Black and white chains of risk for hospitalization over 20 years
Black and white chains of risk for hospitalization over 20 years
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DOI：
10.1177/002214650804900206
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发表时间：
2008-06-01
影响因子：
5
通讯作者：
Shippee, Tetyana Pylypiv
中科院分区：
文献类型：
--
作者：
Ferraro, Kenneth F.;Shippee, Tetyana Pylypiv
从生命历程的角度来看，住院治疗的种族差异是根据一系列风险考虑的。我们询问种族是否影响入院、住院时间和住院后的死亡率。分析解决这些问题的数据来自全国纵向样本的成年人，以评估种族差异的住院经验（n = 6,833）。调查数据与20年观察中提取的医院记录合并。多变量分析显示，在入学方面没有种族差异，但黑人成年人通常停留时间较长。当前瞻性地隔离每次住院时，黑人成年人在第一次、第三次和第四次住院期间的住院时间更长。即使在控制了发病率和地位资源后，黑人成年人首次住院后的死亡率也高于白色人。研究结果表明，住院时间和死亡率的种族差异是由社会和健康不平等在生命过程中的累积效应解释的。
Drawing from the life course perspective, racial disparities in hospitalization are considered in light of a chain of risk. We ask whether race influences admission to, length of stay in, and mortality following hospitalization. Analyses address these questions with data from a national longitudinal sample of adults to assess racial disparities in the hospitalization experience (n = 6,833). Survey data were merged with hospital records abstracted over 20years of observation. Multivariate analyses revealed that there were no racial differences in admission, but that black adults generally had longer stays. When isolating each stay prospectively, black adults had longer stays during the first, third, and fourth hospitalizations. Post-hospital mortality after the first stay was also higher for black adults than for their white counterparts, even after controlling for morbidity and status resources. The findings suggest that the racial disparities in hospital length of stay and mortality are explained by the cumulative effects of social and health inequalities over the life course.