Detecting health disparities among Caucasians and African-Americans with epilepsy
Detecting health disparities among Caucasians and African-Americans with epilepsy
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DOI：
10.1016/j.yebeh.2010.10.016
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发表时间：
2011-01-01
影响因子：
2.6
通讯作者：
Jain, Deepali
中科院分区：
文献类型：
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作者：
Bautista, Ramon Edmundo D.;Jain, Deepali
目的：本研究的目的是确定是否非洲裔美国人和白人谁接受照顾在三级癫痫center. Results的各种人口统计学，临床和社会心理variable.Methods的区别：我们调查了111个连续的患者随后在三级癫痫center.Results：在单变量分析。非裔美国人癫痫发作明显更多（P=0.03），对药物的信念问卷（必要性减去担忧）（BMQ-S）得分较低（P=0.01），BMQ一般（BMQ-G）得分较高（P=0.02）。在以种族为目标变量的二元logistic回归中，较高的癫痫发作频率与非洲裔美国人显著相关（P=0.04）。以癫痫发作频率为目标变量进行有序回归后，非裔美国人（P=0.04）和较高的BMQ-G评分（P=0.02）与癫痫发作频率增加显著相关。结论：与白人相比，非裔美国人具有较高的癫痫发作频率和BMQ评分，表明对药物的不信任程度较高。除了种族，对药物的态度也与癫痫控制独立相关。(c)2010年爱思唯尔公司All rights reserved.
Objective: The aim of the study was to determine whether African-Americans and Caucasians who receive care at a tertiary epilepsy center can be distinguished on a variety of demographic, clinical, and psychosocial variables.Methods: We surveyed 111 consecutive patients followed at a tertiary epilepsy center.Results: On univariate analysis. African-Americans had significantly more seizures (P=0.03), lower scores on the Beliefs About Medicines Questionnaire Specific (Necessity minus Concerns) (BMQ-S) (P=0.01), and higher scores on the BMQ General (BMQ-G) (P=0.02). In binary logistic regression with race as the target variable, higher seizure frequency remained significantly associated with being African-American (P=0.04). After ordinal regression with seizure frequency as the target variable, being African-American (P=0.04) and higher BMQ-G scores (P=0.02) remained significantly associated with increased seizure frequency.Conclusion: Compared with Caucasians, African-Americans have higher seizure frequency and scores on the BMQ indicating a higher mistrust of medications. Aside from race, attitudes toward medications are also independently associated with seizure control. (c) 2010 Elsevier Inc. All rights reserved.