| Titre : | The science of eliminating health disparities. Racial Differences in the Association Between Self-Rated Health Status and Objective Clinical Measures Among Participants in the BARI 2D Trial. (2010) |
| Auteurs : | Stephen-B Thomas ; Andrew DAVIS ; Patrice DESVIGNE-NICKENS ; Tarek HELMY ; Howard-K KOH ; Michelle MAGEE ; Elaine MASSARO ; Maria MORI BROOKS ; Juleigh-M NOWINSKI ; John RUFFIN ; Veronica-V SANSING ; V.S. SRINIVAS ; Office of the Assistant Secretary for Health. Office of the Secretary. Department of Health and Human Services. Washington. DC. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, 2010) |
| Pagination : | S269-S276 |
| Langues: | Anglais |
| Mots-clés : | Race ; Ethnie ; Epidémiologie ; Etude comparée ; Association ; Autoévaluation ; Participation ; Essai comparatif ; Essai thérapeutique ; Procès ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS IsGkR0xm. Diffusion soumise à autorisation]. Objectives. We explored whether and how race shapes perceived health status in patients with type 2 diabetes mellitus and coronary artery disease. Methods. We analyzed self-rated health (fair or poor versus good, very good, or excellent) and associated clinical risk factors among 866 White and 333 Black participants in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial. Results. Michigan Neuropathy Screening Instrument scores, regular exercise, and employment were associated with higher self-rated health (P<. 05). Blacks were more likely than were Whites to rate their health as fair or poor (adjusted odds ratio [OR]=1.88 ; 95% confidence interval [CI]=1.38,2.57 ; P<. 001). Among Whites but not Blacks, a clinical history of myocardial infarction (OR=1.61 ; 95% CI=1.12,2.31 ; P<. 001) and insulin use (OR=1.62 ; 95% CI=1.10,2.38 ; P=01) was associated with a fair or poor rating. A post-high school education was related to poorer self-rated health among Blacks (OR=1.86 ; 95% CI=1.07,3.24 ; P<. 001). Conclusions. Symptomatic clinical factors played a proportionally larger role in self-assessment of health among Whites with diabetes and coronary artery disease than among Blacks with the same conditions. |
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