| Titre : | Family structure and patient survival in an African-American end-stage renal disease population : a preliminary investigation. (1999) |
| Auteurs : | J. TURNER-MUSA ; B. HOLDER ; P.L. KIMMEL ; D. LEIDNER ; D. REISS ; S. SIMMENS ; Center for Family Research. George Washington University Medical Center. Washington. DC. USA |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 48, n° 10, 1999) |
| Pagination : | 1333-1340 |
| Langues: | Anglais |
| Mots-clés : | Insuffisance rénale ; Famille ; Etat matrimonial ; Survie ; Mortalité ; Epidémiologie ; Homme ; Etats Unis ; Amérique ; Appareil urinaire [pathologie] ; Rein [pathologie] ; Soins intensifs ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST 9gzR0xAr. Diffusion soumise à autorisation]. Few studies have examined the influence of the family on the course of chronic illness in African-Americans. We explore the relationship between family structure, defined as marital status and household composition, and patient survival. Patient gender was examined as a possible moderator in this relationship. Using data from a survey of 476 African-American end-stage renal disease (ESRD) patients, a significant association between household composition and patient survival was found. Results from Cox proportional hazards model, controlling for patient age, indicated that patients who live in'complex'households (i.e. those with a partner and/or others) are at greater risk for shortened survival as compared to those who live alone or with a spouse/partner (p<0.05). When we examined whether patient gender moderates this relationship, female patients who live in these households were found to be at 2 times greater risk for shortened survival (p<0.01) than female patients who live alone or with their spouse/partner only. Family structure was not significantly associated with survival in male patients. Discussion and implications of findings are addressed. |
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