Ren X S, Chang K
Center for Health Quality, Outcomes, and Economic Research, A Health Services Research and Development Field Program, VA Medical Center, Bedford, Massachusetts 01730, USA.
J Clin Epidemiol. 1998 May;51(5):429-35. doi: 10.1016/s0895-4356(97)00303-x.
There is increasing demand for measurement tools to assess health related quality of life among the Chinese elderly population in the United States. Health services questionnaires, developed largely in English, often under-represent Chinese Americans. Based on conventional mortality statistics, the public mistakenly views Chinese Americans as a "model" minority with no health problems. This general perception has masked the serious health problems among the elderly Chinese Americans. Using the newly developed Chinese version of the MOS SF-36, we aim to explore how elderly Chinese perceive their own health. Based on 219 elderly Chinese recruited in Boston, the study provided mixed results with regard to the perception of a healthy minority model. While the study subjects perceived similar or better physical health to the U.S. norm, they reported worse mental health than the U.S. norm. We explored possible explanations for this discrepancy and discussed the implications as well as directions for future research.
在美国，评估中国老年人群健康相关生活质量的测量工具需求日益增加。主要以英文开发的健康服务问卷往往不能充分代表华裔美国人。基于传统死亡率统计数据，公众错误地将华裔美国人视为没有健康问题的“模范”少数族裔。这种普遍看法掩盖了华裔美国老年人中存在的严重健康问题。我们使用新开发的中文版MOS SF - 36，旨在探究中国老年人如何看待自己的健康状况。基于在波士顿招募的219名中国老年人，该研究在健康少数族裔模式认知方面得出了复杂的结果。虽然研究对象认为自己的身体健康状况与美国标准相当或更好，但他们报告的心理健康状况比美国标准更差。我们探究了这种差异的可能解释，并讨论了其影响以及未来研究的方向。
