Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1996 Dec;86(12):1798–1801. doi: 10.2105/ajph.86.12.1798

Self-rated health among Hispanic vs non-Hispanic white adults: the San Luis Valley Health and Aging Study.

S M Shetterly 1, J Baxter 1, L D Mason 1, R F Hamman 1
PMCID: PMC1380737  PMID: 9003141

Abstract

OBJECTIVES: This study investigated whether objective health indicators explained lower self-rated health among Hispanics compared with non-Hispanic Whites. It also considered socioeconomic and cultural explanations. METHODS: Health ratings of 429 Hispanics and 583 non-Hispanic Whites aged 20 through 74 were analyzed with logistic regression. RESULTS: Illness indicators were found to be strongly correlated with self-rated health in both ethnic groups, but after such markers were controlled for, Hispanics remained 3.6 times more likely to report fair or poor health (95% confidence interval = 2.4, 5.3). Adjustment for socioeconomic factors accounted for a portion of Hispanics' lower health rating, but the strongest explanatory factor was acculturation. CONCLUSIONS: Because of cultural and economic influences on definitions of health, ethnic differences in self-assessed health may not accurately reflected patterns resulting from objective health measurements.

Full text

PDF
1798

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ailinger R. L. Self-assessed health of Hispanic elderly persons. J Community Health Nurs. 1989;6(2):113–118. doi: 10.1207/s15327655jchn0602_7. [DOI] [PubMed] [Google Scholar]
  2. Angel R., Guarnaccia P. J. Mind, body, and culture: somatization among Hispanics. Soc Sci Med. 1989;28(12):1229–1238. doi: 10.1016/0277-9536(89)90341-9. [DOI] [PubMed] [Google Scholar]
  3. Blazer D. G., 2nd, Houpt J. L. Perception of poor health in the healthy older adult. J Am Geriatr Soc. 1979 Jul;27(7):330–334. doi: 10.1111/j.1532-5415.1979.tb06051.x. [DOI] [PubMed] [Google Scholar]
  4. Ferraro K. F. Self-ratings of health among the old and the old-old. J Health Soc Behav. 1980 Dec;21(4):377–383. [PubMed] [Google Scholar]
  5. Fylkesnes K., Førde O. H. The Tromsø Study: predictors of self-evaluated health--has society adopted the expanded health concept? Soc Sci Med. 1991;32(2):141–146. doi: 10.1016/0277-9536(91)90053-f. [DOI] [PubMed] [Google Scholar]
  6. Hamman R. F., Marshall J. A., Baxter J., Kahn L. B., Mayer E. J., Orleans M., Murphy J. R., Lezotte D. C. Methods and prevalence of non-insulin-dependent diabetes mellitus in a biethnic Colorado population. The San Luis Valley Diabetes Study. Am J Epidemiol. 1989 Feb;129(2):295–311. doi: 10.1093/oxfordjournals.aje.a115134. [DOI] [PubMed] [Google Scholar]
  7. Katon W., Kleinman A., Rosen G. Depression and somatization: a review. Part I. Am J Med. 1982 Jan;72(1):127–135. doi: 10.1016/0002-9343(82)90599-x. [DOI] [PubMed] [Google Scholar]
  8. Linn M. W., Hunter K. I., Linn B. S. Self-assessed health, impairment and disability in anglo, black and cuban elderly. Med Care. 1980 Mar;18(3):282–288. doi: 10.1097/00005650-198003000-00003. [DOI] [PubMed] [Google Scholar]
  9. Markides K. S., Lee D. J. Predictors of health status in middle-aged and older Mexican Americans. J Gerontol. 1991 Sep;46(5):S243–S249. doi: 10.1093/geronj/46.5.s243. [DOI] [PubMed] [Google Scholar]
  10. Markides K. S., Lee D. J. Predictors of well-being and functioning in older Mexican Americans and Anglos: an eight-year follow-up. J Gerontol. 1990 Mar;45(2):S69–S73. doi: 10.1093/geronj/45.2.s69. [DOI] [PubMed] [Google Scholar]
  11. Mossey J. M., Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982 Aug;72(8):800–808. doi: 10.2105/ajph.72.8.800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Schoenfeld D. E., Malmrose L. C., Blazer D. G., Gold D. T., Seeman T. E. Self-rated health and mortality in the high-functioning elderly--a closer look at healthy individuals: MacArthur field study of successful aging. J Gerontol. 1994 May;49(3):M109–M115. doi: 10.1093/geronj/49.3.m109. [DOI] [PubMed] [Google Scholar]
  13. Segovia J., Bartlett R. F., Edwards A. C. The association between self-assessed health status and individual health practices. Can J Public Health. 1989 Jan-Feb;80(1):32–37. [PubMed] [Google Scholar]
  14. Wannamethee G., Shaper A. G. Self-assessment of health status and mortality in middle-aged British men. Int J Epidemiol. 1991 Mar;20(1):239–245. doi: 10.1093/ije/20.1.239. [DOI] [PubMed] [Google Scholar]
  15. Wells K. B., Golding J. M., Burnam M. A. Psychiatric disorder and limitations in physical functioning in a sample of the Los Angeles general population. Am J Psychiatry. 1988 Jun;145(6):712–717. doi: 10.1176/ajp.145.6.712. [DOI] [PubMed] [Google Scholar]
  16. Wells K. B., Golding J. M., Hough R. L., Burnam M. A., Karno M. Acculturation and the probability of use of health services by Mexican Americans. Health Serv Res. 1989 Jun;24(2):237–257. [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES