Short Tilte:Racial disparities in health outcomes after spinal cord injury: Mediating effects of education and income
Journal:Journal of Spinal Cord Medicine (JSCM) (formerly Journal of the American Paraplegia Society
Year, Volume, Issue, Page(s):06, 29, 1, 17-25
Study investigated health disparities as a function of race and gender and the extent to which socioeconomic factors mediate disparities among people with spinal cord injury. Six outcomes were measured: self-rated health, poor physical health days in the past month, poor mental health days in the past month, number of non-routine physician visits, number of hospitalizations, and days hospitalized. Predictive factors in the analyses included socioeconomic indicators and social support. Results of multivariate analysis of variance indicated significant main effects for both race and gender. Racial disparities were observed in 3 of the 6 health outcomes examined, whereas gender disparities were observed for only 1 outcome (number of non-routine physician visits). African Americans reported a greater number of poor health days, more hospitalizations, and a greater number of days hospitalized. Years of education and household income mediated interrelationships between race and health such that race was no longer associated with these outcomes after consideration of these factors.