Language of Interview, Self-Rated Health, and the Other Latino Health Puzzle
Language of Interview, Self-Rated Health, and the Other Latino Health Puzzle
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DOI：
10.2105/ajph.2009.175455
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发表时间：
2011-07-01
影响因子：
12.7
通讯作者：
House, James S.
中科院分区：
文献类型：
--
作者：
Viruell-Fuentes, Edna A.;Morenoff, Jeffrey D.;House, James S.
目标。我们调查了自评健康调查问题的传统西班牙语翻译是否有助于解释为什么拉丁裔的自评健康状况比白人差，尽管更客观的健康指标显示他们与白人一样健康或更健康。方法。我们分析了芝加哥社区成人健康研究（2001-2003）和2003年行为危险因素监测系统中访谈语言与自评健康之间的关系。结果。在这两个数据集中，用西班牙语接受采访与将健康状况评为一般或较差的几率显着较高相关。此外，调整采访语言大大缩小了白人和拉丁裔之间的差距。与其他任何选择相比，西班牙语受访者更有可能将自己的健康状况评为一般（西班牙语为“正常”），并且与代表较好健康状况（良好、非常好和优秀）的类别相比，这种偏好最为强烈。结论。我们的研究结果表明，将英语单词“fair”翻译为常规词会导致西班牙语受访者报告健康状况比英语受访者更差。应谨慎解释自我评价的健康状况，尤其是在种族/民族比较中，研究应探索替代翻译。 （美国公共卫生杂志。2011；101：1306-1313。doi：10.2105/AJPH.2009.175455）
Objectives. We investigated whether the conventional Spanish translation of the self-rated health survey question helps explain why Latinos' self-rated health is worse than Whites' despite more objective health measures showing them to be as healthy as or healthier than are Whites.Methods. We analyzed the relationship between language of interview and self-rated health in the Chicago Community Adult Health Study (2001-2003) and the 2003 Behavioral Risk Factor Surveillance System.Results. Being interviewed in Spanish was associated with significantly higher odds of rating health as fair or poor in both data sets. Moreover, adjusting for language of interview substantially reduced the gap between Whites and Latinos. Spanish-language interviewees were more likely to rate their health as fair (regular in Spanish) than as any other choice, and this preference was strongest when compared with categories representing better health (good, very good, and excellent).Conclusions. Our findings suggest that translation of the English word "fair" to regular induces Spanish-language respondents to report poorer health than they would in English. Self-rated health should be interpreted with caution, especially in racial/ethnic comparisons, and research should explore alternative translations. (Am J Public Health. 2011;101:1306-1313. doi:10.2105/AJPH.2009.175455)