Is self-rated health comparable between non-Hispanic whites and Hispanics? Evidence from the health and retirement study.

Is self-rated health comparable between non-Hispanic whites and Hispanics? Evidence from the health and retirement study.
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非西班牙裔白人和西班牙裔的自我评价健康状况是否具有可比性?

DOI:
10.1093/geronb/gbt037
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发表时间:
2013
期刊:
The journals of gerontology. Series B, Psychological sciences and social sciences
影响因子:
--
通讯作者:
Markides,KyriakosS
Markides,KyriakosS
中科院分区:
--
文献类型:
--
作者:
Su,Dejun;Wen,Ming;Markides,KyriakosS

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以随后的全因死亡率作为回顾健康的标准,本研究评估了非西班牙裔白人和西班牙裔美国人的自测健康(SRH)的可比性。方法基于1992年健康与退休研究中年龄在51至61岁之间的6870名白人和886名西班牙裔受访者的纵向数据,我们将1992年的SRH与1992-2008年期间的死亡风险联系起来。Logit模型被用来预测西班牙裔白人在报告一般或较差的SRH方面的差异。生存曲线和COX比例风险模型被用来评估非西班牙裔白人和西班牙裔之间SRH与死亡率的相关性是否存在差异以及差异程度。结果拉美裔受访者报告的SRH在基线上比白人更严重,但在1992-2008年期间他们的死亡风险与白人相似。总体而言,拉美裔美国人对自己的健康状况的评价比白人更悲观。尤其是西班牙裔美国人,他们在基线上给自己的健康状况打分,认为他们的健康状况,如随后的死亡风险所反映的,应该比他们的白人同行好得多。讨论如果评估仅仅基于两组之间SRH的差异,51岁至61岁的白人和西班牙裔之间的健康差距将被高估。这项研究的发现呼吁人们在依赖SRH来量化和解释美国非西班牙裔白人和拉美裔之间的健康差异时要谨慎。
ObjectivesUsing subsequent all-cause mortality as a yardstick for retrospective health, this study assessed the comparability of self-rated health (SRH) between non-Hispanic whites and Hispanics.MethodsBased on longitudinal data from 6,870 white and 886 Hispanic respondents aged between 51 and 61 in the 1992 Health and Retirement Study, we related SRH in 1992 to risk of mortality in the 1992–2008 period. Logit models were used to predict white–Hispanic differences in reporting fair or poor SRH. Survival curves and cox proportional hazard models were estimated to assess whether and the extent to which the SRH–mortality association differs between non-Hispanic whites and Hispanics.ResultsHispanic respondents reported worse SRH than whites at the baseline, yet they had similar risk of mortality as whites in the 1992–2008 period. Overall, Hispanics rated their health more pessimistically than whites. This was especially the case for Hispanics who rated their health fair or poor at the baseline, whereas their presumed health conditions, as reflected by subsequent risk of mortality, should be considerably better than their white counterparts.DiscussionHealth disparities between whites and Hispanics aged between 51 and 61 will be overestimated if the assessment has been solely based on differences in SRH between the two groups. Findings from this study call for caution in relying on SRH to quantify and explain health disparities between non-Hispanic whites and Hispanics in the United States.
社区研究报告自评健康与死亡率之间的关联
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期刊:
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