acculturation and self-reported health among hispanics using a socio-behavioral model the north texas healthy heart study文化适应和自我报告健康在拉美裔使用socio-behavioral模型北德克萨斯心脏健康研究.pdfVIP

Johnson et al. BMC Public Health 2010, 10:53 /1471-2458/10/53 RESEARCH ARTICLE Open Access Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study 1* 2 1,3 4,5 1,3 Katandria L Johnson , Joan F Carroll , Kimberly G Fulda , Kathryn Cardarelli , Roberto Cardarelli Abstract Background: Acculturation is a continuous, firsthand contact with other cultures functioning at both group and individual levels and is reflected in our culturally diverse society, calling for a greater understanding of the environmental and cultural impact on health. Self-reported health (SRH), a robust and well validated predictor of future mortality for all racial/ethnic groups, has been differentially reported by Hispanics compared to whites, especially based on their acculturation status. This study investigated the relationship between acculturation and SRH among Hispanics. An adapted Andersen framework was used to develop logistic regression models to assess for an association between acculturation and general health status. Methods: Hispanic participants (n = 135), as part of the North Texas Healthy Heart Study, were administered standardized questionnaires on acculturation, psychosocial measures which included sense of control, stress, depression and social support and a single item SRH measure. In addition, physiological measurements and demographic characteristics including age, gender, body mass index, medical history, and socioeconomic status were also obtained. Results: Bivariate analyses found Mexican-oriented participants 3.16 times more likely to report fair/poor SRH compared to Anglo-oriented Hispanics. Acculturation was also associated