Racial disparities in health outcomes after spinal cord injury: mediating effects of education and income
JS Krause, LE Broderick, L Saladin… - The journal of spinal …, 2006 - Taylor & Francis
JS Krause, LE Broderick, L Saladin, J Broyles
The journal of spinal cord medicine, 2006•Taylor & FrancisObjective: The purpose of this study was to investigate heath disparities as a function of race
and gender and the extent to which socioeconomic factors mediate disparities among
participants with spinal cord injury. Design: Survey methodology. Cross-sectional data.
Setting: A large Southeastern specialty hospital. Participants: There were 1,342 participants
in the current analysis, all of whom were identified from patient records. There were 3
inclusion criteria:(a) traumatic SCI,(b) at least 18 years of age at the time of study, and (c) …
and gender and the extent to which socioeconomic factors mediate disparities among
participants with spinal cord injury. Design: Survey methodology. Cross-sectional data.
Setting: A large Southeastern specialty hospital. Participants: There were 1,342 participants
in the current analysis, all of whom were identified from patient records. There were 3
inclusion criteria:(a) traumatic SCI,(b) at least 18 years of age at the time of study, and (c) …
Abstract
Objective: The purpose of this study was to investigate heath disparities as a function of race and gender and the extent to which socioeconomic factors mediate disparities among participants with spinal cord injury.
Design: Survey methodology. Cross-sectional data.
Setting: A large Southeastern specialty hospital.
Participants: There were 1,342 participants in the current analysis, all of whom were identified from patient records. There were 3 inclusion criteria: (a) traumatic SCI, (b) at least 18 years of age at the time of study, and (c) injury duration of more than 1year.
Main outcome measures: Six outcomes were measured, including 3 general outcomes (self-ratings, days impacted by poor health, days impacted by poor mental health) and 3 that reflect utilization of services (hospitalizations, days hospitalized, and nonroutine physician visits in the past 2 years).
Results: Results of multivariate analysis of variance (MANOVA) indicated significant main effects for both race and gender. Follow-up tests identified racial disparities on 3 of the 6 outcomes, whereas gender disparities were observed for a single outcome. Years of education and household income mediated interrelationships between race and health (but not gender) as racial disparities disappeared after consideration of these factors.
Conclusions: These findings suggest the need to work more diligently to promote better health outcomes among African Americans and to further investigate how socioeconomic factors and access to health care related to diminished health outcomes among African Americans with spinal cord injury.
Taylor & Francis Online以上显示的是最相近的搜索结果。 查看全部搜索结果