Abstract
This paper examines national survey data on access to medical care to explore methodological issues associated with conducting health care surveys of Spanish-heritage persons. These include problems of identifying and sampling such groups, achieving respondent cooperation, designing valid interview protocols, and controlling biases that may result from the cultural specificity of the concepts being studied. The findings suggest that more attention should be given to the following in designing health care surveys of Spanish-heritage individuals: cultural and economic heterogeneity of "Spanish-heritage" grouping, validity studies of health care utilization, and yea-saying tendencies related to health care attitude items. Given that there is a paucity of information available on methodological problems associated with health care surveys of Spanish-heritage persons, these analyses should serve to inform researchers of issues to be taken into account in designing such studies and to suggest useful hypotheses to explore in evaluating the validity of social survey data on minority (especially non-English speaking) populations' health care practices.
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Selected References
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- Galvin M. E., Fan M. The utilization of physicians' services in Los Angeles County, 1973. J Health Soc Behav. 1975 Mar;16(1):74–94. [PubMed] [Google Scholar]
- Hoppe S. K., Heller P. L. Alienation, familism and the utilization of health services by Mexican Americans. J Health Soc Behav. 1975 Sep;16(3):304–314. [PubMed] [Google Scholar]
- Karno M., Edgerton R. B. Perception of mental illness in a Mexican-American community. Arch Gen Psychiatry. 1969 Feb;20(2):233–238. doi: 10.1001/archpsyc.1969.01740140105013. [DOI] [PubMed] [Google Scholar]
- McHugh J. P., Kahn M. W., Heiman E. Relationships between mental health treatment and medical utilization among low-income Mexican American patients: some preliminary findings. Med Care. 1977 May;15(5):439–444. doi: 10.1097/00005650-197705000-00011. [DOI] [PubMed] [Google Scholar]
- Nall F. C., 2nd, Speilberg J. Social and cultural factors in the responses of Mexican-Americans to medical treatment. J Health Soc Behav. 1967 Dec;8(4):299–308. [PubMed] [Google Scholar]
- Quesada G. M., Heller P. L. Sociocultural barriers to medical care among Mexican Americans in Texas: a summary report of research conducted by the Southwest Medical Sociology Ad Hoc Committee. Med Care. 1977 May;15(5 Suppl):93–101. doi: 10.1097/00005650-197705001-00010. [DOI] [PubMed] [Google Scholar]