20年间住院风险的黑白链条。
Black and white chains of risk for hospitalization over 20 years.
作者信息
Ferraro Kenneth F, Shippee Tetyana Pylypiv
机构信息
Center on Aging and the Life Course, Department of Sociology, Purdue University, Stone Hall, 700 West State Street, West Lafayette, IN 47907-2059, USA.
出版信息
J Health Soc Behav. 2008 Jun;49(2):193-207. doi: 10.1177/002214650804900206.
Drawing from the life course perspective, racial disparities in hospitalization are considered in light of a chain of risk. We ask whether race influences admission to, length of stay in, and mortality following hospitalization. Analyses address these questions with data from a national longitudinal sample of adults to assess racial disparities in the hospitalization experience (n = 6,833). Survey data were merged with hospital records abstracted over 20 years of observation. Multivariate analyses revealed that there were no racial differences in admission, but that black adults generally had longer stays. When isolating each stay prospectively, black adults had longer stays during the first, third, and fourth hospitalizations. Post-hospital mortality after the first stay was also higher for black adults than for their white counterparts, even after controlling for morbidity and status resources. The findings suggest that the racial disparities in hospital length of stay and mortality are explained by the cumulative effects of social and health inequalities over the life course.
从生命历程的角度出发，根据一系列风险来考量住院治疗方面的种族差异。我们探讨种族是否会影响住院率、住院时长以及住院后的死亡率。分析利用来自全国成年人纵向样本的数据来解答这些问题，以评估住院经历中的种族差异（n = 6833）。调查数据与20年观察期内提取的医院记录相结合。多变量分析显示，在住院率方面不存在种族差异，但黑人成年人的住院时间通常更长。前瞻性地单独分析每次住院情况时，黑人成年人在首次、第三次和第四次住院期间的住院时间更长。即使在控制了发病率和状况资源之后，黑人成年人首次住院后的院后死亡率也高于白人成年人。研究结果表明，住院时长和死亡率方面的种族差异可由生命历程中社会和健康不平等的累积效应来解释。
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