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在急性中风后康复中存在种族差异.

Imadeddin Hijazi1, Amanda Malingagio1, Emily Anderson2

  • 1Stroke Program, Department of Neurology, University of Michigan Medical School, Ann Arbor, MI.

Archives of physical medicine and rehabilitation
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概括

与非西班牙裔白人 (NHW) 患者相比,墨西哥裔美国人 (MA) 中风患者接受的住院康复设施 (IRF) 护理较少. 社会经济因素在很大程度上解释了这些在中风后康复中存在的种族差异.

关键词:
西班牙语/拉丁语x墨西哥裔美国人 墨西哥裔美国人结果结果的结果.恢复 恢复 恢复 恢复 恢复康复 康复 康复 康复一次性中风,中风.

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科学领域:

  • 神经学 神经学
  • 公共卫生 公共卫生
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 在不同族群中,中风康复的准入和结果可能会有很大差异.
  • 了解中风后护理中的种族差异对于改善健康平等至关重要.

研究的目的:

  • 调查墨西哥裔美国人 (MA) 和非西班牙裔白人 (NHW) 中风患者之间初始中风后康复提供者选择的种族差异.
  • 确定导致在康复利用中观察到的种族差异的因素.

主要方法:

  • 一项前性,基于社区的队列研究,涉及1453名中风患者.
  • 双项回归和倾向得分调整被用于分析种族 (MA vs NHW) 与使用住院康复设施 (IRF) 作为第一提供者的关系.
  • 在中风后90天内收集数据,以追踪康复提供者的使用情况.

主要成果:

  • 与NHW患者相比,墨西哥裔美国患者不太可能使用IRF作为他们的第一个康复提供者 (风险差异=7.4%).
  • 在调整临床和人口因素后,这种差异减少了,但在考虑社会经济地位后,差异在很大程度上减弱了 (74.6%).
  • 倾向评分分析证实,当考虑观察到的共变量时,IRF利用的少数,非显著的种族差异较小.

结论:

  • 与非西班牙裔白人患者相比,墨西哥裔美国人中风幸存者在入院康复设施的利用率较低,作为最初的中风后护理环境.
  • 社会经济地位是这些种族差异在中风后康复获得的主要驱动因素.