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제목 | Previous studies have reported combined findings with the matchmaking between competition/ethnicity and you may NH entry | ||
작성일 | 2023-03-04 | 작성자 | 한.강 |
Dining table step one
Desk 2 screens the final modified multivariable logistic regression model having the outcomes of enough time-label NH entryway towards Expansion Research cohort, excluding girls with one covariates forgotten. Non-light people, like Asian, Black colored and Hispanic lady escort service Pueblo CO, got a 56–65% reduced likelihood of NH entryway compared to Light females. High income is actually of the as much as 25% diminished odds of NH entryway. That have a college education (against. senior school education) was for the a great 26% enhanced likelihood of NH entry. All the way down thought public assistance is of a good 34% enhanced probability of NH admission and you can living with an individual’s students try of this at the twenty five% decreased odds of NH entry.
Dining table 2
Adjusted multivariate logistic regression models of circumstances in the enough time-term NH entryway for one) Complete extension research cohort and you will dos) among ladies who had a case coronary attack.
Table 2 and displays the final modified multivariable logistic regression design with the outcome of post-coronary attack long-term NH entry to the Extension Study cohort girls which have event coronary attack in follow through period (n=step one,489 women having over investigation for everybody provided details). Race/ethnicity, money and you may social support information were not notably with the chance out-of NH entryway within this model after changing to have stroke severity. Average handicap, shown by Glasgow Get during release in the coronary arrest hospitalization, are of this a 2.76-bend increased likelihood of blog post-coronary attack long-name NH admission than the an effective data recovery.
Discussion
Within highest cohort from postmenopausal Western lady, event heart attack are associated with a two.59-bend enhanced odds of much time-identity NH entryway, and moderate impairment immediately following coronary attack is associated with a two.76-flex increased likelihood of post-heart attack enough time-identity NH entryway. Race/ethnicity, income, and you will societal support information had been regarding the reduced likelihood of enough time-label NH admission overall, but were not rather with the article-coronary arrest a lot of time-name NH entry shortly after modifying for stroke seriousness.
One of our total cohort, Western, Black and Hispanic lady got a beneficial 56–65% reduced odds of NH admission compared to the white girls. A recent Health insurance and Advancing years analysis, a medical feedback and you can an excellent meta-study advertised enhanced odds of NH entry to own light battle (dos,several,29,31). A current federal You.S. study claimed more and more non-light parents acknowledge to help you NHs and recommended you to past disparities in accessibility NH care for low-light elders can be switching, with increased white parents seeking to solutions to NH care when you find yourself so much more non-light elders ics (14). It is not sure within our research if a lot fewer non-white girls reported NH admissions because of preference to cease NH admissions or due to decreased accessibility NH worry.
I as well as receive recognized public help and living with other people was separately associated with a lot of time-identity NH entry. Lower thought of societal support was with the good 34% increased odds of NH entryway and managing children or a good partner is actually of the a twenty five–28% ple. Marital updates wasn’t associated with the likelihood of NH admission. Living with someone else and better personal help had been for the 17–65% decreased likelihood of NH entryway in the earlier degree (dos,thirteen,31,32). So it seeking features brand new difference between structural (such as marital position or managing anybody else) versus. functional/sensed assistance, because these can get portray different organizations, so modifying for structural assistance, such as life style by yourself, might not adequately grab brand new public assistance ecosystem.
In our study, higher money was associated with the as much as a 25% decreased likelihood of NH entryway, if you are earnings was not somewhat in the NH entryway during the earlier standard society studies (dos,13). Although not, high income you will permit ladies to engage individual home-care attributes in lieu of browsing a NH.