Sociodemographic Indicators of Social Position and Self-care Maintenance in Adults with Heart Failure

Foster Osei Baah, Jesse Chittams, Beverly Carlson, Kristen A. Sethares, Marguerite Daus, Debra K. Moser, Barbara Riegel

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Social determinants of health (SDH) are known to influence health. Adequate self-care maintenance improves heart failure (HF) outcomes. However, the relationship between self-care maintenance and SDH remains unclear. Explore the relationship between sociodemographic indicators of social position and self-care maintenance in adults with HF. This was a secondary analysis of data from a cross-sectional descriptive study of 543 adults with HF. Participants completed the Self-Care of HF Index and a sociodemographic survey. We used multiple regression with backward elimination to determine which SDH variables were determinants of self-care maintenance. Marital status (p =.02) and race (p =.02) were significant determinants of self-care maintenance. Education (p =.06) was highest in Whites (35.6%). These variables explained only 3.8% of the variance in self-care maintenance. Race, education, and marital status were associated with HF self-care maintenance. SDH is complex and cannot be explained with simple sociodemographic characteristics.

Original languageEnglish
Pages (from-to)847-854
Number of pages8
JournalClinical Nursing Research
Issue number6
StatePublished - Jul 2021

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.


  • heart failure
  • self-care
  • social determinants of health
  • social position

ASJC Scopus subject areas

  • General Nursing


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