Hispanic/White Differences in Self-reported Hlth Status

西班牙裔/白人自我报告健康状况的差异

• 批准号: 6401440
• 负责人: JOSEPH J SUDANO
• 金额: $ 7.64万
• 依托单位: METROHEALTH MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2003-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6401440
• 关键词: African American; Hispanic Americans; caucasian American; clinical research; gender difference; health; health science research analysis /evaluation; health services research tag; human data; human subject; racial /ethnic difference; socioeconomics; African American; Hispanic Americans; caucasian American; clinical research; gender difference; health; health science research analysis /evaluation; health services research tag; human data; human subject; racial /ethnic difference; socioeconomics

Aims: Prior studies have consistently shown that Hispanics are more likely to self-report poorer overall health status compared to whites. However, it is unclear whether these studies have adequately controlled for important covariates when explaining these variations. This study proposes to (1) determine if using a more complete set of socioeconomic and health covariates can help explain the observed differentials in Hispanic self-reported overall health (SROH) and whether this difference varies according to gender; and (2) determine whether SROH has the same predictive value for (a) physician visits and (b) hospitalization for Hispanics and non-Hispanic whites, after adjusting for other covariates. Methods: The 1992 wave of the Health and Retirement Study, a nationally representative study of 51-61 year old adults, sponsored by the National Institute of Aging, will be used to analyze data on 7169 white, 895 Hispanic, and 1652 black respondents. Multivariate regression analysis (OLS regression, logistic regression, and ordered logistic regression) will be used to investigate the above aims. The main dependent variables will be (1) SROH, any physician visit in past 12 months, number of physician visits, and any hospitalization in the past 12 months. Significance: This research is of practical use for health care providers, payors, and policy makers, as SROH is often used to determine the health needs of both populations and individual patients. This proposed study would add to our knowledge regarding the health status and health care needs of our fastest growing ethnic population. Lastly, we are convinced that this project is an essential first step toward a larger project designed to explore and describe variations in health care values, beliefs, and use among several Hispanic subgroups, and to validate alternative measures of health status based on more objective measures of health status for these groups.

目的：先前的研究一直表明，与白人相比，西班牙裔更可能自我报告的整体健康状况较差。但是，尚不清楚这些研究在解释这些变化时是否对重要的协变量进行了充分的控制。这项研究建议（1）确定使用更完整的社会经济和健康协变量是否可以帮助解释西班牙裔自我报告的总体健康（SROH）中观察到的差异，以及这种差异是否根据性别而变化； （2）在调整了其他协变量后，确定SROH是否具有（a）医师就诊的（a）医师就诊和（b）住院的西班牙裔和非西班牙裔白人的预测价值。方法：由国家老龄研究所赞助的51-61岁成年人的全国代表性研究1992年的卫生和退休研究浪潮将用于分析7169名白人，895名西班牙裔和1652名黑人受访者的数据。多元回归分析（OLS回归，逻辑回归和有序的逻辑回归）将用于研究上述目的。主要的因变量将是（1）SROH，过去12个月内的任何医生访问，医师的数量和过去12个月的任何住院治疗。意义：这项研究是对医疗保健提供者，付款人和政策制定者的实际用途，因为SROH通常用于确定人群和个别患者的健康需求。这项拟议的研究将增加我们对我们增长最快的种族人口的健康状况和保健需求的了解。最后，我们坚信该项目是朝着更大的项目迈出的重要第一步，旨在探索和描述几个西班牙裔亚组中的医疗保健价值，信念和使用的变化，并基于对这些群体的健康状况的更客观度量来验证健康状况的替代措施。