L Rosero-Bixby
Biographic Data
| ID | 2928 |
|---|---|
| NAME | L Rosero-Bixby |
| GIVEN NAMES | L |
| FAMILY NAME | Rosero-Bixby |
| SIGNATURE | ROSERO-BIXBY L |
| AFFILIATIONS | Universidad de Costa Rica |
| ORCID | 0000-0002-3063-3111 |
| VERIFIED | Yes |
| TOTAL WORKS | 49 |
| TOTAL CITATIONS | 241 |
| AUTHOR COUNT | 49 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1981 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 9 |
Social Connections, Leukocyte Telomere Length, and All-Cause Mortality in Older Adults From Costa Rica
Objectives To examine the association of social connections with blood leukocyte telomere length (LTL) and all-cause mortality in older Costa Ricans. Methods Utilizing data from the Costa Rican Longevity and Healthy Aging Study (CRELES), a prospective cohort of 2827 individuals aged 60 and above followed since 2004, we constructed a Social Network Index (SNI) based on marital status, household size, interaction with non-cohabitating adult childre…
The Covid-19 pandemic and fertility decline in Costa Rica
Using microdata from the administrative birth registry maintained by the electoral authority of Costa Rica, this paper aims to address the knowledge gap concerning childbearing during the COVID-19 pandemic in the context of rapid fertility decline since before the pandemic, as compared to the scenario in the highly developed countries. Monthly fertility rates for the period between 2018 and 2022 were estimated. The outcome of interest was a year-…
The vanishing advantage of longevity in Nicoya, Costa Rica
BACKGROUND \nThe Nicoya region in Costa Rica has been identified as one of a handful of hotspots of \nextreme longevity. The evidence supporting this status comes mostly from observing the \n1990 and 2000 decades and cohorts born before 1930. \nOBJECTIVE \nTo determine how the longevity advantage of older men in Nicoya has progressed in the \nperiod 1990 to 2020 and in cohorts born from 1900 to 1950. \nMETHODS \nRemaining length of life and adult…
Helicobacter pylori infection and serum pepsinogen concentrations in an elderly population representative of Costa Rica
INTRODUCTION: Costa Rica has among the highest mortality rates from gastric cancer in the world, largely due to late detection. It is therefore important that economically and logistically sustainable screening is implemented in order to detect risk of developing cancer. We have previously shown that low pepsinogen (PG) values and infection with Helicobacter pylori-CagA+ are associated with risk of gastric atrophy and cancer in Costa Rican popula…
Life-course BMI and biomarkers in persons aged 60 years or older
Objective There is a large literature linking current BMI to levels of cardiovascular risk biomarkers, but it is unknown whether measures of BMI earlier in the life course and maximum BMI are predictive of current levels of biomarkers. The objective of the current study was to determine how current, maximum and age-25 BMI among individuals over the age of 60 years are associated with their current levels of cardiovascular risk biomarkers. Design …
Diabetes epidemics
Diabetes is a major cause of morbidity and mortality and represents a source of demands on already constrained healthcare systems in Latin America and the Caribbean. We estimate inequalities in diabetes incidence, prevalence and mortality and assess the economic burden on the healthcare system in Costa Rica. The main source of data is the Costa Rican Longevity and Healthy Aging Study, a longitudinal nationally representative survey of the elderly…
Amerindian ancestry and extended longevity in Nicoya, Costa Rica
OBJECTIVES: The aim of this study was to address the hypothesis that Amerindian ancestry is associated with extended longevity in the admixed population of Nicoya, Costa Rica. The Nicoya Peninsula of Costa Rica has been considered a "longevity island," particularly for males. METHODS: We estimated Amerindian ancestry using 464 ancestral informative markers in 20 old Nicoyans aged ≥99 years, and 20 younger Nicoyans (60-65 years). We used logistic …
High life expectancy and reversed socioeconomic gradients of elderly people in Mexico and Costa Rica
BACKGROUND: Some existing estimates suggest, controversially, that life expectancy at age 60 (LE60) of Latin American males is exceptionally high. Knowledge of adult mortality in Latin America is often based on unreliable statistics or indirect demographic methods. OBJECTIVES: This study aimed to gather direct estimates of mortality at older ages in two Latin American countries (Mexico and Costa Rica) using recent longitudinal surveys and to dete…
