The color of hospitalization over the adult life course: Cumulative disadvantage in Black and White?
The color of hospitalization over the adult life course: Cumulative disadvantage in Black and White?
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DOI：
10.1093/geronb/61.6.s299
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发表时间：
2006-11-01
影响因子：
6.2
通讯作者：
Jiang, Zhen
中科院分区：
文献类型：
--
作者：
Ferraro, Kenneth F.;Thorpe, Roland J., Jr.;Jiang, Zhen
目标.从累积劣势理论，本研究解决了以下问题：住院和出院率不同的白色和黑人成年人？如果是的话，这些差异在以后的生活中会扩大吗？方法.这项研究利用了从国家健康和营养检查调查1：流行病学随访研究（N = 6，833）中对成年人进行的长期前瞻性研究中提取的医院记录。半马尔可夫模型被指定为检查的可能性，住院和出院的黑人和白色成人年龄在25至74岁的基线。与白色成年人相比，黑人成年人住院的可能性更小，但他们住院的时间更长。黑人男性和女性在医院死亡的风险都比白色男性和女性大。此外，观察到的种族差异住院经验放大后的生活。美国的健康不平等表现在白色和黑人成年人如何进出医院。研究结果表明，种族在晚年生活中的异质性越来越大。
Objectives. Drawing from cumulative disadvantage theory, this research addresses the following questions: Do hospital admission and discharge rates differ for White and Black adults? If yes, do the differences amplify in later life?Methods. This study made use of hospital records abstracted from a long-term prospective study of adults in the National Health and Nutrition Examination Survey 1: Epidemiologic Follow-up Study (N = 6,833). Semi-Markov models were specified to examine the likelihood of hospital admission and discharge for Black and White adults aged 25 to 74 years old at baseline.Results. Black adults were less likely than White adults to be admitted to the hospital, but they had longer lengths of stay. The risk of death in the hospital was greater for both Black men and women than for White men and women. In addition, the observed racial differences in hospitalization experiences amplified in later life.Discussion. Health inequality in America is manifest in how White and Black adults enter and exit hospitals. The findings demonstrate growing heterogeneity in later life by race.