The Relationship of Pressure Ulcers, Race, and Socioeconomic Conditions After Spinal Cord Injury
The Relationship of Pressure Ulcers, Race, and Socioeconomic Conditions After Spinal Cord Injury
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DOI：
10.1080/10790268.2010.11689717
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发表时间：
2010-10-01
影响因子：
1.7
通讯作者：
Reed, Karla S.
中科院分区：
文献类型：
--
作者：
Saunders, Lee L.;Krause, James S.;Reed, Karla S.
目的：通过检查种族和社会经济地位指标（以收入和教育程度衡量），确定与脊髓损伤（SCI）后压疮（PrU）相关的风险因素。我们假设非裔美国人比白人有更大的PrU风险，但这种关系将由2个社会经济地位指标介导。设计：队列研究。设置：美国东南部的一家大型康复医院。参与者：1，466名白色和非裔美国成年人，创伤后SCI至少1年。结果测量：（a）过去一年的PrU，（B）目前的PrU，（c）手术修复PrU，因为injure.Results：在初步分析中，种族是显着相关，有一个目前的PrU和手术修复PrU，因为受伤。在多变量分析中，PrU与当前PrU和手术修复PrU的关系均受收入和教育程度的影响，因此这些关系不再显著。较低的收入与每个PrU结果的几率增加相关。在控制模型中的其他变量后，教育程度与当前PrU的可能性增加有关。结论：这些发现有助于澄清种族和社会经济地位与SCI后PrU之间的关系。具体而言，缺乏资源，财政和教育，与更差的保诚结果。这些结果可供供应商和政策制定者在考虑预防和干预策略时使用。
Objective: To identify risks factors associated with pressure ulcers (PrU) after spinal cord injury (SCI) by examining race and indicators of socioeconomic status (measured by income and education). We hypothesize African Americans will have a greater risk for PrUs than whites, but this relationship will be mediated by the 2 socioeconomic status indicators.Design: Cohort study.Setting: A large rehabilitation hospital in the southeastern US.Participants: 1,466 white and African American adults at least 1-year post-traumatic SCI.Outcome Measures: (a) PrUs in the past year, (b) current PrU, (c) surgery to repair a PrU since injury.Results: In preliminary analyses, race was significantly associated with having a current PrU and with having surgery to repair a PrU since injury. In multivariable analyses, the relationships of PrU with having a current PrU and with having surgery to repair a PrU were both mediated by income and education such that the relationships were no longer significant. Lower income was associated with increased odds of each PrU outcome. After controlling for other variables in the model, education was associated with increased odds of having a current PrU.Conclusion: These findings help clarify the relationships between race and socioeconomic status with PrUs after SCI. Specifically, a lack of resources, both financial and educational, is associated with worse PrU outcomes. These results can be used by both providers and policy makers when considering prevention and intervention strategies for PrUs among people with SCI.