Minority Health Archive

Racial Differences in the Association Between Self-Rated Health Status and Objective Clinical Measures Among Participants in the BARI 2D Trial

Thomas, S. B. and Sansing, V. V. and Davis, A. and Magee, M. and Massaro, E. and Srinivas, V. S. and Helmy, T. and Desvigne-Nickens, P. and Brooks, M. M. (2010) Racial Differences in the Association Between Self-Rated Health Status and Objective Clinical Measures Among Participants in the BARI 2D Trial. American Journal of Public Health, 100 (S1). S269-S276. ISSN 0090-0036

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Abstract

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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Item Type: Article
Uncontrolled Keywords: self-assessment of health, type 2 diabetes, coronary artery disease
Subjects: Health > Public Health > Chronic Illness & Diseases
Health > Public Health > Chronic Illness & Diseases > Diabetes
Research
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Depositing User: Users 141 not found.
Date Deposited: 22 May 2011 13:19
Last Modified: 22 May 2011 13:19
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2495

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