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What’s in a word? Language and self-assessed health in the National Health and Nutrition Examination Survey

Meredith Van Natta, Zachary Zimmer

Article ID: 1015
Vol 5, Issue 1, 2019, Article identifier:1-12

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Abstract

This study examines the extent to which the Spanish language influences the way in which respondents report health using the ubiquitous self-assessed health (SAH) outcome. We account for citizenship status, ethnicity, and a series of other covariates. The study uses the 2003-2016 national health and nutrition examination survey (NHANES) (n=39,107). Analyses treat SAH as non-ordered categorical and employ multinomial regressions. Results indicate that those answering in Spanish are considerably and significantly more likely to rate health as “fair/regular” ceteris paribus. Non-U.S. citizens and naturalized citizens are significantly more likely to rate their health favorably in comparison to U.S.-born; those identifying as Hispanic, Black, and other/multiracial are likely to rate health less favorably than others regardless of citizenship or interview language. A model that examines only foreign-born and accounts for years lived in the U.S. shows Spanish language still strongly predicted SAH outcomes, but years spent in the U.S. did not, a finding that does not support notions of acculturation. The study concludes that there is a language bias in the standard SAH measure typically used national-level health surveys and national-level surveys such as NHANES should adjust the question translation to better understand the health of immigrants.


Keywords

self-assessed health; citizenship status; immigrant health; NHANES; survey language

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References

Abraído-Lanza AF, Armbrister AN and Flórez KR, et al. (2006). Toward a Theory-driven Model of Acculturation in Public Health Research. American Journal of Public Health, 96(8):1342-6. DOI 10.2105/ajph.2005.064980.

Abraído-Lanza AF, Dohrenwend BP and Ng-Mak DS, et al. (1999). The Latino Mortality Paradox: A Test of the ‘Salmon Bias’ and MRFIT Latino Risk-adjusted Mortality Healthy Migrant Hypotheses. American Journal of Public Health, 89(10):1543-8. DOI 10.2105/ajph.89.10.1543.

Angel R and Guarnaccia PJ. (1989). Mind, Body, and Culture: Somatization among Hispanics. Social Science and Medicine, 28(12):1229-38. DOI 10.1016/0277-9536(89)90341-9.

Bzostek S, Goldman N and Pebley A. (2007). Why do Hispanics in the USA Report Poor Health? Social Science and Medicine, 65(5):990-1003. DOI 10.1016/j.socscimed.2007.04.028.

Castañeda H, Holmes SM and Madrigal DS, et al. (2015). Immigration as a Social Determinant of Health. Annual Review of Public Health, 36(1):375-92.

Chirinda W, Saito Y, Gu D and Zungu M. (2018). Gender Difference in Trends in Healthy Life Expectancy in 2005-2012 for Adults Aged 50 Years and Older in South Africa. International Journal of Population Studies, 4(2):12-22. DOI 10.18063/ijps.v4i2.704.

Cho Y, Frisbie WP and Hummer RA, et al. (2004). Nativity, Duration of Residence, and the Health of Hispanic Adults in the United States. International Migration Review, 38(1):184-211. DOI 10.1111/j.1747-7379.2004.tb00193.x.

Cummings JL and Jackson PB. (2008). Race, Gender, and SES Disparities in Self-assessed Health, 1974-2004. Research on Aging, 30(2):137-67. DOI 10.1177/0164027507311835.

DeSalvo KB, Bloser N, Reynolds K, et al. (2005). Mortality Prediction with a Single General Self-rated Health Question: A Meta Analysis. Journal of General Internal Medicine, 20:267-75. DOI 10.1111/j.1525-1497.2005.00291.x.

DuBard CA and Gizlice Z. (2008). Language Spoken and Differences in Health Status, Access to Care, and Receipt of Preventive Services Among US Hispanics. American Journal of Public Health, 98(11):2021-9. DOI 10.2105/ajph.2007.119008.