Education Gains Attributable to Fertility Decline
We investigate the heterogeneity across countries and time in the relationship between mother’s fertility and children’s educational attainment—the quantity-quality (Q-Q) trade-off—by using census data from 17 countries in Asia and Latin America, with data from each country spanning multiple census years. For each country-year, we estimate micro-level instrumental variables models predicting secondary school attainment using number of siblings of…
La situación demográfica en Costa Rica
El presente documento estudia la población de Costa Rica en tanto que conjunto de individuos sujetos a evolución, ciyos componentes fundamentales son la mortalidad y la fecundidad. El estudio centra su atención en el cambio ocurrido en estas dos variables, ocupándose especialmente de la evolición de causas de muerte y, en el caso de la evolución de las causa de muerte y , en el caso de la fecundidad, de la etapas de la formación de la familia, de…
Effects of Self-Rated Health and Self-Rated Economic Situation on Depressed Mood Via Life Satisfaction Among Older Adults in Costa Rica
This study suggests that subjective variables such as self-rated health, economic situation, and life satisfaction should be considered when addressing the onset of depressed mood
Tablas de vida para cálculo actuarial de rentas vitalicias y retiro programado. Costa Rica circa 2000
Se presentan las tablas completas de mortalidad de Costa Rica del periodo 1995- 2000 y se describe el procedimiento seguido en su estimación. Este procedimiento incluye una evaluación detallada de la información básica, especialmente de los errores censales de declaración de la edad entre los adultos mayores. Predominan los errores de exageración de la edad, los cuales inflan la población de edades avanzadas, especialmente de los 80 años en adela…
Seasonal variation of peripheral blood leukocyte telomere length in Costa Rica
There are two possible explanations of our findings. First, there could be relatively rapid month-to-month changes in LTL. This conclusion would have implications for understanding the natural population dynamics of telomere length. Second, there could be seasonal differences in constituent cell populations. This conclusion would suggest that future studies of LTL use methods to account for the potential impact of constituent cell type
The declining effect of sibling size on children's education in Costa Rica
Costa Rica experienced a dramatic fertility decline in the 1960s and 1970s. The same period saw substantial improvement in childrenâ s educational attainment in Costa Rica. This correlation is consistent with household-level quantity-quality tradeoffs, but
Self-Reported Versus Performance-Based Measures of Physical Function
Although previous studies have indicated that performance assessments strongly predict future survival, few have evaluated the incremental value in the presence of controls for self-reported activity and mobility limitations
Long-term association of economic inequality and mortality in adult Costa Ricans
Estimation indirecte du nombre d'immigrés en Espagne à partir des taux de fécondité et des naissances
Cet article propose une méthode indirecte pour valider les décomptes du nombre d'immigrés en Espagne établis à partir des registres municipaux de population, qui pourraient surestimer le nombre d'immigrés du fait de doubles enregistrements et de défauts de radiation en cas de départ du pays. La méthode proposée utilise deux types d'informations?: le nombre de naissances issues d'immigrés et leurs taux de fécondité. Les statistiques de naissances …
Prefacio
La población de Costa Rica, América Latina y el mundo está envejeciendo rápidamente. El número de personas adultas mayores de 60 años en Costa Rica explotará de trescientas mil en el censo de 2000 a dos millones en el 2060. Y la explosión de los súper ancianos será incluso más espectacular, ya que el número de nonagenarios (personas de 90 años y más) se multiplicará más de 20 veces en el mismo periodo, pasando de seis mil a ciento cuarenta mil. E…
Estimating the Number of Immigrants in Spain
Cet article propose une méthode indirecte pour valider les décomptes du nombre d’immigrés en Espagne établis à partir des registres municipaux de population, qui pourraient surestimer le nombre d’immigrés du fait de doubles enregistrements et de défauts de radiation en cas de départ du pays. La méthode proposée utilise deux types d’informations : le nombre de naissances issues d’immigrés et leurs taux de fécondité. Les statistiques de naissances …
