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Trends in Mortality From COVID-19 and Other Leading Causes of Death Among Latino vs White Individuals in Los Angeles County, 2011-2020

Educational Objective
To identify the key insights or developments described in this article

Latino individuals in the US have experienced lower rates of mortality than non-Latino White individuals despite higher rates of poverty, often referred to as the “Latino mortality paradox.”1,2 This paradox may be attributable to behavioral and social factors, including strong family ties and support networks, rather than to a healthy migrant effect or to immigrants returning to their native countries near the end of life.2

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Article Information

Corresponding Author: Paul Simon, MD, Los Angeles County Department of Public Health, 313 N Figueroa St, Room 610, Los Angeles, CA 90012 (psimon@ph.lacounty.gov).

Accepted for Publication: July 2, 2021.

Published Online: July 19, 2021. doi:10.1001/jama.2021.11945

Author Contributions: Drs Simon and Ho had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Simon, Ho.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Simon, Ho.

Administrative, technical, or material support: Simon, Shetgiri.

Supervision: Simon, Shetgiri.

Conflict of Interest Disclosures: None reported.

References
1.
Ruiz  JM , Steffen  P , Smith  TB .  Hispanic mortality paradox: a systematic review and meta-analysis of the longitudinal literature.   Am J Public Health. 2013;103(3):e52-e60. doi:10.2105/AJPH.2012.301103PubMedGoogle ScholarCrossref
2.
Abraído-Lanza  AF , Dohrenwend  BP , Ng-Mak  DS , Turner  JB .  The Latino mortality paradox: a test of the “salmon bias” and healthy migrant hypotheses.   Am J Public Health. 1999;89(10):1543-1548. doi:10.2105/AJPH.89.10.1543PubMedGoogle ScholarCrossref
3.
National Center for Health Statistics. Vital statistics of the United States: mortality, 1999 technical appendix. Accessed July 1, 2021. https://www.cdc.gov/nchs/data/statab/techap99.pdf
4.
Webb Hooper  M , Nápoles  AM , Pérez-Stable  EJ .  COVID-19 and racial/ethnic disparities.   JAMA. 2020;323(24):2466-2467. doi:10.1001/jama.2020.8598PubMedGoogle ScholarCrossref
5.
Wright  A , Salazar  A , Mirica  M , Volk  LA , Schiff  GD .  The invisible epidemic: neglected chronic disease management during COVID-19.   J Gen Intern Med. 2020;35(9):2816-2817. doi:10.1007/s11606-020-06025-4PubMedGoogle ScholarCrossref
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