Aday L A, Chiu G Y, Andersen R
Am J Public Health. 1980 Apr;70(4):367-74. doi: 10.2105/ajph.70.4.367.
This paper examines national survey data on access to medical care to explore methodological issues associated with conducting health care surveys of Spanish-heritage persons. These include problems of identifying and sampling such groups, achieving respondent cooperation, designing valid interview protocols, and controlling biases that may result from the cultural specificity of the concepts being studied. The findings suggest that more attention should be given to the following in designing health care surveys of Spanish-heritage individuals: cultural and economic heterogeneity of "Spanish-heritage" grouping, validity studies of health care utilization, and yea-saying tendencies related to health care attitude items. Given that there is a paucity of information available on methodological problems associated with health care surveys of Spanish-heritage persons, these analyses should serve to inform researchers of issues to be taken into account in designing such studies and to suggest useful hypotheses to explore in evaluating the validity of social survey data on minority (especially non-English speaking) populations' health care practices.
本文研究了关于医疗服务可及性的全国调查数据，以探讨与对西班牙裔人群进行医疗保健调查相关的方法学问题。这些问题包括识别和抽样此类群体、获得受访者合作、设计有效的访谈方案，以及控制因所研究概念的文化特异性可能导致的偏差。研究结果表明，在设计针对西班牙裔个体的医疗保健调查时，应更多关注以下方面：“西班牙裔”群体的文化和经济异质性、医疗服务利用的效度研究，以及与医疗保健态度项目相关的肯定倾向。鉴于关于西班牙裔人群医疗保健调查相关方法学问题的可用信息匮乏，这些分析应有助于告知研究人员在设计此类研究时需考虑的问题，并提出有用的假设以供在评估少数族裔（尤其是非英语使用者）人群医疗保健实践的社会调查数据的效度时进行探索。
