On-Line
Training Modules

Questions:

4

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.