth. RESULTS: Foreign-born men and women had lower mortality at almost every age from 65 to 100 compared to native-born men and women. Survival differences by nativity were substantially greater for blacks than whites. Foreign-born blacks had the longest life expectancy of all population groups (18.73 [95% confidence interval {CI}, 18.15-19.30] years at age 65 for men and 22.76 [95% CI, 22.28-23.23] years at age 65 for women). The foreign-born population increased TLE in the United States at older ages, and by international comparison, the U.S. foreign born were among the longest-lived persons in the world. CONCLUSION: Survival estimates based on reliable Medicare data confirm that foreign-born adults have longer life expectancy at older ages than native-born adults in the United States.
Type
Journal article
Subject
African Americans
Aged
Aged, 80 and over
Emigration and Immigration
Female
Humans
Life Expectancy
Male
Medicare
Population Groups
Survival Rate
United States
Permalink
https://hdl.handle.net/10161/14769
Published Version (Please cite this version)
10.1371/journal.pone.0037177
Publication Info
Dupre, Matthew E; Gu, Danan; & Vaupel, James W (2012). Survival differences among native-born and foreign-born older adults in the United States. PLoS One, 7(5). pp. e37177. 10.1371/journal.pone.0037177. Retrieved from https://hdl.handle.net/10161/14769.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Dupre

Matthew E. Dupre

Associate Professor in Population Health Sciences
Dr. Dupre is an Associate Professor in the Department of Population Health Sciences and the Department of Sociology. He is also a Senior Fellow at the Center for Aging and Human Development and member of the Cardiovascular Outcomes Group at the Duke Clinical Research Institute. Dr. Dupre is a medical sociologist who specializes in research on aging and the life course, health disparities, and cardiovascular disease (CVD) outcomes in older adults. As an interdisciplinary researcher, he has foc
Vaupel

James Walton Vaupel

Research Professor in the Sanford School of Public Policy
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