Roberts R E, Lee E S
Am J Public Health. 1980 Apr;70(4):375-84. doi: 10.2105/ajph.70.4.375.
Data are presented from sample surveys conducted in 1974 (N = 3,119) and 1975 (N = 657) in Alameda County, California, by the Human Population Laboratory. Mexican Americans are compared to Anglos and Blacks on selected health status indicators; chronic conditions, disability, symptoms and a summary measure, the Physical Health Spectrum. Comparisons of crude percentages indicate that, compared to Anglos, Blacks report having more chronic conditions, more disability and more symptoms, while Chicanos generally report fewer health problems than these two groups. Controlling for the effects of age, sex, education, family income, marital status, and perceived health reduces the Anglo/Black differentials in reported health problems, primarily by reducing the rates for Blacks. However, even after adjustment the prevalence rates for Blacks remain higher. After controlling for the effects of the six covariates, the rates for Chicanos remain essentially unchanged in both samples, e.g., lower than the other groups. Results of binary regression analysis indicate that the two most powerful predictors of health status in both samples are age/sex and perceived health. Ethnicity overall is not a good predictor of health status, accounting for 1 per cent or less of the explained variance. Socioeconomic status, while predicting slightly better than ethnicity, still accounts for less than 2% of the variance in health status.
数据来自于1974年(样本量N = 3119)和1975年(样本量N = 657)在加利福尼亚州阿拉米达县由人类人口实验室开展的抽样调查。将墨西哥裔美国人与盎格鲁人及黑人在选定的健康状况指标上进行比较;这些指标包括慢性病、残疾、症状以及一项综合指标——身体健康谱。粗略百分比的比较表明,与盎格鲁人相比,黑人报告患有更多的慢性病、更多的残疾以及更多的症状,而墨西哥裔美国人通常报告的健康问题比这两个群体要少。控制年龄、性别、教育程度、家庭收入、婚姻状况以及自我感知健康的影响后,报告的健康问题方面的盎格鲁人与黑人之间的差异有所减小,主要是通过降低黑人的比率。然而,即便经过调整,黑人的患病率仍然更高。在控制了六个协变量的影响后,墨西哥裔美国人在两个样本中的比率基本保持不变,例如,低于其他群体。二元回归分析结果表明,两个样本中健康状况的两个最有力预测因素是年龄/性别和自我感知健康。总体而言,种族并不是健康状况的良好预测因素,在解释的方差中占比1%或更低。社会经济地位虽然比种族的预测效果稍好,但在健康状况方差中的占比仍不到2%。