Family structure and patient survival in an African-American end-stage renal disease population : a preliminary investigation.
Few studies have examined the influence of the family on the course of chronic illness in African-Americans.
We explore the relationship between family structure, defined as marital status and household composition, and patient survival.
Patient gender was examined as a possible moderator in this relationship.
Using data from a survey of 476 African-American end-stage renal disease (ESRD) patients, a significant association between household composition and patient survival was found.
Results from Cox proportional hazards model, controlling for patient age, indicated that patients who live in'complex'households (i.e. those with a partner and/or others) are at greater risk for shortened survival as compared to those who live alone or with a spouse/partner (p<0.05).
When we examined whether patient gender moderates this relationship, female patients who live in these households were found to be at 2 times greater risk for shortened survival (p<0.01) than female patients who live alone or with their spouse/partner only.
Family structure was not significantly associated with survival in male patients.
Discussion and implications of findings are addressed.
Mots-clés Pascal : Insuffisance rénale, Stade terminal, Milieu familial, Statut conjugal, Survie, Mortalité, Dialyse, Epidémiologie, Corrélation, Homme, Etats Unis, Amérique du Nord, Amérique, Africain, Appareil urinaire pathologie, Rein pathologie, Soin intensif
Mots-clés Pascal anglais : Renal failure, Terminal stage, Family environment, Marital status, Survival, Mortality, Dialysis, Epidemiology, Correlation, Human, United States, North America, America, African, Urinary system disease, Kidney disease, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0253984
Code Inist : 002B27B03. Création : 16/11/1999.