Sinai Urban Health Institute, 1500 S. California Ave, Chicago, IL 60608, USA.
Ethn Health. 2012;17(5):463-76. doi: 10.1080/13557858.2012.654769. Epub 2012 Jan 30.
Self-rated health (SRH) is a robust predictor of subsequent health and mortality. Although age, gender, and race differences in SRH have been explored, less work has examined ethnic differences, particularly in the US.
The current study uses representative data from six Chicago communities to compare levels and determinants of fair-poor health for Blacks, Whites, Mexicans, and Puerto Ricans (n=1311).
Mexicans and Puerto Ricans were at least three times more likely to report fair or poor health than Whites, while African-Americans were over twice as likely. In adjusted logistic regression models, only Mexicans remain significantly more likely to report fair-poor health than Whites (OR = 4.3, CI = 1.8-9.8). However, this effect disappears when controlling for acculturation. No variable predicted poor subjective health for all groups, though depression was associated with poor health for most.
Together, these analyses suggest that the single item measure of SRH might not be appropriate for comparing health status across members of different race/ethnic groups. More research is needed to understand what factors influence how an individual perceives his or her health.
自评健康（SRH）是后续健康和死亡率的有力预测指标。尽管已经探讨了年龄、性别和种族差异对 SRH 的影响，但对族裔差异的研究较少，特别是在美国。
本研究使用来自六个芝加哥社区的代表性数据，比较了黑人、白人、墨西哥裔和波多黎各裔（n=1311）的健康状况不佳的程度和决定因素。
墨西哥裔和波多黎各裔报告健康状况不佳的可能性至少是白人的三倍，而非裔美国人的可能性则是两倍多。在调整后的逻辑回归模型中，只有墨西哥裔报告健康状况不佳的可能性仍明显高于白人（OR=4.3，CI=1.8-9.8）。然而，当控制文化适应时，这种影响就消失了。没有变量可以预测所有群体的主观健康状况不佳，尽管抑郁与大多数人的健康状况不佳有关。
综上所述，这些分析表明，自评健康的单一项目测量可能不适用于比较不同种族/族裔群体成员的健康状况。需要进一步研究以了解哪些因素影响个体对自身健康的感知。
