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. 2016 May;25(5):1131-6.
doi: 10.1007/s11136-015-1147-8. Epub 2015 Oct 6.

Language Bias and Self-Rated Health Status Among the Latino Population: Evidence of the Influence of Translation in a Wording Experiment

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Language Bias and Self-Rated Health Status Among the Latino Population: Evidence of the Influence of Translation in a Wording Experiment

Gabriel R Sanchez et al. Qual Life Res. .
Free PMC article

Abstract

Purpose: This research uses a translation experiment to assess the Spanish translation of the "fair" response in the self-rated health measure among a representative study of the Latino population in the USA.

Methods: Using a unique Latino-specific survey (n = 1200), researchers built in a split sample approach in the self-rated health status measure where half of the Spanish-speaking respondents (n = 600) were randomly given "regular" and the other half were given "Mas o Menos" in translating the English "fair" response. We first estimate a logistic regression model to estimate differences across language categories on the probability of reporting poor and fair health and then estimate a multinomial logistic regression to test whether respondents who took the survey in Spanish and given "regular" are more likely to rate their health as fair compared to English speakers and Spanish-speaking respondents who are given the "Mas o Menos" version.

Results: From our logistic regression model, we find that Spanish-speaking respondents given the "regular" response are more likely to report poor health relative to English-speaking respondents and Spanish-speaking respondents who were randomly given "Mas o Menos." The results from our multinomial logistic models suggest that Spanish respondents provided with "Mas o Menos" are more likely to rate their health as good relative to the base category of fair and relative to both English and Spanish speakers given "regular."

Conclusion: This research informs the study of racial and ethnic disparities by providing a detailed explanation for mixed findings in the Latino health disparities literature. Researchers interested in self-rated health should translate the general self-rated health option "fair" to "Mas o Menos" as our wording experiment suggests that the current wording "regular" overinflates the reporting of poor health.

Keywords: Health disparities; Language bias; Latino populations; Self-reported health; Survey research.

Figures

Figure 1
Figure 1
Summary Statistics for the Distribution of Self-Rated Health
Figure 2
Figure 2. Adjusted Predicted Probabilities of Multinomial Logistic Regression Model of Self-Rated Health for Latinos by Language of Interview: Latino Decisions/ImpreMedia Survey 2011 (n=1,086)
Note. Controlling for age, gender, education, income, citizenship, insurance coverage, Mexican origin and financial stability (all of which were set to their mean or mode values). *P < 0.05 for the difference between Spanish-“Regular” and Spanish-“Mas o Menos-” language interviewees in the same response category, † P < 0.05 for the difference between English- and Spanish-“Regular” language interviewees in the same response category, ‡P < 0.05 for the difference between English- and Spanish-“Mas O Menos” language interviewees in the same response category.

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