| Understanding ethnic disparities in the use of total joint arthroplasty: application of the health belief model. | |
| | |
MedLine Citation:
|
PMID: 18163395 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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<$15,000, and had a higher body mass index than whites. After controlling for confounders, African Americans were almost 50% (odds ratio [OR] 0.60, 95% confidence interval [95% CI] 0.42-0.86, P=0.005) as likely as whites to perceive that TJA is beneficial or helpful for their arthritis. Furthermore, African Americans were 70% (OR 1.7, 95% CI 1.18-2.44, P=0.004) more likely than whites to recognize barriers (e.g., risky, etc.) to TJA. Race was not associated with either the perceived severity or the perceived susceptibility of arthritis to worsen. CONCLUSION: Among patients with at least moderately severe OA, African Americans were significantly less likely than whites to perceive the benefits of TJA and more likely to recognize barriers to TJA. |
| | |
Authors:
|
Dennis C Ang; Patrick O Monahan; Terry A Cronan |
Related Documents
:
|
17351285 - The underuse of screening services among elderly women with diabetes. 12752625 - Effects of screening mammography on the comparative survival rates of african american,... 9591495 - Mammographic changes in women receiving tibolone therapy. 10368495 - Clinical value of mammography for symptomatic women 35 years of age and younger. 15243285 - Serum leptin levels and body composition in postmenopausal women: effects of hormone th... 20678235 - Screening for pre-clinical disability in different residential settings. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
|
Title: Arthritis and rheumatism Volume: 59 ISSN: 0004-3591 ISO Abbreviation: Arthritis Rheum. Publication Date: 2008 Jan |
Date Detail:
|
Created Date: 2008-01-21 Completed Date: 2008-03-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370605 Medline TA: Arthritis Rheum Country: United States |
Other Details:
|
Languages: eng Pagination: 102-8 Citation Subset: AIM; IM |
Affiliation:
|
Indiana University School of Medicine, Indianapolis 46202, USA. dang@iupui.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
African Americans* Aged Arthroplasty / utilization* Culture* European Continental Ancestry Group* Female Humans Male Middle Aged Osteoarthritis / ethnology*, psychology, surgery* |
| Grant Support | |
ID/Acronym/Agency:
|
RR0-17725/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bcl-xL prevents staurosporine-induced hepatocyte apoptosis by restoring protein kinase B/mitogen-act...
Next Document: Sugar-sweetened soft drinks, diet soft drinks, and serum uric acid level: the Third National Health ...