Finch BK, Hummer RA and Reindl M, et al. (2002). Validity of Self-rated Health among Latino(a)s. American Journal of Epidemiology, 155(8):755-9. DOI 10.1093/aje/155.8.755.

Franzini L, Ribble JC and Keddie AM. (2001). Understanding the Hispanic Paradox. Ethnicity and Disease, 11(3):496-518.

Huisman M, van Lenthe F and Mackenbach J. (2007). The Predictive Ability of Self-assessed Health for Mortality in Different Educational Groups. International Journal of Epidemiology, 36(6):1207-13. DOI 10.1093/ije/dym095.

Hunt LM, Schneider S and Comer B. (2004). Should “Acculturation” be a Variable in Health Research? A Critical Review of Research on U.S. Hispanics. Social Science and Medicine, 59(5):973-86. DOI 10.1016/j.socscimed.2003.12.009.

Idler EL and Benyamini Y. (1997). Self-rated Health and Mortality: A Review of Twenty-Seven Community Studies. Journal of Health and Social Behavior, 38:21-37. DOI 10.2307/2955359.

Jylhä M, Guralnik JM and Ferrucci L, et al. (1998). Is Self-rated Health Comparable Across Cultures and Genders? The Journals of Gerontology: Series B, 53(3):S144-52. DOI 10.1093/geronb/53b.3.s144.

Jylhä M. (2009). What is Self-rated Heath and why does it Predict Mortality? Towards a Unified Conceptual Model. Social Science and Medicine, 69(3):307-16. DOI 10.1016/j.socscimed.2009.05.013.

Kaplan G and Camacho T. (1983). Perceived Health and Mortality: A Nine-year Follow-up of the Human Population Laboratory Cohort. American Journal of Epidemiology, 117(3):292-304. DOI 10.1093/oxfordjournals.aje.a113541.

Kimbro RT, Gorman BK and Schachter A. (2012). Acculturation and Self-rated Health among Latino and Asian Immigrants to the United States. Social Problems, 59(3):341-63. DOI 10.1525/sp.2012.59.3.341.

Lee S and Schwartz N. (2014). Question Context and Priming Meaning of Health: Effect on Differences in Self-rated Health Between Hispanics and Non-Hispanic Whites. American Journal of Public Health, 104(1):179-85. DOI 10.2105/ajph.2012.301055.

Maddox GL and Douglass EB. (1973). Self-Assessment of Health: A Longitudinal Study of Elderly Subjects. Journal of Health and Social Behavior, 14(1):87-93. DOI 10.2307/2136940.

Markides KS and Coreil J. (1986). The Health of Hispanics in the Southwestern United States: an Epidemiologic Paradox? Public Health Reports, 101(3):253-65.

Markides KS and Eschbach K. (2005). Aging, Migration, and Mortality: Current State of Research on the Hispanic Paradox. The Journals of Gerontology: Series B, 60(2):68-75. DOI 10.1093/geronb/60.special_issue_2.s68.

Martinez O, Wu E and Sandfort T, et al. (2015). Evaluating the Impact of Immigration Policies on Health Status among Undocumented Immigrants: A Systematic Review. Journal of Immigrant and Minority Health, 17:947-70. DOI 10.1007/s10903-013-9968-4.

Mossey J M and Shapiro E. (1982). Self-rated Health: A Predictor of Mortality among the Elderly. American Journal of Public Health, 72(8):800-8. DOI 10.2105/ajph.72.8.800.

Palloni A and Arias E. (2004). Paradox Lost: Explaining the Hispanic Adult Mortality Advantage. Demography, 41(3):385-415. DOI 10.1353/dem.2004.0024.

Pew Research Center: Hispanic Trends. (2015). English Proficiency on the Rise among Latinos: U.S. Born Driving Language Changes. Available from: http://www.pewhispanic.org/2015/05/12/english-proficiency-on-the-rise-among-latinos. [Last accessed on 2017 Mar 10].

Pew Research Center: Hispanic Trends. (2016). Statistical Portrait of Hispanics in the United States. Available from: http://www. pewhispanic.org/2016/04/19/statistical-portrait-of-hispanics-in-the-united-states. [Last accessed on 2017 May 04].

