Answer 1:
Wow, that's an excellent question. Not much is
written about this, possibly because race and
health care can be controversial and emotionally
charged issues. I'm not an epidemiologist (someone
who studies the causes and characteristics of
human diseases), but here's my understanding of
the situation.
I don't think that minority
children are more prone to Down's syndrome
because, as you say, the chromosomal abnormality
that causes the syndrome is random. So I
think a sort of "mis-observation" may be going on.
However, a number of factors contribute to what
kids you might encounter who have Down's syndrome,
and some of those factors might correlate very
strongly with race or other factors.
For example,
some racial groups might be more likely than
others to test for Down's syndrome during
pregnancy and abort fetuses that test positive for
Down's. Someone's religion or her access to
adequate health care might affect her decision to
abort a Down's fetus. Once a Down's baby is born,
her parents' economic situation might decide how
fully she is integrated into society--if she's
educated and well cared for at home, you might run
across her around town; if she ends up in some
sort of institution, however, you might never
encounter her. Also, Down's children from better
economic backgrounds (thus enjoying better health
care) probably live longer, so you're more likely
to encounter them than babies who die
young.
So, there might be some correlations
with race, but not direct correlations between
race and chromosomal abnormalities. More likely,
the correlations are between Down's and access to
health care or between Down's and economic
prosperity. Unfortunately, however,
Caucasians on average enjoy better health care and
greater economic prosperity than most minorities
do. That's probably at the root of your
observation.
I hope that helps. Keep up with the great
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