Saladin Lisa K, Krause James S
College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
NeuroRehabilitation. 2009;24(1):57-66. doi: 10.3233/NRE-2009-0454.
To compare the prevalence of pressure ulcer (PU) and barriers to treatment in the event of PU development as a function of race-ethnicity in persons with spinal cord injury (SCI).
Interview data were collected from three rehabilitation hospitals each of which was designated as a model SCI system of care by the United States Department of Education. There were 475 participants with similar portions of each racial-ethnic group (African-American n = 121, American-Indian n = 105, Caucasians n = 127, Hispanics n = 122).
The lowest prevalence rates for pressure ulcers were reported by Hispanics followed by Caucasians. Logistic regression revealed racial-ethnic differences in the odds of developing a PU within the past 12 months. Social support and injury severity were also associated with risk of PU while age, gender, years since injury, and education were not. Significant racial-ethnic differences were also observed in 5 of 9 barriers to the treatment of PUs.
Results suggest that variability in social support and barriers to treatment may contribute to the racial-ethnic differences in prevalence rates for PU that were observed. Future research in this area could lead to the development of strategies to enhance prevention and treatment targeted at the elimination of any racial-ethnic disparities.
比较脊髓损伤（SCI）患者中压疮（PU）的患病率以及发生PU时的治疗障碍，并分析其与种族的关系。
从三所康复医院收集访谈数据，每所医院均被美国教育部指定为SCI护理示范系统。共有475名参与者，每个种族-族裔群体的比例相近（非裔美国人n = 121，美国印第安人n = 105，白种人n = 127，西班牙裔n = 122）。
西班牙裔报告的压疮患病率最低，其次是白种人。逻辑回归显示，在过去12个月内发生PU的几率存在种族差异。社会支持和损伤严重程度也与PU风险相关，而年龄、性别、受伤年限和教育程度则无关。在PU治疗的9个障碍中，有5个也观察到了显著的种族差异。
结果表明，社会支持和治疗障碍的差异可能导致观察到的PU患病率的种族差异。该领域未来的研究可能会促成制定策略，以加强预防和治疗，消除任何种族差异。
