Agyemang Charles, Denktaş Semiha, Bruijnzeels Marc, Foets Marleen
Institute of Health Policy and Management, Erasmus Medical Centre, Rotterdam, The Netherlands.
Public Health. 2006 Jun;120(6):543-50. doi: 10.1016/j.puhe.2006.03.002. Epub 2006 May 8.
The single-item question on self-rated health has been used in many studies as a global measure of general health. It is unclear whether ethnic minority groups in the Netherlands attach the same meaning to the single-item question as the native Dutch people do.
To assess the validity of using the single-item question on self-rated health in comparing health status in native Dutch with first generation Turkish and Moroccan ethnic groups in the Netherlands.
The associations between self-reported chronic illnesses and self-rated health were used to examine convergent validity, and self-rated health and health care use for predictive validity using logistic regression analysis.
In general, chronic illnesses were associated with fair health and poor health ratings in all the ethnic groups but there were important differences in associations between the groups. There were significant interactions between ethnicity and chronic illnesses on fair health, and poor health, independent of socio-demographical factors. There was also significant interaction between ethnicity and self-rated health on health care uses. These findings indicate that the meaning(s) attached to the single-item question differ between these ethnic groups.
The study findings suggest that the use of the single-item question on self-rated health to compare native Dutch with the first generation Turkish and Moroccan ethnic groups is not valid. These findings imply that researchers need to be cautious about the interpretation of self-rated health ratings when comparing different ethnic groups. A qualitative research is needed to find out more about how these single-item ratings are being interpreted by Turkish and Moroccan elderly in the Netherlands.
在许多研究中，自评健康单项问题被用作总体健康状况的一项综合指标。目前尚不清楚荷兰的少数族裔群体对该单项问题的理解是否与荷兰本土居民相同。
评估在比较荷兰本土居民与第一代土耳其和摩洛哥族裔群体的健康状况时，使用自评健康单项问题的有效性。
采用自我报告的慢性病与自评健康之间的关联来检验聚合效度，并使用逻辑回归分析自评健康与医疗保健利用情况以检验预测效度。
总体而言，所有族裔群体中慢性病都与健康状况一般及健康评级较差相关，但不同群体之间的关联存在重要差异。在不考虑社会人口统计学因素的情况下，种族与慢性病在健康状况一般和较差方面存在显著交互作用。在医疗保健利用方面，种族与自评健康之间也存在显著交互作用。这些发现表明这些族裔群体对单项问题的理解存在差异。
研究结果表明，使用自评健康单项问题来比较荷兰本土居民与第一代土耳其和摩洛哥族裔群体是无效的。这些发现意味着研究人员在比较不同族裔群体时，需要谨慎解释自评健康评级。需要进行定性研究，以进一步了解荷兰的土耳其和摩洛哥老年人如何解读这些单项评级。
