ABSTRACT

This study evaluates the validity of subjective health measurement for racial/ethnic comparisons in the United States, by assessing whether allostatic load (AL) is equally associated with poor/fair self-rated health (SRH) for different racial/ethnic groups. This study used data from the National Health and Nutrition Survey (NHANES) for 2006–2010. Multivariable logistic regression models were fit and stratified by race/ethnicity to study the association between AL and poor/fair SRH. Higher levels of AL were associated with higher odds of reporting poor/fair SRH. However, this association differs by race/ethnicity. Analysis of interactions and racial/ethnic-stratified models suggest that AL is less associated with poor/fair SRH status for non-Hispanic Blacks and Hispanics populations. These results demonstrate that subjective health ratings potentially underestimate actual measures of biological health risk, especially for racial/ethnic minorities. As a result, population-based assessments of racial/ethnic health disparities based on SRH may be significantly understated.

 抽象的

本研究通过评估不同种族/民族群体的调节负荷（AL）是否与较差/一般的自评健康（SRH）同等相关，评估了美国种族/民族比较主观健康测量的有效性。本研究使用 2006-2010 年国家健康和营养调查 (NHANES) 的数据。多变量逻辑回归模型按种族/民族进行拟合和分层，以研究 AL 与较差/公平 SRH 之间的关联。 AL 水平越高，报告 SRH 较差/一般的几率越高。然而，这种关联因种族/民族而异。对相互作用和种族/族裔分层模型的分析表明，AL 与非西班牙裔黑人和西班牙裔人口的不良/公平 SRH 状况相关性较小。这些结果表明，主观健康评级可能低估了生物健康风险的实际衡量标准，特别是对于少数种族/族裔而言。因此，基于性健康和生殖健康的基于人口的种族/族裔健康差异评估可能被大大低估。