83
          
        
        
          
            Conclusions
          
        
        
          The Mexican-origin population, including both immi-
        
        
          grants and people of Mexican descent, until recently
        
        
          had the highest fertility rates of all population groups
        
        
          observed in this study. The decrease is such and so
        
        
          fast than in the last 10 years, and Central and South
        
        
          Americans have higher fertility rates only slightly abo-
        
        
          ve that of non-HispanicAfricanAmericans.
        
        
          Changes in the pattern of fertility of women of
        
        
          Mexican originmean that the social and cultural con-
        
        
          texts inwhich theyoperatearechanging, sincewomen
        
        
          are reducing their number of children and have their
        
        
          first pregnancy at older ages (though still earlier than
        
        
          non-Hispanicwhitewomen). This suggests that fami-
        
        
          liesmaybeable todevotemore resources to theedu-
        
        
          cation and upbringing of each child. This in turn could
        
        
          becontributing toan improvement in thehealthcondi-
        
        
          tions of children and could predict better adult health
        
        
          in the comingyears.
        
        
          While Hispanics have the longest life expectan-
        
        
          cy and overall lowest death rates, they experience a
        
        
          substantial disadvantage in their mortality due to dia-
        
        
          betes.Moreover, given risk factors and reduced access
        
        
          to health care, it is important to address these issues
        
        
          throughcampaignsof care, promotinghealthanddiag-
        
        
          nosis, in addition to advocating for better social inte-
        
        
          grationof theHispanicpopulation in theUnitedStates.
        
        
          
            chapter iv •
          
        
        
          
            fertility and mortality among the hispanic population