Article

OBJECTIVE: To assess the associations of race and socioeconomic status (SES) with
pressure ulcers (PUs) after accounting for health care access among persons with
spinal cord injury (SCI).
DESIGN: Cross-sectional. SETTING: Large specialty
hospital in the southeastern United States. PARTICIPANTS: Persons with traumatic
SCI who (1) had residual effects from their injury, (2) were 18 years or older at
the time of the survey, and (3) were a year or more postinjury at the time of
survey (N=2549). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Outcomes were
measured by a mail-in survey: having a current PU (yes vs no), having a PU in the
past year with or without reduced sitting time (no PU, no reduced sitting time,
month or less, >/=5wk), and having at least 1 PU surgery since SCI onset (yes vs
no). RESULTS: Of participants, 39.3% reported a PU in the past year, 19.9% had a
current PU, and 21.9% reported having had surgery for a PU since their SCI onset.
While race was preliminarily associated with each PU outcome, it became
nonsignificant after controlling for SES and health care access. In each
analysis, household income was significantly associated with PU outcomes after
controlling for demographic and injury factors and remained significant after
accounting for the health care access factors. Persons with lower income had
higher odds of each PU outcome. Health care access was not consistently related
to PU outcomes. CONCLUSIONS: Even after accounting for health care access,
household income, a measure of SES, remained significantly associated with PU
outcomes after SCI; however, race became nonsignificant.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS