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Skip Navigation LinksHome > September 2008 - Volume 46 - Issue 9 > Race/Ethnicity and Patient Confidence to Self-Manage Cardiov...
Medical Care:
doi: 10.1097/MLR.0b013e3181792589
Original Article

Race/Ethnicity and Patient Confidence to Self-Manage Cardiovascular Disease

Blustein, Jan MD, PhD*; Valentine, Melissa BA, MPA†; Mead, Holly PhD‡; Regenstein, Marsha PhD‡

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Background: Minority populations bear a disproportionate burden of chronic disease, due to higher disease prevalence and greater morbidity and mortality. Recent research has shown that several factors, including confidence to self-manage care, are associated with better health behaviors and outcomes among those with chronic disease.

Objective: To examine the association between minority status and confidence to self-manage cardiovascular disease (CVD).

Study Sample: Survey respondents admitted to 10 hospitals participating in the “Expecting Success” program, with a diagnosis of CVD, during January–September 2006 (n = 1107).

Results: Minority race/ethnicity was substantially associated with lower confidence to self-manage CVD, with 36.5% of Hispanic patients, 30.7% of Black patients, and 16.0% of white patients reporting low confidence (P < 0.001). However, in multivariate analysis controlling for socioeconomic status and clinical severity, minority status was not predictive of low confidence.

Conclusions: Although there is an association between race/ethnicity and confidence to self-manage care, that relationship is explained by the association of race/ethnicity with socioeconomic status and clinical severity.

© 2008 Lippincott Williams & Wilkins, Inc.


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