Wilkinson Anna V, Hernández-Valero Maria A, Etzel Carol J, Barcenas Carlos H, Spitz Margaret R, Bondy Melissa L, Strom Sara S
Department of Epidemiology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Hisp J Behav Sci. 2006 Feb;28(1):127-142. doi: 10.1177/0739986305283221.
Self-rated health (SRH), a consistent predictor of mortality among diverse populations, is sensitive to health indicators and social factors. American-born Hispanics report better SRH than their foreign-born counterparts but simultaneously report poorer health indicators and have shorter life expectancy. Using a matched prospective cross-sectional design, we analyzed data from 631 age-matched pairs of women, born in the United States or Mexico, enrolled in a cohort study based in Houston, Texas. Our first goal was to describe the relationships between SRH and health behaviors, physician-diagnosed chronic conditions, acculturation, and socioeconomic status (SES) by birthplace. Our second goal was to investigate the relative influence of SES, acculturation, health behaviors, and physician-diagnosed conditions in explaining expected differences in SRH between the two groups. Number of chronic conditions reported, particularly depression, more strongly influenced SRH than SES, acculturation, or reported health risk behaviors and the influence of birthplace is accounted for by these factors.
自评健康状况（SRH）是不同人群死亡率的一致预测指标，对健康指标和社会因素敏感。在美国出生的西班牙裔报告的自评健康状况比在国外出生的同行更好，但同时报告的健康指标较差，预期寿命较短。采用匹配的前瞻性横断面设计，我们分析了来自631对年龄匹配的女性的数据，这些女性出生在美国或墨西哥，参加了一项位于得克萨斯州休斯顿的队列研究。我们的首要目标是按出生地描述自评健康状况与健康行为、医生诊断的慢性病、文化适应和社会经济地位（SES）之间的关系。我们的第二个目标是调查社会经济地位、文化适应、健康行为和医生诊断的疾病在解释两组之间自评健康状况预期差异方面的相对影响。报告的慢性病数量，尤其是抑郁症，比社会经济地位、文化适应或报告的健康风险行为对自评健康状况的影响更大，而出生地的影响可由这些因素解释。
