1. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 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

2. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Highlights Evaluation of Race and Hispanic Origin Reporting on the US Death Certificate The National Longitudinal Mortality Study Self Reported Race/Ethnicity vs. Proxy Reported Race/Ethnicity Future Applications Adjusted Death Rates Adjusted Life Expectancy Estimates

3. 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 The National Longitudinal Mortality Study 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 Deaths Occurring between 1979-1998 (~253,000) Provides Ability to Compare Race and Hispanic Origin Reported by an Individual While Alive to What Was Reported on their Death Certificate upon Death.

4. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Evaluation Technique Ratios of Race and Hispanic Origin self report to Race and Hispanic Origin proxy report 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) Example: Among all deceased individuals their self reported race and Hispanic Origin compared to what was reported on their death certificate upon death: White Ratio = CPS White / DC White Black Ratio = CPS Black / DC Black AIAN Ratio = CPS AIAN / DC AIAN API Ratio = CPS API / DC API

5. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Study Sample Characteristics NLMS March CPS files 1979-1998 linked to Mortality Data 1979-1998 Total Sample Size180,958 Sample Sizes by Major Race Categories: White160,117 Black 17,296 AIAN 1,347 API 1,900

6. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Study Sample Characteristics, Continued Sample Sizes by Hispanic Origin Mexican3,387 Puerto Rican 520 Cuban 581 Central/South American 237 Other Hispanic 1,209

7. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Factors Affecting Race and Hispanic Origin Reporting on the US Death Certificate Sex Age Nativity (US Born, Foreign Born) Rural/Urban Status Region of Residence

8. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios for Race Categories

9. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios for Hispanic Origin Categories

10. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Sex for Race Categories

11. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Sex for Hispanic Origin Categories

12. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Age for Race Categories

13. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Age for Race/Hispanic Origin Categories

14. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Age for Hispanic Origin Categories

15. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Nativity for Race Categories

16. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Nativity for Hispanic Origin Categories

17. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Urban/Rural Residence for Race Categories

18. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratio of Urban/Rural Status for Hispanic Origin Categories

19. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Region for Race Categories

20. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Ratios by Region for Hispanic Origin Categories

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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

27. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Future Applications Unadjusted and Adjusted Death Rates for Major Race Groups White 836.5 836.5 Black1,101.21,123.2 AIAN 686.7 968.3 API 492.1 561.0

28. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Future Applications Unadjusted and Adjusted Death Rates for Hispanic Origin Groups Total Hispanic658.7 816.8 Mexican645.9 859.1 Puerto Rican821.11,141.3 Cuban590.9 715.0

29. Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Future Applications Unadjusted and Adjusted Life Expectancy at Birth, 2002 AIAN Population 78.2 (unadjusted) 73.7 (adjusted)