Thomas, S. B. and Sansing, V. V. and Davis, A. and Magee, M. and Massaro, E. and Srinivas, V. S. and Helmy, T. and Desvigne-Nickens, P. and Brooks, M. M.
OBJECTIVES: We explored whether and how race shapes perceived health status in patients with type 2 diabetes mellitus and coronary artery disease. METHODS: We analyzed self-rated health (fair or poor versus good, very good, or excellent) and associated clinical risk factors among 866 White and 333 Black participants in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial. RESULTS: Michigan Neuropathy Screening Instrument scores, regular exercise, and employment were associated with higher self-rated health (P < .05). Blacks were more likely than were Whites to rate their health as fair or poor (adjusted odds ratio [OR] = 1.88; 95% confidence interval [CI] = 1.38, 2.57; P < .001). Among Whites but not Blacks, a clinical history of myocardial infarction (OR = 1.61; 95% CI = 1.12, 2.31; P < .001) and insulin use (OR = 1.62; 95% CI = 1.10, 2.38; P = .01) was associated with a fair or poor rating. A post-high school education was related to poorer self-rated health among Blacks (OR = 1.86; 95% CI = 1.07, 3.24; P < .001). CONCLUSIONS: Symptomatic clinical factors played a proportionally larger role in self-assessment of health among Whites with diabetes and coronary artery disease than among Blacks with the same conditions.
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|Uncontrolled Keywords:||self-assessment of health, type 2 diabetes, coronary artery disease|
|Subjects:||Health > Public Health > Chronic Illness & Diseases|
Health > Public Health > Chronic Illness & Diseases > Diabetes
|Depositing User:||Users 141 not found.|
|Date Deposited:||22 May 2011 13:19|
|Last Modified:||22 May 2011 13:19|
|Link to this item (URI):||http://health-equity.pitt.edu/id/eprint/2495|
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