Maternidades y fronteras. La fecundidad de las mujeres inmigrantes en España
Este artículo tiene como objetivo examinar los patrones reproductivos de la población inmigrante y evaluar en qué medida difieren de los de la población española, utilizando las biografías migratorias y reproductivas de la Encuesta Nacional de Inmigrantes 2007. Los resultados muestran que la fecundidad de las mujeres inmigrantes difiere poco en su nivel —aunque bastante en su calendario— de la de las españolas, excepto en el caso de las africanas…
Do biological measures mediate the relationship between education and health
Generational Transfers and Population Aging in Latin America
Estudio longitudinal de mortalidad de adultos costarricenses 1984-2007
We describe the procedures and show some results of the "longitudinal mortality study of Costa Rican adults 1984-2007" (ELMAC), which consists of a sample of about 20,000 Costa Ricans aged 30 years or more from the 1984 population census and a follow up of their survival status to December 2007. The National Institute of Censuses and Statistics (INEC) digitized the names from the census questionnaire for the individuals in the sample. Computer pr…
Stressors Over the Life Course and Neuroendocrine System Dysregulation in Costa Rica
More work is needed, in order to establish the connection between stressors experienced over the life course and resting levels of the neuroendocrine markers
Differences in the association of cardiovascular risk factors with education
BACKGROUND: Despite different levels of economic development, Costa Rica and the USA have similar mortalities among adults. However, in the USA there are substantial differences in mortality by educational attainment, and in Costa Rica there are only minor differences. This contrast motivates an examination of behavioural and biological correlates underlying this difference. METHODS: The authors used data on adults aged 60 and above from the Cost…
Spatial access to health care in Costa Rica and its equity
Modelling Diffusion Effects in Fertility Transition
Mathematical models bind theory to precise formulations, and by doing so accentuate logical inconsistences in theories and facilitate their testing. In this article we explore the implications of simple mathematical models of fertility transition that contain social interaction diffusion effects. We put forward the hypothesis that diffusion effects act as a third type of causal agent of fertility transition, above and beyond the traditionally stu…
Is Latin America starting to retreat from early and universal childbearing
The 2000 censuses show that the proportion of women below age 30 who are mothers has dropped substantially in most Latin America countries, suggesting that the social imperative of early motherhood, which has long prevailed in the region, is weakening
Maternidades y fronteras. La fecundidad de las mujeres inmigrantes en España
Este artículo tiene como objetivo examinar los patrones reproductivos de la población inmigrante y evaluar en qué medida difieren de los de la población española, utilizando las biografías migratorias y reproductivas de la Encuesta Nacional de Inmigrantes 2007. Los resultados muestran que la fecundidad de las mujeres inmigrantes difiere poco en su nivel —aunque bastante en su calendario— de la de las españolas, excepto en el caso de las africanas…
Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults
Negative modern behaviors among high-SES groups may be reversing cardiovascular risks across SES groups, hence reversing mortality risks. But negative SES gradients in healthy years of life persist
Infant Mortality in Costa Rica
Costa Rica has undergone a dramatic reduction in its infant mortality rate from 68 per 1,000 live births in 1970 to 20 per 1,000 in 1980. In the present study, changes during this century, mortality differentials, and causes of death are analyzed, and multiple regression techniques are used to identify the determinants of the decline in Costa Rica's 79 cantons (counties). Although socioeconomic development and greatly reduced fertility contribute…
Interaction Diffusion and Fertility Transition in Costa Rica
