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

3 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

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The primary author was funded by the Ruth L. Kirschstein National Research Service Award (NRSA) from the National Institute of Nursing research under award number F31NR018374 at the University of Pennsylvania School of Nursing.

Publisher Copyright:
© The Author(s) 2021.


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

ASJC Scopus subject areas

  • Nursing (all)


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