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Related Experiment Videos

Black-white differences in health perceptions among the indigent.

C O Larson1, M Colangelo, K Goods

  • 1Metropolitan Nashville Davidson County Health Department Division of Evaluation, TN, USA.

The Journal of Ambulatory Care Management
|December 8, 1997
PubMed
Summary

Health perceptions differ between Black and White individuals in low-income urban settings. Cultural factors significantly influence self-perceived health, questioning the validity of standard health indicators for this population.

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Area of Science:

  • Public Health
  • Sociology of Health

Background:

  • Assessed health perceptions and functional health status in an urban, low-income population in the southeastern US.
  • Examined differences in health perceptions between hospitalized and non-hospitalized individuals.

Purpose of the Study:

  • To evaluate health perceptions and functional health status in an urban, low-income population.
  • To investigate differences in health referents between Black and White respondents.
  • To question the validity of global single-item health indicators for low-income groups.

Main Methods:

  • Two studies were conducted: one with 176 hospitalized patients and another with 546 non-hospitalized individuals.
  • The Short Form-36 (SF-36) health status questionnaire was administered.
  • Telephone interviews and in-person administration were utilized.

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Main Results:

  • Consistent differences were observed between Black and White respondents regarding self-perceived health.
  • Health expectations and perceptions appear linked to cultural, contextual, and social-political factors.
  • The study questions the utility of general health indicators for low-income populations.

Conclusions:

  • Cultural and social factors significantly shape health perceptions in urban, low-income populations.
  • Existing health status measures may not adequately capture the experiences of diverse low-income groups.
  • Further research is needed to develop culturally sensitive health assessment tools for these populations.