Sociodemographic Indictors of Social Position and Self-care Maintenance in Adults with Heart Failure

被引:11
作者
Baah, Foster Osei [1 ]
Chittams, Jesse [2 ]
Carlson, Beverly [5 ]
Sethares, Kristen A. [6 ]
Daus, Marguerite [3 ]
Moser, Debra K. [7 ]
Riegel, Barbara [4 ]
机构
[1] NIH, Bethesda, MD USA
[2] Univ Penn, Sch Nursing, Biostat Evaluat Consultat Collaborat Anal BECCA L, Philadelphia, PA USA
[3] Univ Penn, Sch Nursing, Philadelphia, PA USA
[4] Univ Penn, Sch Nursing, Gerontol, Philadelphia, PA USA
[5] San Diego State Univ, Nursing, San Diego, CA 92182 USA
[6] Univ Massachusetts, Dartmouth, MA USA
[7] Univ Kentucky, Cardiovasc Nursing, Lexington, KY 40506 USA
关键词
social determinants of health; social position; heart failure; self-care;
D O I
10.1177/1054773821995593
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Social determinants of health (SDH) are known to influence health. Adequate self-care maintenance improves heart failure (HF) outcomes. However, the relationship between self-care maintenance and SDH remains unclear. Explore the relationship between sociodemographic indicators of social position and self-care maintenance in adults with HF. This was a secondary analysis of data from a cross-sectional descriptive study of 543 adults with HF. Participants completed the Self-Care of HF Index and a sociodemographic survey. We used multiple regression with backward elimination to determine which SDH variables were determinants of self-care maintenance. Marital status (p = .02) and race (p = .02) were significant determinants of self-care maintenance. Education (p = .06) was highest in Whites (35.6%). These variables explained only 3.8% of the variance in self-care maintenance. Race, education, and marital status were associated with HF self-care maintenance. SDH is complex and cannot be explained with simple sociodemographic characteristics.
引用
收藏
页码:847 / 854
页数:8
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