Evidence map›Paper›PMID 41822657›Full record

ArticleCureus2026

The Resilience of the Hispanic Paradox: An Ecological Study of Cultural Density, Poverty, and Mortality in Florida (2020-2024).

Carlos Acosta-Batista, Dayan Rios-Alonso, Karina Verrier Maden, Rosemarie Morera Gomez, Mirelys Vidal Rodriguez

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carlos Acosta-BatistaResearch, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Dayan Rios-AlonsoInternal Medicine, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Karina Verrier MadenResearch, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Rosemarie Morera GomezResearch, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Mirelys Vidal RodriguezResearch, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe "Hispanic paradox" describes the observation that Hispanic communities may experience lower mortality rates than expected given socioeconomic disadvantage. This study aims to evaluate whether Hispanic cultural density is independently associated with lower all-cause mortality across Florida counties, after accounting for county-level poverty, rurality, and primary care workforce (PCW) density.

methodsWe conducted a cross-sectional ecological study across all 67 Florida counties. The primary outcome was age-adjusted all-cause mortality (per 100,000 persons) averaged over 2020-2024. Exposures included county-level poverty rate, Hispanic population density, rurality, and PCW density. We utilized both frequentist multiple linear regression and Bayesian model comparison to quantify the strength of evidence.

resultsThe mean county-level all-cause mortality rate was 868.8 deaths per 100,000. In the multivariable regression model (R

conclusionsIn Florida, county-level poverty is strongly associated with higher all-cause mortality. Independently, higher Hispanic population density is associated with lower mortality across counties after adjustment for key covariates. These ecological associations do not establish causality, but they are consistent with the hypothesis that cultural density may be linked to population-level resilience in the context of socioeconomic deprivation.

Indexed as

all-cause mortalityculture and social determinants of healthhealth inequitieshispanic or latinopoverty rate

Identifiers

PMID41822657
PMCPMC12978025

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.