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October 2001, Vol 91, No. 10 | American Journal of Public Health 1660-1663
© 2001 American Public Health Association


RESEARCH

Self-Assessed Health Among Indigenous Australians: How Valid Is a Global Question?

Beverly Sibthorpe, PhD, Ian Anderson, MBBS and Joan Cunningham, ScD

Beverly Sibthorpe is with the National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory. Ian Anderson is with the VicHealth Koori Health Research and Community Development Unit, University of Melbourne, Melbourne, Victoria, Australia. Joan Cunningham is with the Menzies School of Health Research, Darwin, Northern Territory, Australia.

Correspondence: Requests for reprints should be sent to Beverly Sibthorpe, PhD, National Centre for Epidemiology and Population Health, Australian National University, ACT 0200, Australia (e-mail: beverly.sibthorpe{at}anu.edu.au).

Objectives. This study assessed the validity of a global measure of self-assessed health among Indigenous Australians.

Methods. Logistic regression was used to identify factors associated with self-assessed health in a nationally representative sample.

Results. Among 8782 adult respondents, poorer self-assessed health was strongly associated with several factors, including age, number of health conditions, and recent health actions. The association with health conditions was attenuated when the respondent's primary language was not English.

Conclusions. Self-assessed health may be a valid measure among indigenous Australians whose primary language is English. However, although the measure draws on common experiences of health and illness, it may obscure differences in how people incorporate these experiences into social actions.







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