Question context and priming meaning of health: effect on differences in self-rated health between Hispanics and non-Hispanic Whites.

Abstract:

OBJECTIVES:We examined the implications of the current recommended data collection practice of placing self-rated health (SRH) before specific health-related questions (hence, without a health context) to remove potential context effects, between Hispanics and non-Hispanics. METHODS:We used 2 methodologically comparable surveys conducted in English and Spanish that asked SRH in different contexts: before and after specific health questions. Focusing on the elderly, we compared the influence of question contexts on SRH between Hispanics and non-Hispanics and between Spanish and English speakers. RESULTS:The question context influenced SRH reports of Spanish speakers (and Hispanics) significantly but not of English speakers (and non-Hispanics). Specifically, on SRH within a health context, Hispanics reported more positive health, decreasing the gap with non-Hispanic Whites by two thirds, and the measurement utility of SRH was improved through more consistent mortality prediction across ethnic and linguistic groups. CONCLUSIONS:Contrary to the current recommendation, asking SRH within a health context enhanced measurement utility. Studies using SRH may result in erroneous conclusions when one does not consider its question context.

journal_name

Am J Public Health

authors

Lee S,Schwarz N

doi

10.2105/AJPH.2012.301055

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

179-85

issue

1

eissn

0090-0036

issn

1541-0048

journal_volume

104

pub_type

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