Self-rated health and ethnicity: focus on indigenous populations
Self-rated health and ethnicity: focus on indigenous populations
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DOI：
10.3402/ijch.v71i0.18538
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发表时间：
2012-01-01
影响因子：
1.3
通讯作者：
Bruce, Sharon G.
中科院分区：
文献类型：
--
作者：
Bombak, Andrea E.;Bruce, Sharon G.
目标。自评健康(SRH)是评估一般健康状况或与健康相关的生活质量的调查中常用的衡量标准。不同的民族和民族在如何解释SRH措施和评估他们的健康方面存在差异。本文综述了种族内和族群间关于性激素的研究，重点是土著族群。研究设计和方法。使用PubMed检索已发表的关于SRH和种族的学术文献，包括对所有相关土著研究的全面综述。在族裔群体中开展了各种关于性健康和生殖健康的研究。SRH通常作为一种结果衡量标准。少数族裔受访者普遍认为自己的健康状况比占主导地位的人群差。已经确定了许多特定于文化的SRH决定因素。对SRH协会进行了跨国家和跨种族的比较，以评估SRH的有效性。虽然SRH在不同种族中是一种有效的衡量标准，但已经发现了种族如何评估SRH的差异。在SRH文献中，土著群体的研究总体上仍然没有得到充分的代表。这些结果表明，不同的种族和民族在SRH评估、对SRH测量的解释以及用于评估健康的参照物方面存在差异。为了有效地评估和纠正健康差距，并建立与文化相关的有效健康干预措施，需要更多地了解SRH，特别是在土著群体中，因为在这些群体中进行的研究很少。
Objectives. Self-rated health (SRH) is a commonly used measure in surveys to assess general health status or health-related quality of life. Differences have been detected in how different ethnic groups and nationalities interpret the SRH measure and assess their health. This review summarizes the research conducted on SRH within and between ethnic groups, with a focus on indigenous groups.Study design and methods. A search of published academic literature on SRH and ethnicity, including a comprehensive review of all relevant indigenous research, was conducted using PubMed and summarized.Results. A wide variety of research on SRH within ethnic groups has been undertaken. SRH typically serves as an outcome measure. Minority respondents generally rated their health worse than the dominant population. Numerous culturally-specific determinants of SRH have been identified. Cross-national and cross-ethnicity comparisons of the associations of SRH have been conducted to assess the validity of SRH. While SRH is a valid measure within a variety of ethnicities, differences in how SRH is assessed by ethnicities have been detected. Research in indigenous groups remains generally under-represented in the SRH literature.Conclusions. These results suggest that different ethnic groups and nationalities vary in SRH evaluations, interpretation of the SRH measure, and referents employed in rating health. To effectively assess and redress health disparities and establish culturally-relevant and effective health interventions, a greater understanding of SRH is required, particularly among indigenous groups, in which little research has been conducted.