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 Healthjournal_title
American journal of public healthauthors
Lee S,Schwarz Ndoi
10.2105/AJPH.2012.301055subject
Has Abstractpub_date
2014-01-01 00:00:00pages
179-85issue
1eissn
0090-0036issn
1541-0048journal_volume
104pub_type
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2010-08-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2007-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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