|Title||Question context and priming meaning of health: effect on differences in self-rated health between Hispanics and non-Hispanic Whites.|
|Publication Type||Journal Article|
|Year of Publication||2014|
|Authors||Lee, S, Schwarz, N|
|Journal||Am J Public Health|
|Date Published||2014 Jan|
|Keywords||Aged, Female, Health Status, Health Surveys, Hispanic or Latino, Humans, Male, Middle Aged, Mortality, Self Report, United States, Whites|
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.
|User Guide Notes|
|Endnote Keywords|| |
Medical Sciences/Medical research/Language/Studies/Polls/surveys/Hispanic Americans/Interviews/Whites/Personal health/United States--US
|Endnote ID|| |
|Alternate Journal||Am J Public Health|
|PubMed Central ID||PMC3910022|
|Grant List||U01 AG009740 / AG / NIA NIH HHS / United States|