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Differences in Heat-Related Mortality by Citizenship Status: United States, 2005-2014.


ABSTRACT: OBJECTIVES:To determine whether non-US citizens have a higher mortality risk of heat-related deaths than do US citizens. METHODS:We used place of residence reported in mortality data from the National Vital Statistics System from 2005 to 2014 as a proxy for citizenship to examine differences in heat-related deaths between non-US and US citizens. Estimates from the US Census Bureau American Community Survey of self-reported citizenship status and place of birth provided the numbers for the study population. We calculated the standardized mortality ratio and relative risk for heat-related deaths between non-US and US citizens nationally. RESULTS:Heat-related deaths accounted for 2.23% (n?=?999) of deaths among non-US citizens and 0.02% (n?=?4196) of deaths among US citizens. The age-adjusted standardized mortality ratio for non-US citizens compared with US citizens was 3.4 (95% confidence ratio [CI]?=?3.2, 3.6). This risk was higher for Hispanic non-US citizens (risk ratio [RR]?=?3.6; 95% CI?=?3.2, 3.9) and non-US citizens aged 18 to 24 years (RR?=?20.6; 95% CI?=?16.5, 25.7). CONCLUSIONS:We found an increased mortality risk among non-US citizens compared with US citizens for heat-related deaths, especially those younger and of Hispanic ethnicity.

SUBMITTER: Taylor EV 

PROVIDER: S-EPMC5920731 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Differences in Heat-Related Mortality by Citizenship Status: United States, 2005-2014.

Taylor Ethel V EV   Vaidyanathan Ambarish A   Flanders W Dana WD   Murphy Matthew M   Spencer Merianne M   Noe Rebecca S RS  

American journal of public health 20171026 S2


<h4>Objectives</h4>To determine whether non-US citizens have a higher mortality risk of heat-related deaths than do US citizens.<h4>Methods</h4>We used place of residence reported in mortality data from the National Vital Statistics System from 2005 to 2014 as a proxy for citizenship to examine differences in heat-related deaths between non-US and US citizens. Estimates from the US Census Bureau American Community Survey of self-reported citizenship status and place of birth provided the numbers  ...[more]

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