Quality of Race and Hispanic Origin Reporting on

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 n Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate n n n The National Longitudinal Mortality Study Self Reported Race/Ethnicity vs. Proxy Reported Race/Ethnicity Future Applications n n 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 n The National Longitudinal Mortality Study n Current Population Surveys (CPS) & 1980 Census Data linked, using the NDI, to NCHS Mortality Data • 25 Annual March CPS (1973, 1978 -1998) 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 n Deaths Occurring between 1979 -1998 (~253, 000) n 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 n Ratios of Race and Hispanic Origin self report to Race and Hispanic Origin proxy report n 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) n Example: Among all deceased individuals their self reported race and Hispanic Origin compared to what was reported on their death certificate upon death: n n 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 n n n NLMS March CPS files 1979 -1998 linked to Mortality Data 1979 -1998 Total Sample Size 180, 958 Sample Sizes by Major Race Categories: n n White Black AIAN API 160, 117 17, 296 1, 347 1, 900 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004

Study Sample Characteristics, Continued n Sample Sizes by Hispanic Origin Mexican n Puerto Rican n Cuban n Central/South American n Other Hispanic n Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 3, 387 520 581 237 1, 209

Factors Affecting Race and Hispanic Origin Reporting on the US Death Certificate Sex n Age n Nativity (US Born, Foreign Born) n Rural/Urban Status n Region of Residence n 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 n Unadjusted and Adjusted Death Rates for Major Race Groups White n Black n AIAN n API n 836. 5 1, 101. 2 686. 7 492. 1 836. 5 1, 123. 2 968. 3 561. 0 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004

Future Applications n Unadjusted and Adjusted Death Rates for Hispanic Origin Groups Total Hispanic n Mexican n Puerto Rican n Cuban n 658. 7 645. 9 821. 1 590. 9 816. 8 859. 1 1, 141. 3 715. 0 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004

Future Applications n Unadjusted and Adjusted Life Expectancy at Birth, 2002 AIAN Population n 78. 2 (unadjusted) n 73. 7 (adjusted) n Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004