Journal Article Interaction Diffusion and Fertility Transition in Costa Rica Get access Luis Rosero-Bixby, Luis Rosero-Bixby Princeton University and Universidad de Costa Rica Direct correspondence to L. Rosero-Bixby, Apartado 833-2050, San Pedro, Costa Rica. Search for other works by this author on: Oxford Academic Google Scholar John B. Casterline John B. Casterline Brown University Search for other works by this author on: Oxford Academic Goog…
Do biological measures mediate the relationship between education and health
Population and Deforestation in Costa Rica
The exceptionally high life expectancy of Costa Rican nonagenarians
Robust data from a voter registry show that Costa Rican nonagenarians have an exceptionally high live expectancy. Mortality at age 90 in Costa Rica is at least 14% lower than an average of 13 high-income countries. This advantage increases with age by 1% per year. Males have an additional 12% advantage. Age-90 life expectancy for males is 4.4 years, one-half year more than any other country in the world. These estimates do not use problematic dat…
A new look at the determinants of nonnumeric response to desired family size
Artículo científico -- universidad de Costa Rica, Instituto de Investigaciones en Salud.1993. Debido a las políticas de publicación de la revista no es posible distribuir la versión del editor/PDF
High life expectancy and reversed socioeconomic gradients of elderly people in Mexico and Costa Rica
BACKGROUND: Some existing estimates suggest, controversially, that life expectancy at age 60 (LE60) of Latin American males is exceptionally high. Knowledge of adult mortality in Latin America is often based on unreliable statistics or indirect demographic methods. OBJECTIVES: This study aimed to gather direct estimates of mortality at older ages in two Latin American countries (Mexico and Costa Rica) using recent longitudinal surveys and to dete…
Education Gains Attributable to Fertility Decline
We investigate the heterogeneity across countries and time in the relationship between mother’s fertility and children’s educational attainment—the quantity-quality (Q-Q) trade-off—by using census data from 17 countries in Asia and Latin America, with data from each country spanning multiple census years. For each country-year, we estimate micro-level instrumental variables models predicting secondary school attainment using number of siblings of…
Differences in the association of cardiovascular risk factors with education
BACKGROUND: Despite different levels of economic development, Costa Rica and the USA have similar mortalities among adults. However, in the USA there are substantial differences in mortality by educational attainment, and in Costa Rica there are only minor differences. This contrast motivates an examination of behavioural and biological correlates underlying this difference. METHODS: The authors used data on adults aged 60 and above from the Cost…
Long-term association of economic inequality and mortality in adult Costa Ricans
Estimating the Number of Immigrants in Spain
Cet article propose une méthode indirecte pour valider les décomptes du nombre d’immigrés en Espagne établis à partir des registres municipaux de population, qui pourraient surestimer le nombre d’immigrés du fait de doubles enregistrements et de défauts de radiation en cas de départ du pays. La méthode proposée utilise deux types d’informations : le nombre de naissances issues d’immigrés et leurs taux de fécondité. Les statistiques de naissances …
Effects of Self-Rated Health and Self-Rated Economic Situation on Depressed Mood Via Life Satisfaction Among Older Adults in Costa Rica
This study suggests that subjective variables such as self-rated health, economic situation, and life satisfaction should be considered when addressing the onset of depressed mood
The declining effect of sibling size on children's education in Costa Rica
Costa Rica experienced a dramatic fertility decline in the 1960s and 1970s. The same period saw substantial improvement in childrenâ s educational attainment in Costa Rica. This correlation is consistent with household-level quantity-quality tradeoffs, but
Self-Reported Versus Performance-Based Measures of Physical Function
Although previous studies have indicated that performance assessments strongly predict future survival, few have evaluated the incremental value in the presence of controls for self-reported activity and mobility limitations
Generational Transfers and Population Aging in Latin America
Stressors Over the Life Course and Neuroendocrine System Dysregulation in Costa Rica
More work is needed, in order to establish the connection between stressors experienced over the life course and resting levels of the neuroendocrine markers
