Hlaing WayWay M
Department of Epidemiology & Biostatistics, Florida International University, Stempel School of Public Health, Miami, Florida, USA.
Ethn Dis. 2007 Summer;17(3):453-60.
While racial disparity in the treatment of hypertension has been documented, disparity among hospitalized patients is relatively understudied. Our objective was to compare the characteristics among Black, White, and Hispanic patients hospitalized for hypertension.
The de-identified, public use hospital discharge file of the Florida Agency for Health Care Administration (AHCA) in 2001 was utilized. Discharge records with primary diagnosis of essential hypertension using the International Classification of Diseases code were included. The differences between three groups were tested using the chi-square tests and the multiple regression models.
Discharge records that belonged to White, Black or Hispanic in-patients (N=7102) were included. Average age (years) and standard error (SE) of patients were 53.1 +/- 0.4 (Blacks), 63.6 +/- 0.5 (Hispanics), and 66.7 +/- 0.3 (Whites). Most patients were discharged home, but more Whites (15.9%) were discharged to another facility followed by Hispanics (11.3%) and Blacks (9.6%). More Blacks and Hispanics were underinsured or uninsured compared with Whites. The adjusted length of stay was 3.2 (Blacks), 3.1 (Hispanics), and 2.9 (Whites) days (P < .01). The adjusted total hospital charges were not different.
Although the prevalence of hypertension was the highest among Blacks followed by Whites and Hispanics in Florida, more Whites (57.1%) were hospitalized followed by Blacks (28.6%) and Hispanics (14.3%). Further, the discharge status, insurance type and adjusted length of stay varied by race/ethnicity. Future studies should examine potential causes (severity of hypertension, comorbidity, and access to preventive care) of disparity between race/ethnic groups of Florida.
虽然已有文献记载高血压治疗中存在种族差异，但对住院患者之间的差异研究相对较少。我们的目的是比较因高血压住院的黑人、白人和西班牙裔患者的特征。
使用了2001年佛罗里达州医疗保健管理局（AHCA）的匿名公开住院患者出院文件。纳入使用国际疾病分类代码以原发性高血压为主要诊断的出院记录。使用卡方检验和多元回归模型检验三组之间的差异。
纳入了属于白人、黑人或西班牙裔住院患者的出院记录（N = 7102）。患者的平均年龄（岁）和标准误（SE）分别为53.1±0.4（黑人）、63.6±0.5（西班牙裔）和66.7±0.3（白人）。大多数患者出院回家，但更多白人（15.9%）被转至其他机构，其次是西班牙裔（11.3%）和黑人（9.6%）。与白人相比，更多黑人和西班牙裔患者的保险不足或未参保。调整后的住院天数分别为3.2天（黑人）、3.1天（西班牙裔）和2.9天（白人）（P <.01）。调整后的总住院费用没有差异。
虽然在佛罗里达州，高血压患病率黑人最高，其次是白人和西班牙裔，但住院的白人患者更多（57.1%），其次是黑人（28.6%）和西班牙裔（14.3%）。此外，出院状态、保险类型和调整后的住院天数因种族/族裔而异。未来的研究应探讨佛罗里达州不同种族/族裔群体之间差异的潜在原因（高血压严重程度、合并症和获得预防性护理的机会）。
