Association of Race, Socioeconomic Status, and Health Care Access With Pressure Ulcers After Spinal Cord Injury
Archives of Physical Medicine and Rehabilitation, 06/08/2012Saunders LL et al.
Even after accounting for health care access, household income, a measure of socioeconomic status (SES), remained significantly associated with PU outcomes after spinal cord injury (SCI); however, race became nonsignificant.
Persons with traumatic SCI who :
Had residual effects from their injury
Were 18 years or older at the time of the survey
Were a year or more postinjury at the time of survey (N=2549).
Outcomes were measured by a mail-in survey: having a current PU (yes vs no), having a PU in the past year with or without reduced sitting time (no PU, no reduced sitting time, month or less, ≥5wk), and having at least 1 PU surgery since SCI onset (yes vs no).
Of participants, 39.3% reported a PU in the past year, 19.9% had a current PU, and 21.9% reported having had surgery for a PU since their SCI onset.
While race was preliminarily associated with each PU outcome, it became nonsignificant after controlling for SES and health care access.
In each analysis, household income was significantly associated with PU outcomes after controlling for demographic and injury factors and remained significant after accounting for the health care access factors.
Persons with lower income had higher odds of each PU outcome.
Health care access was not consistently related to PU outcomes.
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