@article{ref1,
title="Hispanic ethnicity and fatal fall risk: do age, gender, and community modify the relationship?",
journal="Journal of surgical research",
year="2012",
author="Landy, David C. and Mintzer, Michael J. and Silva, Amanda K. and Dearwater, Stephen R. and Schulman, Carl I.",
volume="175",
number="1",
pages="113-117",
abstract="BACKGROUND: Hispanic ethnicity is associated with a reduced risk of fatal falls in the elderly despite lower socioeconomic standing. The factors responsible for this &quot;Hispanic paradox&quot; are unknown. We hypothesized that age and gender would modify this relationship and that the association would be accentuated in a community with prominent Hispanic culture. <br><br>MATERIALS AND METHODS: The number of fatal falls in a 3-year period in the United States (US) and in Miami-Dade County, Florida (MDC) were obtained through the CDC's WISQARS database and the Florida Office of Vital Statistics. US Census Bureau data were used to define the total at-risk populations by age group and gender. Age group- and gender-specific ratios of the risk of fatal fall in Hispanic to white non-Hispanic individuals were calculated. <br><br>RESULTS: In the US and MDC, Hispanic ethnicity was associated with a reduced risk of fatal fall across all age and gender subgroups. In the US, the risk reduction associated with Hispanic ethnicity grew from 11% and 23% in 65- to 74-year-old men and women, respectively, to 43% for both men and women over 84-years-old. This relationship was stronger in MDC than nationally in five of the six age and gender subgroups examined. <br><br>CONCLUSIONS: Older individuals, women, and residents of communities with prominent Hispanic culture have the greatest reduction in fatal fall risk associated with Hispanic ethnicity.<p /><p>Language: en</p>",
language="en",
issn="0022-4804",
doi="10.1016/j.jss.2011.02.035",
url="http://dx.doi.org/10.1016/j.jss.2011.02.035"
}