Racial/Ethnic differences in quality of life for people living with arthritis who see a primary care physician.
Racial/Ethnic differences in quality of life for people living with arthritis who see a primary care physician.
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DOI：
10.2174/1874312901105010024
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发表时间：
2011-01-01
期刊：
影响因子：
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通讯作者：
Callahan, Leigh F
中科院分区：
文献类型：
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作者：
Carpenter, Delesha M;Schoster, Britta;Callahan, Leigh F
目的：以前的研究表明，获得医疗保健的机会不足可能会导致关节炎相关结果的健康差异。本文的目的是记录是否存在种族差异的健康状况，健康相关的生活质量（HRQOL），和活动限制的个人生活与关节炎谁有机会获得一个初级保健physician.METHODS：横断面调查数据收集在2005年和2008年从个人寻求照顾在北卡罗来纳州的11个家庭诊所。参与者自我报告他们的关节炎状态，健康状况，身体和精神HRQOL，和活动限制。方差分析用于确定自报关节炎的白色（n= 405）、黑人（n = 244）和拉丁美洲（n = 100）参与者的人口统计学和临床特征是否存在差异。线性回归确定种族/民族是否与HRQOL和活动限制显著相关;而logistic回归确定黑人和拉丁美洲参与者健康状况不佳的几率是否更高，控制年龄，性别，体重指数，婚姻状况和共病状况的数量。超过50%的参与者报告健康状况一般/较差，在过去一个月内超过8天的身心健康状况不佳，6天的活动受限。拉丁美洲的参与者更有可能报告公平/不良的健康状况和较少的活动限制比白人或黑人，而黑人参与者报告较少天的不良心理health.CONCLUSION：尽管获得初级保健医生，种族/民族的差异存在。未来的研究应探讨这些差异持续存在的根本原因。
OBJECTIVE: Previous research suggests that insufficient access to health care may contribute to health disparities in arthritis-related outcomes. The purpose of this article is to document whether racial disparities in health status, health-related quality of life (HRQOL), and activity limitations exist for individuals living with arthritis who have access to a primary care physician.METHODS: Cross-sectional survey data were collected in 2005 and 2008 from individuals seeking care at 11 family practice clinics in North Carolina. Participants self-reported their arthritis status, health status, physical and mental HRQOL, and activity limitations. Analysis of variance was used to determine whether there were differences in demographic and clinical characteristics of White (n= 405), Black (n = 244), and Latino (n = 100) participants who self-reported arthritis. Linear regressions determined whether race/ethnicity was significantly associated with HRQOL and activity limitations; whereas, logistic regression determined whether the odds of poor health were higher for Black and Latino participants, controlling for age, gender, body mass index, marital status, and number of comorbid conditions.RESULTS: Over 50% of participants reported fair/poor health status and more than 8 days of poor physical and mental health and 6 days of activity limitations during the past month. Latino participants were more likely to report fair/poor health status and fewer activity limitations than Whites or Blacks, whereas Black participants reported fewer days of poor mental health.CONCLUSION: Despite access to a primary care physician, racial/ethnic disparities exist. Future research should explore the underlying reasons for the persistence of these disparities.