The Covid-19 pandemic and fertility decline in Costa Rica
Using microdata from the administrative birth registry maintained by the electoral authority of Costa Rica, this paper aims to address the knowledge gap concerning childbearing during the COVID-19 pandemic in the context of rapid fertility decline since before the pandemic, as compared to the scenario in the highly developed countries. Monthly fertility rates for the period between 2018 and 2022 were estimated. The outcome of interest was a year-…
Diabetes epidemics
Diabetes is a major cause of morbidity and mortality and represents a source of demands on already constrained healthcare systems in Latin America and the Caribbean. We estimate inequalities in diabetes incidence, prevalence and mortality and assess the economic burden on the healthcare system in Costa Rica. The main source of data is the Costa Rican Longevity and Healthy Aging Study, a longitudinal nationally representative survey of the elderly…
Estimation indirecte du nombre d'immigrés en Espagne à partir des taux de fécondité et des naissances
Cet article propose une méthode indirecte pour valider les décomptes du nombre d'immigrés en Espagne établis à partir des registres municipaux de population, qui pourraient surestimer le nombre d'immigrés du fait de doubles enregistrements et de défauts de radiation en cas de départ du pays. La méthode proposée utilise deux types d'informations?: le nombre de naissances issues d'immigrés et leurs taux de fécondité. Les statistiques de naissances …
Differentials by Socioeconomic Status and Institutional Characteristics in Preventive Service Utilization by Older Persons in Costa Rica
Objective.The goals of this article are to assess the level of preventive service utilization by older persons in Costa Rica and to determine whether there are differentials in utilization across socioeconomic status (SES) and institutional characteristics. Method. Using data from the Costa Rican Study on Longevity and Healthy Aging (CRELES) project, a study of healthy aging in Costa Rica, the authors use self-reported information on preventive s…
Dinámica demográfica, planificación familiar y política de población en Costa Rica
Las peculiares características demográficas de Costa Rica, entre las que se destaca la espectacular reducción de su fecundidad, han dado lugar a que los demógrafos estudien con interés el caso de este pequeño país centro americano, conocido internacionalmente por su institucionalidad democrática, excepcional en la América Latina, y por no disponer de ejército.Frente a estos hechos, en las páginas siguientes se intenta ofrecer una somera visión de…
Infant Mortality in Costa Rica
Costa Rica has undergone a dramatic reduction in its infant mortality rate from 68 per 1,000 live births in 1970 to 20 per 1,000 in 1980. In the present study, changes during this century, mortality differentials, and causes of death are analyzed, and multiple regression techniques are used to identify the determinants of the decline in Costa Rica's 79 cantons (counties). Although socioeconomic development and greatly reduced fertility contribute…
Fertility change in Costa Rica 1960–84
Lifetime reproductive histories of a 1984–85 nationally representative sample of 870 women aged 25–59 years provided data to describe the evolution of fertility, contraception, breast-feeding, and natural fecundability in Costa Rica between 1960 and 1984. The contraceptive prevalence rate increased from 23% in 1965 to 58% in 1975 and 66% in 1984. Duration of breast-feeding was stable during the 1960s, decreased in the early 1970s, and increased a…
Monitoring a primary health care programme with lot quality assurance sampling
The Lot Quality Assurance Sampling (LOAS) method was developed in industry to determine at reasonable cost whether each lot of a shipment is acceptable, based on samples of a few elements from the lot. Acting as inspectors of quality control, the field supervisors of the Costa Rican primary health care programme used the LOAS technique to assess performance in all of the programme's 758 delivery points (lots). They selected probability samples of…
A new look at the determinants of nonnumeric response to desired family size
Artículo científico -- universidad de Costa Rica, Instituto de Investigaciones en Salud.1993. Debido a las políticas de publicación de la revista no es posible distribuir la versión del editor/PDF
Modelling Diffusion Effects in Fertility Transition
