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. 2013 Jan;23(1):19-24.
doi: 10.1016/j.annepidem.2012.09.013. Epub 2012 Nov 11.

Contributors to self-reported health in a racially and ethnically diverse population: focus on Hispanics

Jessica V V Brewer  1 , Gavin S Miyasato, Margaret A Gates, Teresa M Curto, Susan A Hall, John B McKinlay
Affiliations

Contributors to self-reported health in a racially and ethnically diverse population: focus on Hispanics

Jessica V V Brewer et al. Ann Epidemiol. 2013 Jan.

Abstract

Purpose: To understand if Hispanics report health differently than other racial and ethnic groups after controlling for demographics and risk factors for poor health.

Methods: The sample (N = 5502) included 3201 women, 1767 black, 1859 white, and 1876 Hispanic subjects from the Boston Area Community Health Survey, a population-based survey of English- and Spanish-speaking residents of Boston, Massachusetts, United States, aged 30-79 years in 2002-2005. Multiple logistic regression models were used to examine the association between race/ethnicity (including interview language for Hispanics) and fair/poor self-reported health (F/P SRH) adjusting for gender, age, socioeconomic status, depression, nativity, and comorbidities.

Results: Compared with whites, Hispanics interviewed in Spanish were seven times as likely to report F/P SRH (odds ratio, 7.7; 95% confidence interval, 4.9-12.2) after adjusting for potential confounders and those interviewed in English were twice as likely. In analyses stratified by depression and nativity, we observed stronger associations with Hispanic ethnicity in immigrants and nondepressed individuals interviewed in Spanish.

Conclusions: Increased odds of F/P SRH persisted in the Hispanic group even when accounting for interview language and controlling for socioeconomic status, age, depression, and nativity, with interview language mitigating the association. These findings have methodological implications for epidemiologists using SRH across diverse populations.

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Figures

Figure 1
Figure 1. Fair/Poor SRH by Race/ethnicity and Number of Major Comorbidities
Differences are significant at the p =<0.5 for number of comorbidities 0, 1, 2, 3.
See this image and copyright information in PMC

References

    1. McGee DL, Liao Y, Cao G, Cooper RS. Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol. 1999;149(1):41–6. - PubMed
    1. Dowd JB, Zajacova A. Does the predictive power of self-rated health for subsequent mortality risk vary by socioeconomic status in the US? Int J Epidemiol. 2007;36(6):1214–21. - PubMed
    1. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38(1):21–37. - PubMed
    1. Idler EL, Russell LB, Davis D. Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. First National Health and Nutrition Examination Survey. Am J Epidemiol. 2000;152(9):874–83. - PubMed
    1. Shetterly SM, Baxter J, Mason LD, Hamman RF. Self-rated health among Hispanic vs non-Hispanic white adults: the San Luis Valley Health and Aging Study. Am J Public Health. 1996;86(12):1798–801. - PMC - PubMed

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