Validity of self-rated health among Latino(a)s
Validity of self-rated health among Latino(a)s
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DOI：
10.1093/aje/155.8.755
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发表时间：
2002-04-15
影响因子：
5
通讯作者：
Vega, WA
中科院分区：
文献类型：
--
作者：
Finch, BK;Hummer, RA;Vega, WA
作者调查了生活在美国的不同文化适应状态的拉丁裔成年人的自评健康（SRH）是否有不同的死亡风险。他们使用1989年至1994年累积的全国健康访谈调查数据（n = 37,713）与全国健康访谈调查多死因数据文件（1,364例死亡）相关联，这些数据文件与1997年全国死亡指数的记录相匹配。作者指定了生存模型来估计SRH对死亡率的影响，并通过在美国的出生和持续时间进一步分层模型，作为文化适应的代理。这些估计值是跨层比较的。研究发现，在适应程度较低的人群中，较差的SRH对随后的死亡风险的预测作用较弱，尽管总体样本中的总体风险与先前研究中报告的风险相似。随着拉丁美洲人对美国文化的适应，较差的性生殖健康和死亡风险之间的关系增加。虽然在最不适应文化的人群中，较差的SRH与短期死亡率显著相关，但这种关联不会持续超过2年的死亡率风险。卫生研究人员希望使用性健康和健康指数来评估多民族人口的身体健康，至少应该控制受访者的文化适应水平。
The authors investigated whether self-rated health (SRH) had differential mortality risks for Latino(a) adults of various acculturation statuses living in the United States. They used cumulative National Health Interview Survey data from 1989 to 1994 (n = 37,713) linked with the National Health Interview Survey Multiple Cause of Death data files (1,364 deaths) that match records from the National Death Index through 1997. The authors specified survival models to estimate the effect of SRH on mortality and further stratified their model by birth and duration in the United States as proxies for acculturation. These estimates were compared across strata. Poor SRH was found to be a weaker predictor of subsequent mortality risk among the less acculturated, although the overall risk among the aggregated sample is similar to the risk reported in previous studies. The relation between poor SRH and mortality risk increases with United States acculturation among Latinos. While poor SRH was significantly associated with short-term mortality among the least acculturated, this association did not persist beyond 2-year mortality risk. Health researchers wishing to use SRH to assess the physical health of multiethnic populations should at least control for levels of acculturation among respondents.