Mathematical models bind theory to precise formulations, and by doing so accentuate logical inconsistences in theories and facilitate their testing. In this article we explore the implications of simple mathematical models of fertility transition that contain social interaction diffusion effects. We put forward the hypothesis that diffusion effects act as a third type of causal agent of fertility transition, above and beyond the traditionally stu…
Interaction Diffusion and Fertility Transition in Costa Rica
Journal Article Interaction Diffusion and Fertility Transition in Costa Rica Get access Luis Rosero-Bixby, Luis Rosero-Bixby Princeton University and Universidad de Costa Rica Direct correspondence to L. Rosero-Bixby, Apartado 833-2050, San Pedro, Costa Rica. Search for other works by this author on: Oxford Academic Google Scholar John B. Casterline John B. Casterline Brown University Search for other works by this author on: Oxford Academic Goog…
Assessing and Interpreting Birth Spacing Goals in Costa Rica
A procedure for assessing birth spacing goals, an important component of fertility preferences, is proposed and applied to 1993 Costa Rican data. Based on a reverse or backward survival analysis, preferred birth intervals are estimated to range between 3·5 and 4·5 years (1·5 years for the interval union to first birth). These intervals are 2 or 3 years shorter than crude estimates from data on open or last closed intervals, which are upwardly bia…
Population and Deforestation in Costa Rica
Evaluación del impacto de la reforma del sector de la salud en Costa Rica mediante un estudio cuasiexperimental
Health sector reform significantly reduced mortality in Costa Rica and put an end to a decade of stagnation, as shown by certain health indicators, such as life expectancy. Equity in access to primary care improved considerably, perhaps because the first reforms were implemented in less developed areas of the country
Spatial access to health care in Costa Rica and its equity
Insurance and Other Socioeconomic Determinants of Elderly Longevity in a Costa Rican Panel
Official figures show that life expectancy in Costa Rica is longer than in the United States (US), in spite of the fact that per capita health expenditure is only one-tenth that of the US. To check whether this is for real and to explore some of its determinants, 900 Costa Ricans aged 60+ were followed from 1984 to 2001. Follow-up household visits were made, deaths were tracked in the national death registry, and survival status in the voting reg…
Mejora de la calidad y disminución de costos de censos y encuestas utilizando computadores de mano (PDA). Una aplicación en Costa Rica
Los datos sobre la población en países en desarrollo se obtienen principalmente de las visitas a los hogares. Ejércitos de entrevistadores recolectan esos datos usando cuestionarios en papel (PAPI, paper and pencil method), pero tal información se infesta de errores no aleatorios. La reciente tecnología de las entrevistas asistidas por computadora (CAPI) es un avance importante sobre PAPI en lo que respecta a reducción de errores y los tiempos de…
Red social y salud del adulto mayor en perspectiva comparada
En el presente trabajo se explora la relación entre la red social más próxima al adulto mayor, los vínculos establecidos con otros miembros del hogar y con los hijos, y las condiciones de salud en la vejez, desde una perspectiva internacional comparada. Para ello se cuenta con evidencias empíricas de una sociedad latinoamericana (costarricense), una sociedad latino-europea (española) y una sociedad anglosajona (británica). Los adultos mayores de …
Comparación de los resultados de pruebas de laboratorio seleccionadas de un estudio poblacional de adultos mayores de Costa Rica
Este artículo valora las diferencias en la medición entre laboratorios de siete biomarcadores de un estudio poblacional de adultos mayores en Costa Rica, denominado CRELES. Usa los datos de ensayos replicados en varios laboratorios para la misma muestra biológica. Encuentra una alta estabilidad (medida por el coeficiente de correlación) para casi todas las pruebas, sin embargo se observan diferencias significativas en los promedios entre laborato…
Prevalencia de hipertensión en adultos mayores de Costa Rica
Este artículo estima la prevalencia de hipertensión (controlada y con o sin diagnóstico previo) entre los adultos mayores costarricenses. Valora los problemas de medición y explora los factores asociados con la enfermedad. Se utilizan datos de una muestra nacional representativa del proyecto CRELES: Costa Rica: Estudio de Longevidad y Envejecimiento Saludable. Se realizaron dos mediciones de la presión arterial con monitores digitales a una muest…
