A COMPARISON OF 3 INDICATORS FOR IDENTIFYING MEXICAN-AMERICANS IN EPIDEMIOLOGIC RESEARCH - METHODOLOGICAL FINDINGS FROM THE SAN-ANTONIO HEART-STUDY
A COMPARISON OF 3 INDICATORS FOR IDENTIFYING MEXICAN-AMERICANS IN EPIDEMIOLOGIC RESEARCH - METHODOLOGICAL FINDINGS FROM THE SAN-ANTONIO HEART-STUDY
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DOI：
10.1093/oxfordjournals.aje.a114228
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发表时间：
1986-01-01
影响因子：
5
通讯作者：
ROSENTHAL, M
中科院分区：
文献类型：
--
作者：
HAZUDA, HP;COMEAUX, PJ;ROSENTHAL, M
由于在健康相关研究中如何从经验上识别墨西哥裔美国人的问题仍未解决，作者比较了五个不同人口亚组中识别墨西哥裔美国人的三个指标的表现：两个年龄段的男性和女性，以及低、中、高社会经济社区的居民。在混合人群样本中，个人姓氏的敏感度、特异度和预测值最低，并且在不同人群亚组的这些参数上差异最大。父母的姓氏可以从生命统计数据中获得，也可以很容易地添加到二次分析中使用的其他健康记录中，在将人归类为墨西哥裔美国人方面，这比个人姓氏有了显著的改进。圣安东尼奥心脏研究(SAHS)算法是一个包含九个项目的指标，它使用父母的姓氏、父母双方的出生地、自我声明的种族认同和祖父母的种族背景，具有最高的敏感性、特异性和预测值，并且在不同性别、年龄和社会经济状况的人口亚群中对这些参数的差异最小。社会经济地位越高，所有指标的表现越差。这些发现表明，在涉及生命统计的研究中，使用父母姓氏作为墨西哥裔美国人种族的指标，并将父母姓氏添加到二次分析中经常使用的其他健康记录中，可能是有用的。由于SAHS算法可以适用于非墨西哥裔西班牙裔亚群，它可能是调查研究中墨西哥裔美国人(或其他西班牙裔)族裔的有用指标。
Because the issue of how to empirically identify Mexican Americans in health-related research is still unresolved, the authors compared the performance of three indicators for identifying Mexican Americans across five distinct population subgroups: men and women in two age strata, and residents in low, middle, and high socioeconomic neighborhoods. Individual surname had the lowest sensitivity, specificity, and predictive values in the pooled population sample and varied the most widely on these parameters across population subgroups. Parental surnames, which are available on vital statistics and could easily be added to other health records used in secondary analyses, offered a significant improvement over individual surname in classifying persons as Mexican American. The San Antonio Heart Study (SAHS) algorithm, a nine-item indicator which uses parental surnames, birthplace of both parents, self-declared ethnic identity, and ethnic background of grandparents, had the highest sensitivity, specificity, and predictive values and varied the least on these parameters across different sex, age, and socioeconomic status population subgroups. The performance of all indicators was lower at the higher socioeconomic status levels. The findings suggest that it may be useful to use parental surnames as an indicator for Mexican-American ethnicity in research involving vital statistics and to add parental surnames to other health records frequently used in secondary analyses. Since the SAHS algorithm can be adapted for use with non-Mexican origin Hispanic subgroups, it may be a useful indicator for Mexican-American (or other Hispanic) ethnicity in survey research.