Understanding ethnic disparities in the use of total joint arthroplasty: application of the health belief model
Understanding ethnic disparities in the use of total joint arthroplasty: application of the health belief model
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DOI：
10.1002/art.23243
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发表时间：
2008-01-15
期刊：
影响因子：
--
通讯作者：
Cronan, Terry A.
中科院分区：
文献类型：
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作者：
Ang, Dennis C.;Monahan, Patrick O.;Cronan, Terry A.
Objective. The Health Belief Model holds promise in understanding patient-related factors that may explain disparities in the use of total joint arthroplasty (TJA). We examined whether patients' health beliefs differ between African Americans and whites.Methods. In a primary care clinic setting, 691 African Americans and whites with at least a moderately severe degree of osteoarthritis (OA) completed the Arthritis-related Health Belief Instrument. The instrument has 4 scales: perceived benefits of TJA, perceived barriers to obtaining TJA, perceived severity of arthritis, and perceived susceptibility of arthritis to worsen.Results. The sample (40% women) consisted of 263 (38%) African Americans and 428 (62%) whites who were similar with respect to education, amount of insurance coverage, number of comorbidities, and self-report OA severity score. The African American group was younger, had less men, had more participants who reported an annual income