Diabetes mellitus en adultos mayores costarricenses
El propósito del artículo es describir la prevalencia de la diabetes mellitus (DM) entre los adultos mayores costarricenses. Se analiza la magnitud de la prevalencia, los problemas de medición de la misma, así como los factores asociados con la enfermedad, la enfermedad controlada, y el tener niveles altos de hemoglobina glicosilada (HbA1C) entre la población sin diagnóstico previo de DM. Una cuarta parte de los adultos mayores de Costa Rica pade…
Tablas de mortalidad, jubilación e invalidez, Costa Rica 2000-2005
Se estimaron las tablas de vida de Costa Rica del período 2000-2005, detalladas por edades simples y hasta los 115 años de edad. Además, se comparó el patrón de mortalidad general con la de los derecho habientes a pensión dentro de los regímenes contributivos. También, se proyectó una tabla de vida para 2025-2030 y un modelo para estimar las probabilidades de muerte por edades simples, sexo y año calendario dentro del período 2006-2050. La compar…
Metabolic control in a nationally representative diabetic elderly sample in Costa Rica
BACKGROUND: Costa Rica, like other developing countries, is experiencing an increasing burden of chronic conditions such as diabetes mellitus (DM), especially among its elderly population. This article has two goals: (1) to assess the level of metabolic control among the diabetic population age >or= 60 years old in Costa Rica, and (2) to test whether diabetic elderly patients of community health centers differ from patients in other health care s…
Factors associated with hypertension prevalence, unawareness and treatment among Costa Rican elderly
Sex differences in terms of hypertension prevalence, unawareness, and treatment in elderly people have been found. Despite national programs for hypertension detection and education, unawareness of hypertension remains high, particularly among elderly men. Modifiable factors identified to be associated with prevalence such as obesity and alcohol intake could be used in educational programs aimed at the detection and treatment of those individuals…
The exceptionally high life expectancy of Costa Rican nonagenarians
Robust data from a voter registry show that Costa Rican nonagenarians have an exceptionally high live expectancy. Mortality at age 90 in Costa Rica is at least 14% lower than an average of 13 high-income countries. This advantage increases with age by 1% per year. Males have an additional 12% advantage. Age-90 life expectancy for males is 4.4 years, one-half year more than any other country in the world. These estimates do not use problematic dat…
Differentials by Socioeconomic Status and Institutional Characteristics in Preventive Service Utilization by Older Persons in Costa Rica
Objective.The goals of this article are to assess the level of preventive service utilization by older persons in Costa Rica and to determine whether there are differentials in utilization across socioeconomic status (SES) and institutional characteristics. Method. Using data from the Costa Rican Study on Longevity and Healthy Aging (CRELES) project, a study of healthy aging in Costa Rica, the authors use self-reported information on preventive s…
Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults
Negative modern behaviors among high-SES groups may be reversing cardiovascular risks across SES groups, hence reversing mortality risks. But negative SES gradients in healthy years of life persist
Is Latin America starting to retreat from early and universal childbearing
The 2000 censuses show that the proportion of women below age 30 who are mothers has dropped substantially in most Latin America countries, suggesting that the social imperative of early motherhood, which has long prevailed in the region, is weakening
Estudio longitudinal de mortalidad de adultos costarricenses 1984-2007
We describe the procedures and show some results of the "longitudinal mortality study of Costa Rican adults 1984-2007" (ELMAC), which consists of a sample of about 20,000 Costa Ricans aged 30 years or more from the 1984 population census and a follow up of their survival status to December 2007. The National Institute of Censuses and Statistics (INEC) digitized the names from the census questionnaire for the individuals in the sample. Computer pr…
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