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Semantics bias in cross-national comparative analyses : Is it good or bad to have "fair" health?

dc.contributor.authorSchnohr, Christina W.
dc.contributor.authorGobina, Inese
dc.contributor.authorSantos, Teresa Cristina
dc.contributor.authorMazur, Joanna
dc.contributor.authorAlikasifuglu, Mujgan
dc.contributor.authorVälimaa, Raili
dc.contributor.authorCorell, Maria
dc.contributor.authorHagquist, Curt
dc.contributor.authorDalmasso, Paola
dc.contributor.authorMovseyan, Yeva
dc.contributor.authorCavallo, Franco
dc.contributor.authorVan Dorsselaer, Saskia
dc.contributor.authorTorsheim, Torbjørn
dc.date.accessioned2016-05-10T18:18:00Z
dc.date.available2016-05-10T18:18:00Z
dc.date.issued2016
dc.description.abstractThe Health Behavior in School-aged Children is a cross-national study collecting data on social and health indicators on adolescents in 43 countries. The study provides comparable data on health behaviors and health outcomes through the use of a common protocol, which have been a back bone of the study sine its initiation in 1983. Recent years, researchers within the study have noticed a questionable comparability on the widely used item on self-rated health. One of the four response categories to the item "Would you say your health is….?" showed particular variation, as the response category "Fair" varied from 20 % in Latvia and Moldova to 3-4 % in Bulgaria and Macedonia. A qualitative mini-survey of the back-translations showed that the response category "Fair" had a negative slant in 25 countries, a positive slant in 10 countries and was considered neutral in 9 countries. This finding indicates that there are what may be called semantic issues affecting comparability in international studies, since the same original word (in an English original) is interpreted differently across countries and cultures. The paper test and discuss a few possible explanations to this, however, only leaving to future studies to hold a cautious approach to international comparisons if working with the self-rated health item with four response categories.pt_PT
dc.identifier.citationHealth and Quality of Life Outcomes, 14. doi:10.1186/s12955-016-0469-8pt_PT
dc.identifier.doi10.1186/s12955-016-0469-8pt_PT
dc.identifier.issn1477-7525
dc.identifier.urihttp://hdl.handle.net/10400.12/4639
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMedpt_PT
dc.subjectHealth behavior in school-aged children (HBSC)pt_PT
dc.subjectInternational comparisonpt_PT
dc.subjectSelf-rated healthpt_PT
dc.subjectMeasurement variancept_PT
dc.subjectTranslationpt_PT
dc.titleSemantics bias in cross-national comparative analyses : Is it good or bad to have "fair" health?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage4pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleHealth and Quality of Life Outcomespt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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