TY - JOUR
T1 - Sociodemographic Indicators of Social Position and Self-care Maintenance in Adults with Heart Failure
AU - Baah, Foster Osei
AU - Chittams, Jesse
AU - Carlson, Beverly
AU - Sethares, Kristen A.
AU - Daus, Marguerite
AU - Moser, Debra K.
AU - Riegel, Barbara
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2021/7
Y1 - 2021/7
N2 - 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.
AB - 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.
KW - heart failure
KW - self-care
KW - social determinants of health
KW - social position
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U2 - 10.1177/1054773821995593
DO - 10.1177/1054773821995593
M3 - Article
C2 - 33605154
AN - SCOPUS:85101260105
SN - 1054-7738
VL - 30
SP - 847
EP - 854
JO - Clinical Nursing Research
JF - Clinical Nursing Research
IS - 6
ER -
