Lubetkin Erica I, Jia Haomiao, Gold Marthe R
Department of Community Health and Social Medicine, CUNY Medical School, New York, NY 10031, USA.
Med Care. 2003 Apr;41(4):447-57. doi: 10.1097/01.MLR.0000053225.82437.41.
Measures of health status have been increasingly utilized but most research in the United States has been conducted on middle-class, English-speaking white persons. Although Asians reportedly often have a better health status than white persons, previously surveyed samples may not be representative of low-income non-English-speaking Asian immigrant populations.
This cross-sectional study surveyed a convenience sample of low-income Chinese patients attending a community health center in Chinatown (New York City). We sought to evaluate the known-groups validity of self-administered Chinese and English versions of the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) and to determine if scores differed from a community-based sample of Chinese Americans and the United States general population.
Eight hundred fifty-six persons were approached and data were obtained from 523 participants (61%); 90% completed the questionnaire in Chinese and 74% earned less than 15,000 US dollars. Known-group comparisons based upon differences in age, gender, and number of medical problems yielded support for the validity of the SF-36 in this sample. The sample's SF-36 subscale scores were lower than scores from the community-based sample of Chinese Americans and tended to be lower than scores from the United States general population. Mean scores were lowest for persons reporting depression, anxiety, or an emotional problem.
The SF-36 demonstrated known-groups validity in this low-income Chinese sample. Collecting data in the primary care setting enables both a better understanding of the relative burden of disease in low-income Chinese and targeted program planning for preventive interventions.
健康状况指标的使用日益广泛，但美国的大多数研究都是针对中产阶级、讲英语的白人进行的。尽管据报道亚洲人的健康状况通常优于白人，但之前调查的样本可能无法代表低收入、非英语的亚洲移民群体。
这项横断面研究对纽约市唐人街一家社区健康中心的低收入中国患者便利样本进行了调查。我们试图评估自行填写的中文版和英文版医学结局研究（MOS）36项简短健康调查（SF-36）的已知群体效度，并确定得分是否与华裔美国人社区样本和美国普通人群不同。
共接触了856人，从523名参与者（61%）那里获得了数据；90%的人用中文完成了问卷，74%的人年收入低于15000美元。基于年龄、性别和医疗问题数量差异的已知群体比较支持了SF-36在该样本中的效度。该样本的SF-36分量表得分低于华裔美国人社区样本的得分，且往往低于美国普通人群的得分。报告有抑郁、焦虑或情绪问题的人的平均得分最低。
SF-36在这个低收入中国样本中显示出已知群体效度。在初级保健环境中收集数据有助于更好地了解低收入中国人的相对疾病负担，并为预防性干预措施进行有针对性的项目规划。
