| The relationship of pressure ulcers, race, and socioeconomic conditions after spinal cord injury. | |
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MedLine Citation:
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PMID: 21061898 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To identify risks factors associated with pressure ulcers (PrU) after spinal cord injury (SCI) by examining race and indicators of socioeconomic status (measured by income and education). We hypothesize African Americans will have a greater risk for PrUs than whites, but this relationship will be mediated by the 2 socioeconomic status indicators. DESIGN: Cohort study. SETTING: A large rehabilitation hospital in the southeastern US. PARTICIPANTS: 1466 white and African American adults at least 1-year post-traumatic SCI. OUTCOME MEASURES: (a) PrUs in the past year, (b) current PrU, (c) surgery to repair a PrU since injury. RESULTS: In preliminary analyses, race was significantly associated with having a current PrU and with having surgery to repair a PrU since injury. In multivariable analyses, the relationships of PrU with having a current PrU and with having surgery to repair a PrU were both mediated by income and education such that the relationships were no longer significant. Lower income was associated with increased odds of each PrU outcome. After controlling for other variables in the model, education was associated with increased odds of having a current PrU. CONCLUSION: These findings help clarify the relationships between race and socioeconomic status with PrUs after SCI. Specifically, a lack of resources, both financial and educational, is associated with worse PrU outcomes. These results can be used by both providers and policy makers when considering prevention and intervention strategies for PrUs among people with SCI. |
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Authors:
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Lee L Saunders; James S Krause; Bridget A Peters; Karla S Reed |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: The journal of spinal cord medicine Volume: 33 ISSN: 1079-0268 ISO Abbreviation: J Spinal Cord Med Publication Date: 2010 |
Date Detail:
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Created Date: 2010-11-10 Completed Date: 2010-12-10 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 9504452 Medline TA: J Spinal Cord Med Country: United States |
Other Details:
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Languages: eng Pagination: 387-95 Citation Subset: IM |
Affiliation:
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Department of Health Sciences and Research, Medical University of South Carolina, Charleston, South Carolina 29425, USA. saundel@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Continental Ancestry Group / statistics & numerical data* Aged European Continental Ancestry Group / statistics & numerical data* Female Health Surveys Humans Logistic Models Male Middle Aged Pressure Ulcer* / economics, epidemiology, etiology Risk Factors Socioeconomic Factors* Southeastern United States / epidemiology Spinal Cord Injuries* / complications, economics, epidemiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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1R01NS48117/NS/NINDS NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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