Shetterly S M, Baxter J, Mason L D, Hamman R F
Department of Preventive Medicine and Biometrics, University of Colorado School of Medicine, Denver 80262, USA.
Am J Public Health. 1996 Dec;86(12):1798-801. doi: 10.2105/ajph.86.12.1798.
This study investigated whether objective health indicators explained lower self-rated health among Hispanics compared with non-Hispanic Whites. It also considered socioeconomic and cultural explanations.
Health ratings of 429 Hispanics and 583 non-Hispanic Whites aged 20 through 74 were analyzed with logistic regression.
Illness indicators were found to be strongly correlated with self-rated health in both ethnic groups, but after such markers were controlled for, Hispanics remained 3.6 times more likely to report fair or poor health (95% confidence interval = 2.4, 5.3). Adjustment for socioeconomic factors accounted for a portion of Hispanics' lower health rating, but the strongest explanatory factor was acculturation.
Because of cultural and economic influences on definitions of health, ethnic differences in self-assessed health may not accurately reflected patterns resulting from objective health measurements.
本研究调查了与非西班牙裔白人相比，客观健康指标是否能解释西班牙裔自我健康评分较低的原因。研究还考虑了社会经济和文化方面的解释因素。
采用逻辑回归分析了429名年龄在20至74岁之间的西班牙裔和583名非西班牙裔白人的健康评分。
疾病指标在两个种族群体中均与自我健康评分密切相关，但在控制这些指标后，西班牙裔报告健康状况为“一般”或“较差”的可能性仍然是非西班牙裔白人的3.6倍（95%置信区间=2.4, 5.3）。社会经济因素的调整解释了西班牙裔健康评分较低的部分原因，但最强的解释因素是文化适应。
由于文化和经济因素对健康定义的影响，自我评估健康方面的种族差异可能无法准确反映客观健康测量所产生的模式。
