TY - JOUR
T1 - Symptoms, signs, and ill-defined conditions
T2 - A leading cause of death among minorities
AU - Becker, Thomas M.
AU - Wiggins, Charles L.
AU - Key, Charles R.
AU - Samei, Jonathan M.
N1 - Funding Information:
Received for publication August 21, 1989, and in final form October 2, 1989. 1 Department of Medicine, University of New Mexico School of Medicine, Albuquerque, NM. 1Department of Family, Community, and Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM. JInterdepartmental Program in Epidemiology, University of New Mexico School of Medicine, Albuquerque, NM. 4 New Mexico Tumor Registry, University of New Mexico School of Medicine, Albuquerque, NM. * Department of Pathology, University of New Mexico School of Medicine, Albuquerque, NM. This investigation was supported by the Flinn Foundation and by contract NO1-CN-55426 from the Biometry Branch, National Cancer Institute.
PY - 1990/4
Y1 - 1990/4
N2 - The Manual of the International Classification of Diseases, Injuries, and Causes of Death includes the category, "symptoms, signs, and ill-defined conditions" for nonspecific causes of death. To determine whether this categorization of cause of death is commonly applied to New Mexico's minority populations, the authors examined state vital records data for 1958-1982. Age-specific and age-adjusted death rates were calculated by 5-year Intervals for Hispanics, American Indians, and non-Hispanic whites. Death rates attributed to symptoms, signs, and ill-defined conditions in all three major ethnic groups in New Mexico far exceeded the national rate for whites. For males in the perIod 1978-1982, American Indians had the highest rates (115.6 per 100,000 males), followed by Hispanics (58.3 per 100,000 males), and non-Hispanic whites (49.2 per 100,000 males); the national rates were 41.3 and 13.1 per 100,000 males for blacks and whites, respectively. Comparable differences were observed among females. The authors suggest that the death rate for deaths attributed to symptoms, signs, and ill-defined conditions may be a potential indicator of access to and use of health services and that the categorization may strongly affect cause-specific death rates in minority populations.
AB - The Manual of the International Classification of Diseases, Injuries, and Causes of Death includes the category, "symptoms, signs, and ill-defined conditions" for nonspecific causes of death. To determine whether this categorization of cause of death is commonly applied to New Mexico's minority populations, the authors examined state vital records data for 1958-1982. Age-specific and age-adjusted death rates were calculated by 5-year Intervals for Hispanics, American Indians, and non-Hispanic whites. Death rates attributed to symptoms, signs, and ill-defined conditions in all three major ethnic groups in New Mexico far exceeded the national rate for whites. For males in the perIod 1978-1982, American Indians had the highest rates (115.6 per 100,000 males), followed by Hispanics (58.3 per 100,000 males), and non-Hispanic whites (49.2 per 100,000 males); the national rates were 41.3 and 13.1 per 100,000 males for blacks and whites, respectively. Comparable differences were observed among females. The authors suggest that the death rate for deaths attributed to symptoms, signs, and ill-defined conditions may be a potential indicator of access to and use of health services and that the categorization may strongly affect cause-specific death rates in minority populations.
KW - Cross-cultural comparison
KW - Hispanic Americans
KW - Indians
KW - Mortality
KW - North American
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U2 - 10.1093/oxfordjournals.aje.a115550
DO - 10.1093/oxfordjournals.aje.a115550
M3 - Article
C2 - 2316498
AN - SCOPUS:0025257414
SN - 0002-9262
VL - 131
SP - 664
EP - 668
JO - American Journal of Epidemiology
JF - American Journal of Epidemiology
IS - 4
ER -