Questions:
4. Some ethnic groups appear to have resistance to diseases that are
common to others. It is important to consider the risk factors in complex
or difficult patient diagnoses. Which of the groups listed below have
the lowest overall age-adjusted death rates from all causes?
a) White Americans
b) Chinese Americans, and Korean Americans
c) Mexican Americans, Korean Americans, and American Indians
d) Japanese Americans, Chinese Americans, and Filipino Americans
.....(Source: Core Curriculum in Ethnogeriatrics,
a publication of the Stanford Geriatric Education Center, page 10-11)..Death
rates among different ethnic groups
varies related to different causes. A difference called 'excess mortality' is
determined by "the difference between the number of deaths actually observed
in the minority population and number of deaths that would have occurred in that
group if both minority and non-minority populations had the same age- and sex-specific
death rates."
If you selected a)White Americans
.....While White Americans have lower death rates than some ethnic groups,
this is not the correct answer.
Return to Question 4 and consider another option.
If you selected b) Chinese Americans, and Korean
Americans
Part of this answer is correct. Hmmm, which part?
Return to Question 4 and consider another option.
If you selected c)Mexican Americans, Korean
Americans, and American Indians
.....Two of these populations share a high number of excess mortality
percentages. Mexican Americans have excess mortality from certain types
of cancer and from diabetes. Korean Americans have few excess mortality
issues. American Indians have excess mortality in tuberculosis, diabetes,
pneumonia, and cirrhosis.
Return to Question 4 and consider another option.
If you selected d)Japanese Americans, Chinese
Americans, and Filipino Americans
Right answer! Japanese Americans, Chinese Americans, and Filipino Americans
have lower age-adjusted death rates from all causes than Whites, Blacks,
Hispanics, Koreans, or American Indians.
Proceed to Question 5.