Pourat N, Wallace SP and Hadler MW, et al. (2014). Assessing Health Care Services Used by California’s Undocumented Immigrant Population in 2010. Health Affairs, 33(5):840-7. DOI 10.1377/hlthaff.2013.0615.

Ren XS and Amick BC. (1996). Racial and Ethnic Disparities in Self-assessed Health Status: Evidence from the National Survey of Families and Households. Journal of Ethnicity and Health, 1(3):293-303. DOI 10.1080/13557858.1996.9961798.

Ren XS, Amick BC and Williams DR. (1999). Racial/Ethnic Disparities in Health: The Interplay between Discrimination and Socioeconomic Status. Ethnicity and Disease, 9(2):151-65.

Rubalcava LN, Teruel GM and Thomas D, et al. (2008). The Healthy Migrant Effect: New Findings from the Mexican Family Life Survey. American Journal of Public Health, 98(1):78-84. DOI 10.2105/ajph.2006.098418.

Rubin S and Zimmer Z. (2015). Pain and Self-assessed Health: Does the Association Vary by Age? Social Science and Medicine, 130:259-67. DOI 10.1016/j.socscimed.2015.02.024.

Sanchez GR and Vargas ED. (2016). Language Bias and Self-rated Health Status among the Latino Population: Evidence of the Influence of Translation in a Wording Experiment. Quality of Life Research, 25(5):1131-6. DOI 10.1007/s11136-015-1147-8.

Shetterly SM, Baxter J and Mason L, et al. (1996). Self-rated Health among Hispanic vs Non-Hispanic White Adults: The San Luis Valley Health and Aging Study. American Journal of Public Health, 86(12):1798-801. DOI 10.2105/ajph.86.12.1798.

Smith DP and Bradshaw BS. (2006). Rethinking the Hispanic Paradox: Death Rates and Life Expectancy for US Non-Hispanic White and Hispanic Populations. American Journal of Public Health, 96(9):1686-92. DOI 10.2105/ajph.2003.035378.

Stuber J, Galea S and Ahern J, et al. (2003). The Association between Multiple Domains of Discrimination and Self-assessed Health: A Multilevel Analysis of Latinos and Blacks in Four Low-Income New York City Neighborhoods. Health Services Research, 38(6 Pt 2):1735-60. DOI 10.1111/j.1475-6773.2003.00200.x.

van Doorslaer E, Wagstaff A and Bleichrodt H, et al. (1997). Income-related Inequalities in Health: Some International Comparisons. Journal of Health Economics, 16(1):93-112. DOI 10.1016/s0167-6296(96)00532-2.

Vega WA, Rodriguez MA and Gruskin E. (2009). Health Disparities in the Latino Population. Epidemiologic Reviews, 31:99-112. DOI 10.1093/epirev/mxp008.

Viruell-Fuentes EA, Morenoff JD and Williams DR, el al. (2011). Language of Interview, Self-rated Health, and the other Latino Health Puzzle. American Journal of Public Health, 101(7):1306-13. DOI 10.2105/ajph.2009.175455.

Wang HL. (2018). Citizenship Question Controversy Complicating Census 2020 Work, Bureau Director Says. National Public Radio. Available from: https://www.npr.org/2018/07/11/627350553/citizenship-question-controversy-complicating-census-2020-work-bureau-director-s. [Last accessed on 2018 Aug 31]. DOI 10.1111/j.1740-9713.2018.01100.x.

Zajacova A and Dowd JB. (2011). Reliability of Self-rated Health in US Adults. American Journal of Epidemiology, 174(8):977-83. DOI 10.1093/aje/kwr204.

Zimmer Z, Natividad J and Lin HS, et al. (2000). A Cross-national Examination of the Determinants of Self-assessed Health. Journal of Health and Social Behavior, 41(4):465-81. DOI 10.2307/2676298.


DOI: http://dx.doi.org/10.18063/ijps.v5i1.1015
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